initial commit of ebook 32250HEAD main

author: Roger Frank <rfrank@pglaf.org> 2025-10-14 19:57:17 -0700
committer: Roger Frank <rfrank@pglaf.org> 2025-10-14 19:57:17 -0700
commit: f610c1a1a620f08caa829731701c5a27b2329442 (patch)
tree: d188c335c5e86f63fb2ec0dde5b55245a60676e7 /old/redcross-table.html
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+  <head>
+    <meta http-equiv="Content-Type" content="text/html;charset=iso-8859-1" />
+    <meta http-equiv="Content-Style-Type" content="text/css" />
+    <title>
+Communicable Diseases Among Children&mdash;Rules for Isolation and Exclusion
+from School
+    </title>
+    <style type="text/css">
+
+p {
+    margin-top: .75em;
+    text-align: justify;
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+
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+
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+.center   {text-align: center;}
+.smcap    {font-variant: small-caps;}
+.sm {font-size:85%;}
+
+    </style>
+  </head>
+<body>
+
+<div class="bigtable">
+
+<p class="smcap center">New York State Department of Health<br />
+<span class="med">Communicable Diseases Among Children</span><br />
+Rules for Isolation and Exclusion from School</p>
+
+<p class="fl"><span class="smcap">Herman M. Biggs, M.D.</span><br />
+<span class="pad-l">Commissioner</span></p>
+
+<p class="fr center">Issued by the<br />
+Division of Public Health Education</p>
+
+<table rules="all" frame="hsides" cellpadding="2" summary="NY Dept. of Health's rules for isolating
+children with communicable diseases">
+
+<thead>
+<tr class="mid">
+<th class="smcap" rowspan="3">Disease</th>
+<th class="smcap" rowspan="3">Principal Signs and Symptoms</th>
+<th class="smcap" rowspan="3">Method of Infection</th>
+<th class="smcap" colspan="5">Exclusion from School</th>
+<th class="smcap" colspan="5">Duration of Exclusion from Date of Onset</th>
+<th rowspan="3">Remarks</th>
+</tr>
+
+<tr class="mid">
+<th rowspan="2">Patient</th>
+<th class="sm" colspan="2">OTHER CHILDREN OF SAME HOUSEHOLD</th>
+<th class="sm" colspan="2">OTHER SCHOOL CHILDREN ESPECIALLY EXPOSED</th>
+<th rowspan="2">Patient</th>
+<th class="sm">PATIENT GOES TO HOSPITAL</th>
+<th class="sm" colspan="2">PATIENT REMAINS ISOLATED AT HOME</th>
+<th rowspan="2">Children exposed at school</th>
+</tr>
+
+<tr class="mid">
+<th>Non-<br />immunes</th>
+<th><a name="FNanchor_3_3" id="FNanchor_3_3"></a><a href="#Footnote_3_3" class="fnanchor">[3]</a>Immunes</th>
+<th>Non-<br />immunes</th>
+<th><a name="FNanchor_3_3b" id="FNanchor_3_3b"></a><a href="#Footnote_3_3" class="fnanchor">[3]</a>Immunes</th>
+<th>Other children of the same household</th>
+<th>Other children who remain at home</th>
+<th>Children who leave household as soon as disease is discovered</th>
+</tr>
+</thead>
+
+<tfoot>
+<tr class="no-bb"><td colspan="14">
+<a name="Footnote_3_3" id="Footnote_3_3"></a><a href="#FNanchor_3_3">[3]</a> Immunes are those who have had the diseases or in smallpox, who have been successfully vaccinated within a year.
+</td></tr>
+
+<tr class="no-bb"><td colspan="14">
+<span class="smcap">Disinfection:</span> 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 antiseptic
+solution; 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). (<a href="redcross.html#Page_247"><i>Facing p. 247</i></a>)
+</td></tr>
+</tfoot>
+
+<tbody>
+<tr>
+<th>CHICKENPOX</th>
+<td>Rarely begins with fever. Rash appears on second day as small pimples,
+which in about a day become filled with clear fluid. This fluid becomes
+yellow colored, a crust forms and the scab falls off in about 14 days.
+Successive crops of papules appear until tenth day.</td>
+<td>Contact with discharges from nose and throat of a patient.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">No</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Until all scabs are shed and disinfection of person; at least 12 days.</td>
+<td colspan="3">Exclude if non-immune until 21st day after child last saw patient.</td>
+<td>Exclude from school if non-immune during 11th to 22d days after child
+last saw patient.</td>
+<td>A mild disease and seldom any after effects.</td>
+</tr>
+
+<tr><th>DIPHTHERIA</th>
+<td>Onset may be rapid or gradual. The back of the throat, tonsils, or
+palate may show patches. The most pronounced symptom is sore throat.
