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The practice adopted in Tottenham in relation to Scarlet Fever made
available hospital beds for the accommodation of complicated cases of
Measles. There was a considerable outbreak of Measles in the early part
of the year of a severe type so that there were 21 deaths—19 more than
in the preceding year.
Of the 221 oases of Diphtheria notified in 1936, 204 were removed to
hospital. Nine died.
The age group of greatest incidence of Scarlet Fever and
Diphtheria was from 5 to 10 years—early school life.
Immunisation against Diphtheria is gaining in popularity but not
to such a degree as to give promise of early suppression of the disease.
Upon notification of a case of a school child being received, the parents of
all the ohildren attending the same class are, by letter, invited to seek
for their immunisation. This frequently results in all the children of
the family being either Schick tested or immunised without preliminary
Sohick testing, depending upon the age of the children. Schick
testing is employed in all children 8 years of age or over. Children under
that age are immunised without preliminary Sohick testing.
Hereunder is set out in tabular form an account of the use made by
Tottenham of the Isolation Hospitals of other authorities.