Show WARDING ARDING CLOSING OF DURING I 1 EPIDEMICS shorn it may concern is Is a copy of a letter sent 11 toy oy state health commissioner T L jones in regard to the ate and policy of the state d of health in connection with matter of closing the schools eimans means of com batting outbreaks diseases e closing of schools as a means an Dri trolling epidemics of mea mho lw hooping cough scarlet fever fb theria eria smallpox and other corn com cable diseases should be conn ed d as a lost last resort to be used when thorough systematic ap eions of other measures fail to t control A review of the lit xe ce shows that there has been i abandonment of faith nd practice of closing schools means of controlling effecting school children aa sa method method it is clumsy it and unsatisfactory for it I 1 to 0 control and results in loss hool ool time and money e modem method of careful inspection of infected schools ionization miza iniza tion of susceptible chil isolation and quarantine of hildren children and susceptible con is both more effective and macal closing the schools is kely to reduce the danger of 1 alre because children are so 20 20 congregate on the streets n public places making previous pron pren n IOUs contacts and thus be ex bout out of school even more than also when away from KI they would be without sup ion all and cases of contagion in earliest bliest stage would not be and would be spreading jyon jon among their playmates chaps two or three days bet detection venust be understood that the rest at symptoms of most com coln able ble 0 diseases are usually no mian ah an those of a digestive 0 common cold in many they bould be passed off as 14 ng g unusual but they are h to make the child listl listless ss I 1 ass ess alert in school As soon 1 e teacher or nurse or health r who is looking for these I 1 notes anything abnormal aie he pupil he be Is sent home im tey tely and control measures ale aie at ht into play at once for wo vo or three days he might t be ge infecting others he is iso at home and his opportunity ead infection Is i induced educed to a aum 3 aum ium 0 jept wept ions to the rule of keep W bools open relate to the fol I 1 0 7 special conditions anade Ini medical edical supervision of schools instance in fill sparsely settled ts where v hel re aggregation takes take only in the school severity demies which defy all other s at control severe epidemics s ich the etiology of the aisea n not at known such as infantile ysis the he health officers and school oil a are justified in closing ijas Is they are obliged to close clos sf public gatherings and to atine all school children to awn premises during the en feriod arlod tor for which the schools ased he parents could be induced ip at home all ailing children teachers would devote a few es at the opening of school morning to a quick inspect t all the children in her room ind end home all those who apio albe be I 1 ill U and then in turn it if amily 1 physician asician or health ot of maere were called to see such all hill hll alldren dren n permitting them to JS to school only when the jc cation atlon of the physician or y officer allows a great step d would have been een taken in evel v ling communicable diseases of 0 cu schools a wa r LA MAR CRIDDLE CREDDLE uck ck county nurse eat |