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

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Hammersmith 1965

[Report of the Medical Officer of Health for Hammersmith Borough]

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Disease Total Disease Total
Cerebro-Spinal Meningitis - Pulmonary Tuberculosis(Primaiy) 1
Chicken Pox 365 Ringworm (Scalp) 3
Diphtheria - Ringworm (Body) 2
Dysentery, Diarrhoea or Enteritis 90 Scabies 9
Food Poisoning - Scarlet Fever 45
Erysipelas - Smallpox German Measles 117 Sore Throat 42
Influenza 37 Tonsilitis 83
Impetigo 10 Typhoid Fever and Paratyphoid
Fever
Measles 721 Whooping Cough 17
Mumps 71 Other Diseases: Sickness 42
Ophthalmia and Conjunctivitis 11 Meningitis 3
Poliomyelitis - Glandular Fever 1
Pneumonia 4 Jaundice 36
Infective Hepatitis.
Sporadic cases occurred (but were mainly confined to three schools) in the Borough
during the year but in the latter months it became evident that a very localised outbreak had
arisen in a school in the north of the Borough. In collaboration with the general practitioners in
the locality gamma globulin was offered to contacts in the school as a protection against this
infection. No further cases occurred. The Public Health Inspectorate of the Medical Adviser's
Department were assiduous in giving advice regarding sanitary arrangements and in arranging
improved installations in the schools.

Prophylaxis.

The following table shows the percentage of children of all ages inspected who were reported to have been immunised against -

(a) Smallpox70.5%
(b) Diphtheria85.8%
(c) Whooping Cough65.2%
(d) Poliomyelitis81%

It is the practice to offer immunisation against tetanus. B.C.G. vaccination was offered to
children in the 13 years + age group as a protection against tuberculosis. On analysis of the
readings of the tuberculin tests it was found that -
(a) an increase in the percentage of positive reactors to 22.8% had become apparent
(compared to the figure of 10.3% for the former London County Council Division 1).
Both these figures include positive reactions of children previously given B.C.G.
vaccination. When the figures for those children previously vaccinated were excluded
the positive reaction rate for the London Borough of Hammersmith was 17.2%.
(b) Of 135 children who had had previous B.C.G. vaccination 31 were negative reactors,
i.e. 22.9%.
Skin testing of the children was carried out by the Multipuncture technique, using P.P.D.
Tuberculin.
(48)