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39
Of the total of 232 Dick positive cases, 27 left school before immunisation was
completed, 202 proved to be negative after the usual course of immunising injections,
and 3 became immune after further injections.
The following is a summary of the progress of immunisation during 1938:—
Uncompleted cases brought forward from 1937 50
Tested for susceptibility 308
Found to be immune 156
Found to be susceptible 152
Completed full immunising course and gave negative reactions on re-test 115
Left school before course of injections had been completed 28
Outstanding on 31st December, 1938, to be completed in 1939 59
During the year, 5 children were removed to hospital from the above-named
schools suffering from scarlet fever : 3 had not been Dick-tested, 1 was Dick negative
in 1937 (18 months prior to the onset of scarlet fever) and 1 had been immunised and
showed a negative reaction on retest (18 months prior to contracting scarlet fever).
Vulvovaginitis
During the year 18 cases of vulvo-vaginitis were reported among the girls in
the residential establishments (excluding the remand home). Every case proved
negative for gonococcal infection.
There were 104 cases of vulvo-vaginitis reported trom the Stamtord House
remand home, compared with 65 for the previous year. In every case the patient
was removed to hospital. Bacteriological or clinical examination revealed evidence
of gonococcal infection in 21 of these cases, a marked decrease in positive infection
compared with the number (27) for 1937.
Provision
Open-air education
Provision for education in the open air includes nine day open-air schools
(non-tuberculosis) with accommodation for 1,460 children, and six day open-air
schools (tuberculosis) accommodating 515 children. There are also seven country
and seaside convalescent camp schools, accommodating 520 children for periods
varying from one to three months, through which 3,824 children passed last year,
and 215 open-air classes in playgrounds and parks providing for upwards of 6,000
children.
Open-air
schools for
non-tuberculous
children

*Note—The roll of an open-air school may be 20 per cent. above the nominal accommodation.
Plans have been approved for the rebuilding of Bow-road school.
The organisation of the two types of day open-air school has been under review
during the year, and, as the result, it has been decided that while it is desirable for the
present to retain a distinction between the two types of school, the time is opportune
for some modification of the difference in regime. Proposals have therefore been
adopted which will increase the interchangeability of the accommodation and enable
it to be utilised to the best advantage. These changes will come into effect during
1939 and will be dealt with in my next annual report.
Open-air
schools for
tuberculous
children
In addition to the provision of treatment for tuberculous children in residential
institutions, the Council has provided six open-air schools (type T) specifically
for children with quiescent tuberculosis, contacts of cases of tuberculosis and for