Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Holborn Borough]
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DIPHTHERIA IN CHILDREN SCHICK TESTED) and Treated with Immunising Injections.
Initials | Age in years at date of Schick Test | Sex | Type of Home | Date of Schick Test | First In jection | Final Injection | Retest | Result of Retest | Date of onset of Diphtheria | Interval between last injection and date of onset of disease | Confirmation of diagnosis by | Character of Attack |
---|---|---|---|---|---|---|---|---|---|---|---|---|
1. A.C. | 4- 4/12 | M. | Artizan— moderately satisfactory ; house let in lodgings | 30/1/24 | 7/2/24 | 20/2/24 (Third) | none | —- | 18/3/25 | 13 months | Metropolitan Asylums Board (n.e. Hospital) | Very severe |
2. G.L. | 6 5/12 | M. | Higher Artizan— model dwellings | 4/4/23 | 11/4/23 | 25/4/23 (Third) | none | - | 29/5/25 | 13 months | Metropolitan Asylums Board (n.e. Hospital) | Very mild |
3. M.T. | 3 3/12 | F. | Higher Artizan— model dwellings | 24/9/24 | 1/10/24 | 15/10/24 (Third) | none | - | 5/4/26 | 18 months | Metropolitan Asylums Board (n.e. Hospital) | Mild |
4. L.P. | 6 8/12 | F. | Higher Artizan— part of private house | 11/11/26 | 17/11/20 | 1/12/26 (Third) | none | - | 23/12/26 | 22 days* | Metropolitan Asylums Board (N. W. Hospital) | Severe |
5. R.H. | 7 | M. | Residential, separate private house | 28/9/27 • | 5/10/27 | 19/10/27 (Third] | none | -- | 21/10/27 | 2 days* | Cuddington lsola tion Hospital | Mild |
6. P.P. | 1 8/12 | F. | Artizan— model dwellings | 5/9/23 | 12/9/23 | 26/9/23 (Third) | none | - | 26/10/27 | 4 years | Metropolitan Asylums Board (N.E. Hospital) | Mild |
7. J.F. | 1 10/12 | F. | Higher Artizan-model dwellings | 13/5/25 | 20/5/25 | 1''/6/25 (Tliird) | yes | negative 11/11/25 | 19/2/28 | 2 9/12 years | Metropolitan As}'lums Board (N.E. Hospital) | Mild |
8. V.C. | 3 5/12 | F. | Poor, one room; house let in lodgings | 9/4/24 | 30/4/21 | 18/6/24 (Third) | yes | negative 12/9/24 | 21/2/28 | 3 8/12 years | Metropolitan Asylums Board (N.E. Hospital) | Mild attack of nasa diphtheri; |
"These two cases occurred before the elapse of 9 months, the period laid down at Edinburgl | as required to secure this artificial immunisation. |
The above table shows that only two of the children were retested after the last injection. It cannot be assumed that immunity
invariably follows the administration of three immunising injections, nor that immunity even when once established is invariably
permanent. Drs. Parish and Okell have shown that of 440 Schick positive children who were rendered Schick negative by
immunisation, 5 per cent were found to be positive when retested 1-7 years later.