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had been discharged from hospital three days previous to the onset
of the disease in another child of the family and as he was suffering
from a profuse nasal discharge and cervical adenitis he was again
removed to hospital for a further period of isolation and treatment.
Four other return cases occurred during the year and the
discharged patients were examined but showed no signs of being
infectious.
The Dick test and active immunisation have not yet been
employed in the Borough.
Diphtheria.— During the year 77 cases of Diphtheria were
notified with 4 deaths as compared with 59 notifications and one
death the previous year.
The Schick Test and Immunisation against Diphtheria.—This
work is carried out by the Medical Officer of Health once a week
at the Barton House Maternity and Child Welfare Centre.
In every case before a child is given an injection the consent
of the parent or guardian is obtained in writing.
The figures in respect of Schick testing and Immunisation
are as follows :—
23 Schick tested from the age of 6 upwards 19 were found to
be positive.
48 completed the preliminary course of three immunising
injections.
During the year, 34 children were re-Shick tested at intervals
of throe to four months, after the immunising treatment. Of
these, 25 were found to be definitely negative and 9 to be still
positi ve ; 9 were given a further injection and in 4 instances it was
thought advisable to give a fifth injection to secure adequate protection.
The number of children protected during the year, thoughtwice
that of the year previous, cannot be considered satisfactory, but