[Report of the Medical Officer of Health for East Ham] page 50

East Ham 1952

[Report of the Medical Officer of Health for East Ham]

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Table: INFECTIOUS DISEASE PROCEDURE

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INFECTIOUS DISEASE PROCEDURE

DISEASE	FORM	EXCLUSION OF CASE FROM WORK OR SCHOOL.	EXCLUSION OF CLOSE FAMILIAL OR HOUSEHOLD CONTACT FROM WORK OR SCHOOL.	EXCLUSION OF HOUSEHOLD FROM USE OF LAUNDRIES, CLEANERS & LIBRARIES.	NOTES
(1)	(2)	(3)	(4)	(5)	(6)
SCARLET FEVER	1	14 days from onset or longer in presence of persistently inflamed throat, running nose or discharging ears. Adults working in contact with food or with maternity or surgical cases should not be allowed to resume work until nose & throat swabs are reported free from haemolytic streptococci.	ADULTS working in contact with food or maternity or surgical cases should be excluded until nose and throat swabs are reported as containing "no haemolytic streptococci".Children and other adults need not be excluded unless and until any symptoms develop. Any Children with sore or inflamed throats should be excluded from school pending laboratory investigation. Those whose swabs yield a growth of haemolytic streptococci should be treated, and not allowed to resume school until nose & throat swabs have been reported negative.	Yes.	PURPOSES OF VISIT BY HEALTH VISITOR (1) To advise re measures of isolation and concurrent disinfection where the case is nursed at home, and to report to M.O.H. any factors favourable to spread of infection. (2) To list all contacts and, where appropriate, to obtain the necessary swabs or specimens for examination. To advise re early symptoms and necessity for calling in G.P. should these develop. (3) Advice on nursing of actual cases should only be given in close collaboration with the G.P. although the Health Visitor may properly interpret instructions already given by the doctor. (4) To advise re measures for terminal disinfection. In general this should consist of a thorough cleaning and airing of the sick room with particular emphasis on the scrubbing of all floors and horizontal surfaces together with washing of bedlinen, curtains, etc., and thorough airing and sunning of blankets, carpets, etc. Spraying will be discontinued as a routine measure,but may be requested at the discretion of the Health Visitor.