+There may be hardly any symptoms at all.</td>
+<td>Contact with discharges from nose and throat, occasionally by drinking
+infected milk.</td>
+<td align="center">Yes</td> <td align="center">Yes</td> <td align="center">Yes</td>
+<td align="center">Yes</td> <td align="center">Yes</td>
+<td> Until patient is recovered and has two cultures from throat and nose
+which contain no diphtheria bacilli; cultures not to be taken until 9
+days from date of onset. Disinfection of person. </td>
+<td colspan="3"> Until two cultures at least 24 hours apart are reported negative. Those
+showing diphtheria bacilli should not necessarily be immunized unless
+symptoms appear.</td>
+<td></td>
+<td> Very dangerous, both during attack and from after effects. When
+diphtheria occurs in a school all children suffering from sore throat
+should be excluded and the health officer notified. The medical school
+inspector or health officer should take cultures from all inflamed
+throats and noses. There is great variation of type, and mild cases are
+often not recognized, but are as infectious as severe cases. There is
+frequently no immunity from further attacks.</td>
+</tr>
+
+<tr>
+<th>MEASLES</th>
+<td>Begins like cold in the head, with running nose, sneezing, inflamed and
+watery eyes and fever. Mulberry-tinted spots appear about the third day;
+rash first seen behind the ears, on forehead and face. The rash varies
+with heat; may almost disappear if the air is cold, and come out again,
+with warmth.</td>
+<td>Contact with discharges from nose and throat of a patient.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">No</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Until recovery and disinfection of person; at least 7 days from onset.</td>
+<td colspan="3">Exclude non-immunes until 15th day after child last saw patient.</td>
+<td>If non-immune exclude from school during 8th to 15th day after child
+last saw patient. </td>
+<td>After effects often severe. Period of greatest risk of infection three
+days, before and after the rash appears. Great variation in type of
+disease. Dangerous in children under 2 years of age. During an outbreak
+all children having a temperature over 99�F. should be sent home and the
+health officer notified.</td>
+</tr>
+
+<tr>
+<th>MEASLES
+(LIBERTY)</th>
+<td>Illness usually slight. Onset sudden. Lymph nodes in back of neck
+enlarged. Rash often first thing noticed; no cold in head. Usually have
+fever, sore throat, and the eyes may be inflamed. Rash sometimes
+resembles measles and scarlet fever, variable.</td>
+<td>Same as above.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">No</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Until recovery and disinfection of person; at least 8 days.</td>
+<td colspan="3">Exclude if non-immune until 22d day after child last saw patient.</td>
+<td>Exclude from school if non-immune during 11th to 22d days after child
+last saw patient.</td>
+<td>After effects slight. Regulations strict, because frequently confused
+with scarlet fever.</td>
+</tr>
+
+<tr>
+<th>MUMPS</th>
+<td>Onset may be sudden, beginning with sickness and fever, and pain about
+the angle of the jaw. The parotid glands become swollen and tender.
+Opening the mouth is accompanied by pain.</td>
+<td>Same as above.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">No</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Two weeks after onset and one week after disappearance of swelling and
+after disinfection of person.</td>
+<td colspan="3">Exclude 15th to 22d day after child last saw patient.</td>
+<td>Exclude from 15th to 22d day after child last saw patient.</td>
+<td>Seldom leaves after effects. Very infectious. Inflammation of genital
+organs of male or female may occur.</td>
+</tr>
+
+<tr>
+<th>POLIOMYELITIS</th>
+<td>Onset sudden, fever, excitable, pain on bending neck forward, pain on
+being handled, headache, vomiting. Sometimes sudden development of
+weakness of one or more muscle groups.</td>
+<td>Contact with discharge from nose, throat or bowels of a patient or
+carrier.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">Yes</td>
+<td align="center">Yes</td><td align="center">Yes</td>
+<td>Until patient is recovered. Disinfection of person at least 21 days.</td>
+<td>14 days from time child last saw patient.</td>
+<td>Until 14 days after quarantine raised.</td>
+<td>14 days from time child last saw patient.</td>
+<td></td>
+<td>Disease is most communicable in the early stages. After effect is
+paralysis of certain muscle groups, transitory or permanent. Death is
+due usually to paralysis of respiratory muscles.</td>
+</tr>
+
+<tr>
+<th>SCARLET
+FEVER</th>
+<td>The onset is usually sudden, with headache, fever, sore throat, and
+often vomiting. Usually within twenty-four hours the rash appears as
+fine, evenly diffused, and bright red dots under skin. The rash is seen
+first 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 large
+pieces.</td>
+<td>Discharges from nose and mouth, suppurating glands or ears of a patient.
