2. The danger of measles has been and is underestimated. Because of
its prevalency many mothers treat it with less respect than they
should, with the result that fatal complications occur, or the
future health of the child is permanently injured.
3. Children with measles should be put in bed and kept in bed and
treated as directed above.
The following rules have been formulated by the Department of Health of
New York City, with reference to measles, and embody precautions that
should find general observance:
1. All children in the family must be promptly excluded from school
attendance.
2. Careful and continued isolation of the patient must be enforced
until the case is terminated and fumigation has been ordered by the
medical inspector of the Department.
3. All secondary cases must be reported even if the first case is
still under surveillance of the Department of Health.
4. Suspected cases must be treated as contagious cases until a
sufficiently long observation has shown that the patient has a
non-contagious disease. All cases will be considered as measles, if
so reported. Any change in the original diagnosis must be made in
writing to the Department of Health and must be confirmed by a
diagnostician.
5. Physicians must not order the removal of patients to the
contagious disease hospital, or elsewhere, in cabs or other
vehicles, but must notify the Department of Health and the removal
will be effected by a coupe or ambulance of the Department.
6. Whenever there is a case of measles in rooms in the rear of, or
communicating with, a store, the inspector is required to have the
store closed at once, or to report the case for immediate removal
to the hospital.
7. A case of measles must not be removed from one house to another,
or even to a different apartment in the same house, without the
permission of the Department. Such removal is in direct violation
of the provisions of the Sanitary Code.
8. No case of measles shall be discharged from observation until
the Department has been notified, the case examined by an inspector
to see if desquamation is entirely completed, and the premises
ordered fumigated. This examination by the inspector is necessary
because the Department of Health must have official information as
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