2. Any scholar suffering from a severe cold, with sneezing, redness of the eyes and running at the nose, should be sent home. It may mean an influenza cold or the commencement of measles, and both are infectious. This recommendation is particularly important when measles is known to be prevalent.
3. A child with a violent cough, especially if it is severe enough to cause vomiting or nose-bleeding, should be suspected of whooping-cough, and sent home, even if the characteristic “whoop” is not heard.
4. Slight cases of scarlet fever sometimes escape notice, and the patients are sent to school with the skin on the hands, etc., freely “peeling.”
5. In any of the above instances, or any other case of suspicion, the Medical Officer of Health, on receiving a confidential intimation, will be glad to make an investigation.
SYMPTOMS OF ONSET OF SCARLET FEVER.
Sudden onset.
Usually vomiting.
Always headache.
Feverish, with dry, hot skin.
Sore throat.
Red rash on chest in a few hours.
MEASLES.
Severe “cold in the head” for 72 hours before the blotchy rash appears.
Measles is extremely infectious in this preliminary stage.
Consider every severe influenza cold as possibly measles.
DIPHTHERIA
may be very indistinct.
Languor and sore throat.
Glands under and behind jaw are enlarged.
Patient very pallid.
White or yellow patches seen on examining inside throat.
Whenever doubtful, send the scholar home.