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During the year 8,358 of these certificates were authenticated. In addition
27 special certificates were issued to travellers who refused vaccination due to medical or
religious grounds.
IMMUNISATION AND VACCINATION
POLIOMYELITIS IMMUNISATION
In the clinics, oral vaccine(Sabin) has almost entirely replaced the inactivated
vaccine by injection (Salk). However, of the immunisations given by general practitioners,
one quarter is still by the latter method. In September, a circular letter was received from
the Ministry of Health giving the recent views of the Sub-Committee on Poliomyelitis Vaccination,
and the following were their three recommendations:-
(1) that an interval of three weeks was no longer necessary after a dose of
oral vaccine before any other immunising procedure is undertaken;
(2) the simultaneous administration of oral vaccine with triple vaccine could
be recommended; and
(3) there was no need to delay tonsillectomy because of recent administration
of oral vaccine.
It is pleasing to note that no cases occurred during the year in the borough, but
the very low level of protection at present prevailing means that, should a case occur, a
severe outbreak is a very likely possibility. The detailed plan as originally outlined by the
London County Council a year or two ago was revised and centres ear-marked should a mass
vaccination scheme be necessary in any part of the borough.
Total primary
courses
completed
Total
reinforcing
doses
At Council clinics -
Salk 33 15
Sabin 3,359 1,717
By general practitioners -
Salk 136 42
Sabin 541 151
Total: 4,069 1,925
DIPHTHERIA IMMUNISATION
The following table shows the number of injections given during the year. Once
again, no cases have occurred in the borough but the fact that the occasional case is still
occurring in other London boroughs means that every effort must be made to obtain the highest
degree of protection in the community.
Total primary
courses
completed
Total
reinforcing
doses
At Council clinics 2,447 3,451
By general practitioners 497 516
Total: 2,944 3,967