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

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Holborn 1931

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

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49
The following table gives particulars of the nine cases of diphtheria:—
TABLE III.
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
Injection
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.
44/12
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.
63/12
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.
33/12
F.
Higher Artiznn—
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.
63/12
F.
Higher Artizan—
part of private
house
11/11/26
17/11/26
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 Isolation
Hospital
Mild
6.
P.P.
13/12
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.
110/12
F.
Higher Artizan—
model dwellings
13/5/25
20/5/25
10/6/25
(Third)
yes
negative
11/11/25
19/2/28
29/12 years
Metropolitan
Asylums Board
(N.E. Hospital)
Mild
8.
V.C.
33/12
F.
Poor, one room;
house let in lodgings
9/4/24
30/4/24
18/6/24
(Third)
yes
negative
12/9/24
21/2/28
38/12 years
Metropolitan
Asylums Board
(N.E. Hospital)
Mildattack
of n.asal
diphtheria
9.
W..T.
3 3/12
F.
Fair, two rooms;
house lot in lodgings
12/1/27
19/1/27
9/3/27
(Third)
yes
negative
19/10/27
15/4/29
21/12 years
Metropolitan
Asylums Board
(N.W. Hospital)
Mild
*These two cases occurred before the elapse of 9 months, the period laid down at Edinburgh as required to secure artificial immunisation.
The above table shows that only three 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.