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35
Sanitary Administration.
The Assistant Inspector visits the premises, carries out the
disinfection and obtains the following particulars:— Date of attack,
School attended, Date of last attendance, Number in family,
Number of rooms occupied by family, Occupation of parent,
Schools attended by contacts, Milk supply, Existence of library
books, Occupations of contacts, if any.
Where the occupations of contacts are such that there is a
possibility of the infection being carried further, their employers
are notified as to the occurrence of infectious disease in the homes.
Before returning to work, if they have been excluded by the
employer, they are given a certificate signed by the Medical Officer
of Health stating that the premises have been disinfected.
Contacts of Diphtheria are advised to go to their doctor and
have swabs taken from their throats. The medical practitioners
have seen the necessity for this, and the examinations have increased
from 162 to 188.
Clinically there may be nothing in the appearance of the throats
to indicate Diphtheria, but the result of swabbing may prove that
the contacts are a danger to others.
Where cases are kept at home, the Medical Officer of Health
has to be satisfied that such persons are effectually isolated so as
to prevent the spread of the disease.
In such cases, the purveyor of milk is notified of the existence
of their being treated at home, and a separate can or bottle is
left at the premises for the occupier's sole use. The can or bottle
being destroyed after the illness.
The Laundry used is also notified of the existence of the case.
After the termination of the case, and the premises have been
disinfected, the laundry and purveyor of milk are both notified that
the premises have been disinfected.