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103
If the clinical evidence is not sufficient and it is necessary
to take a swab, anti-toxin should be administered at once
and not delayed until the report is received from the
Pathologist.
Anti-toxin.—During the year a supply of Anti-toxin
was kept in the Public Health Department, the Hammersmith
Hospital and the West London Hospital, for the use
of Medical Practitioners attending patients residing in
the Borough.
No difficulty was experienced in removing cases to
Hospital, tbe accommodation available being adequate for
the number of cases.
DIPHTHERIA IMMUNISATION.
The Scheme for the prevention of Diphtheria in children
between the ages of 1 and 12 years continued during the
year.
It will be seen that there was a further fall in the
numbers of children dealt with.
Diphtheria—Nazaxeth House.—An outbreak of Diphtheria
occurred amongst the children of Nazareth House
during the period 2nd to 28th September, when altogether
14 cases were notified and removed to hospital.
In view of the large number of inmates of the institution
I thought it advisable for some effective methods to
be employed to prevent the disease spreading to the
remainder of the children.
Accordingly on the 25th September, accompanied by
Drs. Davies, Dancy and Renshaw, I visited the home and
we Schick-tested 171 children between the ages of 3 and 12
years. A further 12 children under 3 years were not
tested.
We again visited the House on the 29th September and
on reading the results of the Schick test, 52 were found to
be positive and 117 to be negative.
On the same morning we injected the 52 positive children
and the 12 under 3 years (who were not tested and were