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continue to prolong infectivity, it is rarely necessary to exclude
patients from school for more than three weeks and contacts may continue
to attend school provided they remain well. Contacts in special
categories such as food handlers, chefs, waitresses and the like, require
of course more stringent supervision and restriction and the modern
practice is to decide these in each case according to the individual circumstances
and not to work to any rule of thumb.
The practice adopted of recent years of nursing these cases of scarlet
fever at home where reasonably possible was continued, and as high a
proportion as 75% were managed in this way during the year.