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32
Certain unfortunate results have occurred in
various parts of the world after the use of toxinantitoxin
mixture, but the mixture used at the
Council's clinic is not toxin-antitoxin mixture, but
toxoid-antitoxin mixture, and its use is safe and
effective. The injections are painless and no sore
or scar is left on the arms. Not one child in a
hundred is unwell after the injections. Even if a
febrile reaction occurs it soon subsides.
It is to be noted that it is useless to wait
until an epidemic occurs, as the immunisation
acts very slowly and the protection does not
develop until some weeks after the last injection.
The protection, however, is generally of long
duration, usually lasting for many years if not
for life.
Scarlet Fever.
Notification. Seven hundred and twenty cases
were notified during the year, an increase of
177 compared with 1932. The attack rate was
equal to 4.8 per thousand of the population ; more
females being affected by the disease than males
in the proportion of 389 to 331 cases.

As regards the season Scarlet Fever prevailed
all the year round, being more prevalent during
the last four months of the year. The following
figures show the number of notifications received
during each month of the year:—