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(a) by the family doctor for children under 14 years of age.
In these cases the residents are advised that they should
approach their own doctor and inform him that they wish
to avail themselves of the Borough Council's Scheme. The
practitioner agrees to give the child three injections and
to enter the necessary particulars on a record sheet, which
sheet acts as the account for his fee, which is paid
quarterly.
The responsibility for the administration of the injection
is placed on the practitioner; he is also responsible for
any subsequent medical attention necessary, etc.
(b) at the Borough Council's Clinics especially devoted to this
purpose, upon application to the Public Health Department,
Town Hall, Haverstock Hill, N.W.3. This service, for
children under 14 years of age, is provided free.
Arrangements for the final Schick test are made by the Borough
Council, and special clinics are held for this purpose.
During the year 328 children were immunised against Diphtheria;
134 by private doctors, and 194 by the Council's Assistant Medical
Officers.
282 Schick tests were performed. There was no preliminary
Schick testing in children below 8 years of age.
Diphtheria Toxoid Anti-Toxin (Goat) is used for immunisation;
three injections of 1 c.c. at weekly intervals are given. As in previous
years there were no instances of the injections being followed by any
severe reactions. A transient local erythema occurred in a very small
number of cases, but there was no constitutional disturbance.
Further lectures on immunisation were delivered in some of the
schools, but, as is generally the case, were attended in greater number
by the already converted than by the unconverted. Once again, the
advantages of giving the child the injections in the schools was demonstrated.
This appears to be the ideal method of procedure, and it
is to be regretted that it is not yet possible to adopt it in the case of
the provided L,.C.C. Schools.