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(2) a. Agreement with the authorities of the Miller General
Hospital.
b. Dr. W. Smith to carry out necessary injections.
c. Applications from those attending the Hospital to be
considered.
In the case of both agreements, the liability of the Council
was to be restricted to children between the ages of 1 and 14
years. Your Medical Officer of Health was to approve the material
used, and to ask for such records to be kept as might be
useful to the Department. Payment was to be at the rate of
10/6d. for each complete case or 2/6d. when a Schick test (test
for susceptibility) alone was necessary.
So far (July 29th) some 70 record cards have been passed
by me for payment as satisfactorily completed. It would serve
no useful purpose to set out a table of ages and sexes, but it
may be stated that the majority refer to children between the
ages of 3 and 9 years.. In about a dozen cases the Schick test
alone was necessary and no case with any reaction was reported
to me. In some cases 2 or 3 children in one family have been
inoculated. Signed consents have been obtained from parents
in all cases.
In one or two instances incomplete cases have been referred
from the L.C.C. or other authorities, and have been completed
under our scheme.
I beg to submit the following comments :—
(1) Number of Cases dealt with—
This is quite satisfactory, having regard to the effective
period the scheme has been in progress. There is no' doubt that
propaganda from the Centres through the Health Visitors, and
the issue of leaflets, etc. would cause the number dealt with to be
multiplied.
(2) Material used.
In the case of the Miller Hospital, Alum Precipitated Toxoid
(A.P.T.) has been administered. This is a concentrated antigen
and as a rule only one injection is needed. I felt diffident about
approving this material as it is not yet in general use and is not
devoid of danger. However, it is satisfactory in expert hands
and Dr. Smith is, of course, an expert in charge of the Woolwich
Schick Clinic, and has used this material extensively.