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108
At the time of writing the scheme had been still further augmented
so that not only do the Council provide the material to general prac—
titioners free of charge, but also pay them 7s. 6d. for each child
immunised.
In addition arrangements are now made for a final Schick test to
be performed at the Toddlers' Clinic by a medical officer employed by
the Borough Council.
Every endeavour is being made to make this scheme a complete
success, because, of course, it is realised that unless the proportion of
Schick immunes is maintained above a certain percentage (about 30
per cent.) the incidence of diphtheria in the Borough will not be
reduced.
Dysentery.
One case of dysentery was notified during the year in a child aged
two years. The condition was mild and the child made a complete
recovery. Sonne's dysentery bacillus was grown from the stools. The
source of the infection was unknown.
Encephalitis Lethargica.
One case of this infection was notified during the year, but the
medical practitioner in charge of the case eventually decided that it
was not a true case of encephalitis lethargica.
There were also two deaths recorded from this disease, neither of
which had been notified. They were in adults, aged 33 years and 41
years respectively, and both deaths occurred in hospital.
Enteric Fever.
One case of para.typhoid fever was notified during the year.
The patient was a female aged 34 years and was admitted to the New
End Hospital from whence she was transferred to the North Western
Fever Hospital. The blood serum agglutinated B. Para.typhosus B.
in a solution of 1/320. The patient has made an uninterrupted
recovery and although careful investigations were made, the source of
the infection could not be traced.
There were also two deaths recorded during the year from this
infection. One case had been notified during the preceding year. The