London's Pulse: Medical Officer of Health reports 1848-1972

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St James's 1859

[Report of the Medical Officer of Health for St James's, Westminster]

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Sanitary Directions issued in 1859, by the
Medical Officer of Health.
SCARLET FEVER.
As this Disease is extensively prevailing in the Parish,
and is highly contagious, Persons in whose families it
breaks out should observe the following Rules:—
1. In all cases the sick person should be separated from
the rest of the family, either by removing the healthy part
of the family or the sick person.
In the case of those needing assistance for the removal of the sick, application
should be made at the Workhouse, Poland Street.
2. In cases where the disease has broken out the
children should on no account be sent to School till such
time as the medical attendant shall certify that there is no
danger of their conveying the infection.
In many instances the occurrence of Scarlet Fever has been traced to
the children of infected families having been sent to school,
and though not having the disease themselves, have, through
their clothes, given it to others.
3. Grown up persons who have been in contact with
those affected with the disease should avoid attending
public places, riding in omnibuses, or in any manner
coming in contact with others, until they have changed
their clothes, or exposed them to heat, or washed them in
hot water.
4. In the case of those ill with the fever, the door of
the room should be kept open and all windows should be
occasionally or constantly kept open, according to circumstances,
to secure the escape of bad air and the entrance of
fresh air.