Transcriber's Note:

Punctuation errors (e.g. missing period at end of sentence, missing quotation marks, etc.) and letters printed upside down have been corrected without note. Except where noted, inconsistencies in hyphenation, capitalization, and spelling (e.g. travelling and traveling) have not been changed. The original index had numerous errors, such as references to terms that do not appear in the text. Except where noted below, it has been left as printed.

The following corrections were made:

New York State Department of Health
Communicable Diseases Among Children
Rules for Isolation and Exclusion from School

Herman M. Biggs, M.D.
Commissioner

Issued by the
Division of Public Health Education

DiseasePrincipal Signs and SymptomsMethod of InfectionExclusion from SchoolDuration of Exclusion from Date of OnsetRemarks
PatientOTHER CHILDREN OF SAME HOUSEHOLDOTHER SCHOOL CHILDREN ESPECIALLY EXPOSEDPatientPATIENT GOES TO HOSPITALPATIENT REMAINS ISOLATED AT HOMEChildren exposed at school
Non-
immunes		[3]ImmunesNon-
immunes		[3]ImmunesOther children of the same householdOther children who remain at homeChildren who leave household as soon as disease is discovered
[3] Immunes are those who have had the diseases or in smallpox, who have been successfully vaccinated within a year.
Disinfection: The cleansing and disinfection of the person includes washing the entire body and the hair with soap and water; thorough brushing of the teeth; rinsing the mouth; gargling the throat, and douching and spraying the nose with an antisepticsolution; and finally, a complete change of clothing (or a change of underwear and a thorough shaking and brushing of the outer garments out of doors before these are put on again). ([Facing p. 247])
CHICKENPOXRarely begins with fever. Rash appears on second day as small pimples,which in about a day become filled with clear fluid. This fluid becomesyellow colored, a crust forms and the scab falls off in about 14 days.Successive crops of papules appear until tenth day.Contact with discharges from nose and throat of a patient.YesYesNoYesNoUntil all scabs are shed and disinfection of person; at least 12 days.Exclude if non-immune until 21st day after child last saw patient.Exclude from school if non-immune during 11th to 22d days after childlast saw patient.A mild disease and seldom any after effects.
DIPHTHERIAOnset may be rapid or gradual. The back of the throat, tonsils, orpalate may show patches. The most pronounced symptom is sore throat.There may be hardly any symptoms at all.Contact with discharges from nose and throat, occasionally by drinkinginfected milk.Yes Yes YesYes Yes Until patient is recovered and has two cultures from throat and nosewhich contain no diphtheria bacilli; cultures not to be taken until 9days from date of onset. Disinfection of person. Until two cultures at least 24 hours apart are reported negative. Thoseshowing diphtheria bacilli should not necessarily be immunized unlesssymptoms appear. Very dangerous, both during attack and from after effects. Whendiphtheria occurs in a school all children suffering from sore throatshould be excluded and the health officer notified. The medical schoolinspector or health officer should take cultures from all inflamedthroats and noses. There is great variation of type, and mild cases areoften not recognized, but are as infectious as severe cases. There isfrequently no immunity from further attacks.
MEASLESBegins like cold in the head, with running nose, sneezing, inflamed andwatery eyes and fever. Mulberry-tinted spots appear about the third day;rash first seen behind the ears, on forehead and face. The rash varieswith heat; may almost disappear if the air is cold, and come out again,with warmth.Contact with discharges from nose and throat of a patient.YesYesNoYesNoUntil recovery and disinfection of person; at least 7 days from onset.Exclude non-immunes until 15th day after child last saw patient.If non-immune exclude from school during 8th to 15th day after childlast saw patient. After effects often severe. Period of greatest risk of infection threedays, before and after the rash appears. Great variation in type ofdisease. Dangerous in children under 2 years of age. During an outbreakall children having a temperature over 99°F. should be sent home and thehealth officer notified.
MEASLES(LIBERTY)Illness usually slight. Onset sudden. Lymph nodes in back of neckenlarged. Rash often first thing noticed; no cold in head. Usually havefever, sore throat, and the eyes may be inflamed. Rash sometimesresembles measles and scarlet fever, variable.Same as above.YesYesNoYesNoUntil recovery and disinfection of person; at least 8 days.Exclude if non-immune until 22d day after child last saw patient.Exclude from school if non-immune during 11th to 22d days after childlast saw patient.After effects slight. Regulations strict, because frequently confusedwith scarlet fever.
