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teachers being- cognizant of the fact that these children are inhabitants
of " infected houses," whilst the School Medical Service
is able to follow closely the movements and progress of
actual cases of infectious disease.
1. (i) Information is supplied daily, or as cases arise, to the
School Medical Section, in regard to :—
(a) School children suffering from notifiable infectious
disease.
(b) School children who are definite contacts or inhabitants
of " infected houses."
(ii) Exclusion certificates embracing the full quarantine
period are issued from the School Medical Section in
respect of these cases, and copies are forwarded to the
Secretary and to the Teachers.
2. Information is supplied to the School Medical Section as
soon as it becomes available in the General Office in
regard to :—
(i) Children suffering from tuberculosis, admitted to institutions
or discharged therefrom, together with a summary
of the physical condition of the children and the recommendations
as to future lines of treatment.
(ii) Children suffering from tuberculosis attending the
Tuberculosis Dispensary, and—
(a) Certified by the Tuberculosis Officer as unfit to attend
school.
(b) Certified by the Tuberculosis Officer as fit to attend
school after a period of exclusion.
(iii) The progress of children suffering from tuberculosis—
three monthly interim reports upon the progress of such
children who are inmates of institutions or who attend the
Tuberculosis Dispensary.
(iv) Children admitted to, or discharged from, the Isolation
Hospital.
3. Teachers supply daily reports as to cases of notifiable
and non-notifiable infectious disease occurring in children
who attend their schools, together with information
as to immediate contact cases. Definite rules are laid
down for the guidance of teachers in arriving at a decision
as to the exclusion of contact cases, and, where
doubt exists, rapid reference to the School Medical Service
is available.
The success of this scheme will depend largely upon the constant
vigilance and prompt report of Teachers, Sanitary Inspectors
and Attendance Officers, The co-ordination in administration of
the various services engaged upon the maintenance of public
health should greatly facilitate the working of the scheme.