1. Patients suffering from Scarlet Fever, Smallpox, Diphtheria, or Typhoid Fever should, if possible, be at once removed to the Isolation Hospital.
2. Where Smallpox, Scarlet Fever, or Diphtheria are treated at home no child should be allowed to attend school until the infected premises and articles have been disinfected, and until a certificate of re-admission has been obtained from the Medical Officer of Health.
3. Children must not attend an Infants' School from a house where there is a case of Measles, but children in departments for older scholars, who have previously suffered from the disease, need not be excluded under similar circumstances.
4. After Scarlet Fever and Diphtheria, seven days should elapse since the date of disinfection before children from the infected dwelling attend school. After Smallpox eighteen days should elapse.
5. The same periods of exclusion from school should be allowed after school children have been discharged from the Isolation Hospital, i.e., Scarlet Fever and Diphtheria seven days, Smallpox eighteen days, and a certificate of re-admission to school should be obtained from the Medical Officer of Health.
6. If treated at home the patient should be isolated from the rest of the inmates, except those who are in immediate attendance, and should be placed in a well-ventilated room at the top of the house. A sheet should be hung up outside the door of the sickroom and kept wet with a solution of carbolic acid, half-pint to a gallon of water, or with some other recognized disinfectant. A fire should be lighted in the sickroom if the weather permit, and windows should be opened.
7. All bed and body linen, as soon as removed from the sick person, and before being taken from the sickroom, should first be put in a solution of carbolic acid of the above-named strength, or into some other disinfectant, remaining there for an hour, and afterwards boiled in water.
8. All discharges from the patient should be received into vessels containing some suitable disinfectant, and should be removed from the sickroom and disposed of without delay.
9. If the disease is Smallpox any unvaccinated infants in the house should be at once vaccinated, and all adults and young persons over twelve years of age should be re-vaccinated, and kept under medical observation until a period of eighteen days has elapsed since the latest possible date of infection.
10. The sickroom should not be visited by any but those in attendance on the patient, as the clothing of the visitors is very liable to convey infection.
11. In case of death, the body should be completely enveloped in a sheet steeped in a strong solution of carbolic acid (one pint to a gallon of water), placed in a coffin, with a pound or two of carbolic acid powder sprinkled over it, fastened down and buried without delay.
12. On the termination of a case, the sickroom, the clothing, and everything with which the patient has come in contact, must be thoroughly disinfected. Notice should be sent to the
Medical Officer of Health, who will send an Inspector to superintend the process of disinfection. It should be remembered that exposure to fresh-air and sunlight rapidly destroys the germs of infectious diseases, and that extreme cleanliness is an efficient disinfectant.
13. Infected clothing, bedding, and other articles must be given to the Inspector, who will cause them to be removed to the public Disinfecting Station, where they will be disinfected free of charge, after which they should be thoroughly washed at home. Infected clothing should not on any account, or under any pretence whatever be sent to a laundry, and if clothes are received to wash, they should not be received until the house is pronounced free from infection.
14. A person suffering from Scarlet Fever is generally dangerous to others for six or eight weeks, and must not be allowed to mix with other people until after the disinfection of the premises or while there is any discharge from the ears or nose.
15. A person suffering from Diphtheria is generally dangerous to others for a period of at least three weeks, and must not be allowed to mix with others during that period, or while there is any sore throat or discharge from the ears or nose, or while Diphtheria germs are found on bacteriological examination. Such examinations are made free of cost at the Public Health Laboratory by arrangement with the medical attendant of the patient.
16. Books obtained from the Free Library should be handed to the Disinfector.