208 TRANSACTIONS OF THE CANADIAN INSTITUTE. [VoL. VIII. 
inspector will examine the case and under ‘‘Remarks,”’ check date when 
cured. If, in his opinion, more treatment is necessary, the case is to be 
returned to the nurse with card and code number of disease, requesting 
further treatment. 
Under no circumstances or provocation shall an inspector carry on 
any controversy with principals or teachers. Any instance of irregular- 
ity, lack of co-operation, interference with the work of the inspector 
as ordered by the Department, by principals or teachers, must be for- 
warded to the Assistant Chief Medical Inspector in writing for adjust- 
ment. 
Whenever any difference of opinion arises between an inspector and 
a physician not connected with the Department, concerning the pro- 
priety of excluding a case of eye disease, the patient is to be sent to the 
Central Office between the hours of 12 noon and 1 p.m., on any school 
day for examination by an oculist. 
Cases of measles or scarlet fever are to be reported to the Depart- 
ment by telephone. They will be visited at their homes by diagnosti- 
cians, for the purpose of confirming the diagnosis. Cultures are to be 
taken for all cases excluded for throat affections. 
Cases of chicken pox are to be reported to the Department by mail. 
They will be visited by the district medical inspector within 24 hours 
for the purpose of confirming the diagnosis. Children excluded from 
school on account of measles, scarlet fever, chicken pox, smallpox, or 
diphtheria, must not be allowed to resume attendance until they have 
received a written certificate from the district medical inspector that 
the rooms occupied by those cases are free from contagious disease, and 
that the children are ready to return to school. 
The inspectors shall ascertain from the principals and teachers of 
their schools, the name and address of all absentees who may possibly 
have contagious disease in their families, where notification has not 
been sent to the school by the Department of Health, and shall visit 
such absentees on the day the list is given them and forward each day 
special absentee report with school report. This list must be asked for 
daily. 
Vaccinations are to be performed as directed by the Central Office. 
Primary vaccination cards are to be forwarded to Central Office, giving 
name, age, residence, date of vaccination, and signed by the inspector. 
If by reason of illness or other cause, an inspector is unable to report 
at his schools, he must notify the Department of Health at once by tele- 
