Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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38
During the year, 33 children were removed to hospital from the residential
establishments where immunisation against diphtheria is carried out, suffering or suspected
to be suffering from diphtheria. As a result of subsequent findings, 7 (21.2
per cent.) proved not to be suffering from diphtheria, 1 (3 per cent.) yielded bacteriological
but no clinical evidence of diphtheria, and 25 (75.8 per cent.) were found to
be suffering from clinical diphtheria. The following analysis of the 25 clinical cases
indicates the number of children who had been subjected to immunisation at the
residential establishments and the subsequent diagnosis at the hospital:—
The following analysis of the 25 clinical cases indicates the number of children who had been subjected to immunisation at the residential establishments and the subsequent diagnosis at the hospital:—
Classification | Hospital diagnosis | ||
---|---|---|---|
Schick negative on preliminary test and therefore notl subjected subsequently to prophylactic injections | | Paucial | 3 | |
Nasal | 1 | 4* | |
Schick negative after course of prophylactic injections Course of prophylactic injections not completed | Nasal | 1† | |
Faucial | 3 | ||
Nasal | 3 | ||
_ | 6** | ||
Not Schick-tested | Faucial | 10 | |
Nasal | 4 | 14 |
*1—10 months after Schick negative result.
1—11 ,, ,, ,, ,, ,,
1—7 „ ,, ,, ,, ,,
1—6 years ,, ,, ,, ,,
†l—2½ ,, ,, ,, ,, ,,
**1—10 days after second injection of diphtheria prophylactic.
1—10 months ,, ,, ,, ,, ,,
4—No prophylactic given.
Active
immunisation
against
scarlet
fever
Active immunisation against scarlet lever was carried out at tour of the Council's
residential establishments, viz., Mayford approved school and Shirley, Ongar and
Hutton residential schools. During the year 1937, 857 children were Dick-tested,
viz., 501 boys and 356 girls, of whom 374 boys (74.7 per cent.) and 251 girls (70-5 per
cent.) proved to be Dick negative, while 127 boys (25.3 per cent.) and 105 girls
(29.5 per cent.) were Dick positive or susceptible to scarlet fever.
The following is an analysis of the number of children Dick-tested and immunised during 1937:—
Table 24
Age | Total tested | Percentage | ||||
---|---|---|---|---|---|---|
Male | Female | Dick negative | Dick positive | |||
Male | Female | Male | Female | |||
2 years | 51 | 32 | 31.4 | 25.0 | 68.6 | 75.0 |
3 „ | 45 | 32 | 46.6 | 43.7 | 53.4 | 56.3 |
4 „ | 25 | 21 | 64.0 | 57.1 | 36.0 | 42.9 |
5 „ | 24 | 18 | 66.7 | 77.8 | 33.3 | 22.2 |
6 „ | 17 | 23 | 82.4 | 82.6 | 17.6 | 17.4 |
7 „ | 34 | 25 | 79.4 | 84.0 | 20.6 | 16.0 |
8 „ | 23 | 17 | 91.3 | 88.2 | 8.7 | 11.8 |
9 „ | 33 | 37 | 93.9 | 91.9 | 61 | 8.1 |
10 „ | 16 | 20 | 100.0 | 85.0 | — | 15.0 |
11 „ | 43 | 22 | 86'0 | 77.2 | 140 | 22.8 |
12 „ | 40 | 32 | 87.5 | 68.7 | 12.5 | 31.3 |
13 „ | 79 | 27 | 81.0 | 89.0 | 190 | 11.0 |
14 „ | 65 | 26 | 84.6 | 76.9 | 15.4 | 23.1 |
15 „ | 5 | 22 | 80.0 | 54.5 | 20.0 | 45.5 |
16 „ | 1 | 2 | 100.0 | 100.0 | — | — |
501 | 356 | 74.7 | 70.5 | 25.3 | 29.5 | |
Age groups of children in above table | ||||||
2—5 years | 145 | 103 | 47.6 | 46.6 | 52.4 | 53.4 |
6—10 „ | 123 | 122 | 88.6 | 86.9 | 11.4 | 13.1 |
11—16 „ | 233 | 131 | 84.1 | 74 0 | 15.9 | 26 0 |
501 | 356 | 74.7 | 70.5 | 25.3 | 29.5 |