London's Pulse: Medical Officer of Health reports 1848-1972

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Holborn 1922

Annual report of the Medical Officer of Health for the year 1922

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39
Not only is vaccination easy to evade, but the law, as at present operating,
does not compel vaci-ination or re-vaccination of actual contacts.

The following Table, kindly supplied by the Vaccination Officer of the Holborn Union gives information respecting vaccination in the Borough of Holborn:—

Total Number of BirthsVaccinatedDied before VaccinationCons. ObjectorsInsusceptiblePostponed by Medical CertificateRemovedTemporarily Unaccounted for
IIOLBOKN SUK-UISTltlCT:
July to December, 19211465113231182119
and
January to June, 19221596114240172320
30311227471354139
St. Giles and Uloomsbuhy Sub-District:
July to December, 1921. and8939612011912
January to June, 19221014162709108
1008012390201920

Diphtheria. One hundred and eight notifications of diphtheria were received during the \ear at the following ages: —

Under 1 year1
1 to 5 years30
5 ,, 15 ,,49
15 ,, 2510
25 „ 4510
45 ,, 652

Of these 107 were removed to hospital. Eighteen cases were returned from
the hospitals of the Metropolitan Asylums Board certified as not suffering from
diphtheria. Four of these were apparently "carriers" as diphtheria bacilli were
found in the swabs taken before removal of the patients. Four deaths occurred.
Ten " secondary " cases were notified, but as two of these were found not
to be diphtheria the number of genuine " secondary " cases was only eight. A
secondary " case is one occurring in the same household as the primary case.
There was one " return " case notified twelve days after the return of the
original case Swabs were taken from the throat and nose of the original case
after her return from hospital when she was found still to be harbouring diphtheria
bacilli.