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13
in the susceptible children a milder form of the disease may
have been more successful, as no complicated case of measles
was admitted to the isolation hospital until the month of May
when the administration of serum had been discontinued.
In the outbreak of whooping-cough, there were 178 notifications,
distributed throughout the town, and on investigation
it was found that 5 of these had had injections for immunisation
against pertussis.
Further investigation however, demonstrated that not one
of these five children had had the complete course of injections
before contracting the disease, and these children therefore,
had not in actual fact had the opportunity of developing an
immunity against this distressing disease.
In one of these 5 cases, two injections of the vaccine were
given after the child had contracted whooping cough, and it
did not appear that this treatment in any way influenced
the course of the attack.
In contrast to the outbreak of measles, this epidemic of
whooping cough produced a number of severe cases, and 22
children were admitted during the year to the Borough's
Isolation hospital as complicated cases of whooping-cough.

Two of these patients died, one from a pneumonia and
convulsions, and the second from a severe pneumonia complicating
the whooping-cough.
A further three cases under the care of private practitioners
in the town also died, the cause of death in each case being a
broncho-pneumonia.