MUMPSOnset may be sudden, beginning with sickness and fever, and pain aboutthe angle of the jaw. The parotid glands become swollen and tender.Opening the mouth is accompanied by pain.Same as above.YesYesNoYesNoTwo weeks after onset and one week after disappearance of swelling andafter disinfection of person.Exclude 15th to 22d day after child last saw patient.Exclude from 15th to 22d day after child last saw patient.Seldom leaves after effects. Very infectious. Inflammation of genitalorgans of male or female may occur.
POLIOMYELITISOnset sudden, fever, excitable, pain on bending neck forward, pain onbeing handled, headache, vomiting. Sometimes sudden development ofweakness of one or more muscle groups.Contact with discharge from nose, throat or bowels of a patient orcarrier.YesYesYesYesYesUntil patient is recovered. Disinfection of person at least 21 days.14 days from time child last saw patient.Until 14 days after quarantine raised.14 days from time child last saw patient.Disease is most communicable in the early stages. After effect isparalysis of certain muscle groups, transitory or permanent. Death isdue usually to paralysis of respiratory muscles.
SCARLETFEVERThe onset is usually sudden, with headache, fever, sore throat, andoften vomiting. Usually within twenty-four hours the rash appears asfine, evenly diffused, and bright red dots under skin. The rash is seenfirst on the neck and upper part of chest, and lasts three to ten days,when it fades and the skin peels in scales, flakes, or even largepieces.Discharges from nose and mouth, suppurating glands or ears of a patient.Milk may convey infection.YesYesYesYesYesAt least 30 days and until discharges have ceased and disinfection ofperson.Seven days from time child last saw patient.Until seven days after quarantine has been raised.Seven days from time child last saw patient.Dangerous both during attack and from after effects. Great variation intype of disease. Slight attacks are as infectious as severe ones. Manymild cases not diagnosed and many concealed. A second attack is rare.When scarlet fever occurs in a school, all cases of sore throat shouldbe sent home and health officer notified. Most fatal in children underten years.
SMALLPOXOnset sudden usually with fever and severe backache. About third dayupon subsidence of constitutional symptoms red shot-like pimples, feltbelow the skin, and seen first about the face and wrists most on exposedsurfaces, develop. They form little blisters and after two days morebecome filled with yellowish matter. Scabs form which begin to fall offabout the fourteenth day.All discharges of a patient and particles of skin or scabs.YesYesYesYesNoRecovery and disinfection of person at least 14 days.Exclude if non-immune until 21st day after child last saw patient, or 7days successful vaccination and disinfection of person.Exclude if non-immune until 20 days after quarantine has been raised or7 days after successful vaccination and disinfection of person.Exclude if non-immune until 21st day after child last saw patient, or 7days after successful vaccination and disinfection of person.Exclude 20 days unless they have been successfully vaccinated within 1year in which case they may return at once.Peculiarly infectious. When smallpox occurs in connection with a schoolor with any of the children's homes all persons exposed must bevaccinated or quarantined for a period of 20 days. Cases of modifiedsmallpox in vaccinated persons, may be, and often are, so slight as toescape detection. Fact of existence of disease may be concealed. Mild ormodified smallpox is as infectious as severe type.
SORE THROAT,ACUTE, SEPTICBegins with sore throat and weakness. Throat diffusely reddened and mayshow patches like diphtheria.Discharges from nose and mouth of a patient.YesNoNoNoNoUntil recovery.Often leads to serious results, affections of heart, kidneys, etc. Veryapt to occur in epidemics due to milk contaminated by a patientsuffering from the disease.
WHOOPINGCOUGHBegins with cough which is worse at night. Symptoms may at first be verymild. Characteristic "whooping" cough develops in about 2 weeks, and thespasm of coughing sometimes ends with vomiting.Discharges from nose and mouth of a patient.YesYesNoYesNoEight weeks or until 1 week after last characteristic cough anddisinfection of person.Fourteen days provided no cough develops.After effects often very severe and disease causes great debility.Relapses are apt to occur. Second attack rare. Specially infectious forfirst week or two. If a child vomits after a paroxysm of coughing, it isprobably suffering from whooping cough. Great variation in type ofdisease. Often fatal in young children.