+Milk may convey infection.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">Yes</td><td align="center">Yes</td>
+<td align="center">Yes</td>
+<td>At least 30 days and until discharges have ceased and disinfection of
+person.</td>
+<td>Seven days from time child last saw patient.</td>
+<td>Until seven days after quarantine has been raised.</td>
+<td>Seven days from time child last saw patient.</td>
+<td></td>
+<td>Dangerous both during attack and from after effects. Great variation in
+type of disease. Slight attacks are as infectious as severe ones. Many
+mild cases not diagnosed and many concealed. A second attack is rare.
+When scarlet fever occurs in a school, all cases of sore throat should
+be sent home and health officer notified. Most fatal in children under
+ten years.</td>
+</tr>
+
+<tr>
+<th>SMALLPOX</th>
+<td>Onset sudden usually with fever and severe backache. About third day
+upon subsidence of constitutional symptoms red shot-like pimples, felt
+below the skin, and seen first about the face and wrists most on exposed
+surfaces, develop. They form little blisters and after two days more
+become filled with yellowish matter. Scabs form which begin to fall off
+about the fourteenth day.</td>
+<td>All discharges of a patient and particles of skin or scabs.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">Yes</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Recovery and disinfection of person at least 14 days.</td>
+<td>Exclude if non-immune until 21st day after child last saw patient, or 7
+days successful vaccination and disinfection of person.</td>
+<td>Exclude if non-immune until 20 days after quarantine has been raised or
+7 days after successful vaccination and disinfection of person.</td>
+<td>Exclude if non-immune until 21st day after child last saw patient, or 7
+days after successful vaccination and disinfection of person.</td>
+<td>Exclude 20 days unless they have been successfully vaccinated within 1
+year in which case they may return at once.</td>
+<td>Peculiarly infectious. When smallpox occurs in connection with a school
+or with any of the children's homes all persons exposed must be
+vaccinated or quarantined for a period of 20 days. Cases of modified
+smallpox in vaccinated persons, may be, and often are, so slight as to
+escape detection. Fact of existence of disease may be concealed. Mild or
+modified smallpox is as infectious as severe type.</td>
+</tr>
+
+<tr>
+<th>SORE THROAT,
+ACUTE, SEPTIC</th>
+<td>Begins with sore throat and weakness. Throat diffusely reddened and may
+show patches like diphtheria.</td>
+<td>Discharges from nose and mouth of a patient.</td>
+<td align="center">Yes</td><td align="center">No</td><td align="center">No</td>
+<td align="center">No</td><td align="center">No</td>
+<td>Until recovery.</td>
+<td colspan="3"></td><td></td>
+<td>Often leads to serious results, affections of heart, kidneys, etc. Very
+apt to occur in epidemics due to milk contaminated by a patient
+suffering from the disease.</td>
+</tr>
+
+<tr>
+<th>WHOOPING
+COUGH</th>
+<td>Begins with cough which is worse at night. Symptoms may at first be very
+mild. Characteristic "whooping" cough develops in about 2 weeks, and the
+spasm of coughing sometimes ends with vomiting.</td>
+<td>Discharges from nose and mouth of a patient.</td>
+<td align="center">Yes</td><td align="center">Yes</td><td align="center">No</td>
+<td align="center">Yes</td><td align="center">No</td>
+<td>Eight weeks or until 1 week after last characteristic cough and
+disinfection of person.</td>
+<td colspan="3">Fourteen days provided no cough develops.</td>
+<td></td>
+<td>After effects often very severe and disease causes great debility.
+Relapses are apt to occur. Second attack rare. Specially infectious for
+first week or two. If a child vomits after a paroxysm of coughing, it is
+probably suffering from whooping cough. Great variation in type of
+disease. Often fatal in young children.</td>
+</tr>
+</tbody>
+</table>
+
+</div>
+</body>
+</html>
author	Roger Frank <rfrank@pglaf.org>	2025-10-14 19:57:17 -0700
committer	Roger Frank <rfrank@pglaf.org>	2025-10-14 19:57:17 -0700
commit	f610c1a1a620f08caa829731701c5a27b2329442 (patch)
tree	d188c335c5e86f63fb2ec0dde5b55245a60676e7 /old/redcross-table.html