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64
high that inoculations are given without test. All re-tested who gave
a plus reaction were re-inoculated.
A record was kept of the Notifications of Diphtheria occurring in
persons who had been inoculated; three cases were notified in 1927.
In one of these, only one inoculation had been given and that merely
a week previous to the occurrence of the disease. In the second case
only two inoculations had been given when the disease occurred a week
later. In the third case the patient had had three inoculations, but
disease occurred two months later, evidently before the protective effect
of the inoculation had developed. This may require up to nine months
or more.
12 cases were notified in 1928. In one of these the diagnosis was
not confirmed. In a second, only one prophylactic injection had been
received.
In 2 others, disease occurred within 1 month of third inoculation.
„ 2 „ „ „ „ 5 months „ „
„ 3 „ „ „ „ 9 „ „ „ „
„ 3 „ „ „ after 9 „ „ „
Two of these were in one family. None of these cases had come for
re-tests to see if inoculations had been successful.
One case was notified in 1929, disease occurring within a week of
second inoculation.
One case was notified in 1930. This case had been re-tested and
found positive and had had only one re-inoculation before removal to
hospital.
In 1931—No cases.
Small-pox.
The Borough remained free from Small-pox from 1918 to 1929, in
which year 15 cases occurred. During 1930, 48 cases, and in 1931, 37
cases, were notified. In view of the superficial similarity between
Chicken-pox and Small-pox, the notification of the former disease is
compulsory under the Deptford (Chicked-pox) Regulations, 1930. The
supervision of Deptford residents, who were "contacts" of Small-pox
cases in other boroughs, has entailed considerable additional work.