Licence: In copyright
Credit: Hygiene: a manual of personal and public health. Source: Wellcome Collection.
Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.
333/372 (page 321)
![which, as the name indicates, was formerly forty days, but is now shorter. It may be conveniently employed, however, to signify the restriction of the movements of all persons who have been apparently exposed to infection, or who continue to live in infected dwellings. In this sense we may speak of :— 1. Domestic Quarantine. 2. Scholastic Quarantine. 3. National and International Quarantine. Domestic Quarantine, to a varying extent, is desirable for the members of a family of which one member-ihas been attacked by an infectious disease. For small-pox every member of a household should be kept under strict watch until sixteen days have elapsed since the last contact with the case of small-pox, or until successful vaccination has been secured. For enteric fever this strict v/atch would be unnecessary, but the remaining members of the household should be warned to call in a doctor on the first symptom of malaise. Quarantine is specially indicated for certain occupations. Thus if the child of an out-door labourer had been removed to a hospital with scarlet fever, it would be unnecessary to keep the latter away from work during the following week. If, however, he were a milk-carrier, or a tailor, or an assistant in a sweet-stuff shop this would be a desirable measure. The Quarantine of School Children is more necessary than that of adults, because the former are more susceptible to infection. Children are kept from school:— (a) Because the infectious patient still remains in the house. In this case the healthy children must be kept from school until the patient has ceased to be infectious and disinfection has been thoroughly carried out ; and for a further period longer than the longest known period of incubation of the disease in question (page 287), a margin being left for contingencies. It would probably be 8 plus 2 weeks for scarlet fever. (b) Children are kept from school for a period exceeding the longest period of incubation when the patient has been removed to hospital. The table on page 322, modified from the Author's School Hygiene, is introduced as furnishing a convenient summary of the subject. Objection is sometimes taken to the exclusion of children under the above circumstances from school, on the ground that they continue to mix with others in the street or in neighbouring houses. Clearly, however, in a school-room, a suspected child may communicate infection to children coming from widely scattered streets, while out-of-doors the danger is comparatively slight, and among neighbours the danger is very limited in area. It is assumed in the following table that all infected articles have been disinfected before the termination of the period of quarantine. Newsholme's Hygiene.] 22](https://iiif.wellcomecollection.org/image/b21357675_0333.jp2/full/800%2C/0/default.jpg)
