INSPECTION FOR CONTAGIOUS DISEASES 



berculosis, when thought to be far enough advanced to be a menace 

 to public health, is generally reported to the chief medical inspector 

 before the pupil is excluded from school. 



In general, the procedure with respect to the more common 

 contagious diseases is substantially as follows: 



Scarlet fever cases are not allowed to return to school until all des- 

 quamation is completed and there is an entire absence of discharge from 

 the ears, nose, throat, or suppurating glands, and the child and premises 

 are disinfected. 



Diphtheria cases are excluded until two throat cultures made on 

 two consecutive days show absence of the Klebs-Loeffler bacilli. Those 

 exposed to diphtheria are excluded one week from last exposure. 



Measles cases are excluded for three weeks or longer if there is 

 present bronchitis, inflammation of the throat or nose, or abscess of the ear. 

 Those exposed to measles are excluded two weeks from the date of last 

 exposure. 



Whooping cough cases are excluded until after spasmodic stage of 

 the cough usually about eight weeks. Those exposed to whooping 

 cough are excluded two weeks after the date of the last exposure. 



Mumps cases are excluded for ten days after all swelling has 

 subsided. 



Chicken-pox cases are excluded until the scabs are all off and the 

 skin smooth. 



Cases oftonsilitis are excluded on clinical evidence alone and throat 

 cultures are made for future diagnosis. 



In making throat examinations wooden tongue depressors are used 

 to the exclusion of all other tongue depressors. Each tongue depressor 

 is used only once and then burned. Aseptic methods are employed in all 

 examinations. 



When children are excluded sufficient reasons are written 

 briefly on an exclusion card which is sent to the parents. One 

 copy is filed with the school authorities and one with the board oft 

 health. School physicians are forbidden to make any suggestions^ 

 as to treatment and management of sick pupils. This rule isi 

 nearly universal and is made imperative. 



Children recovering from measles, whooping cough, mumps, 

 chicken-pox, scarlet fever, diphtheria, and small-pox are not al- 

 lowed to re-enter the school without a permit from the department i 



