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51
Diphtheria in Children Treated with Immunising Injections.
Up to the end of the year 1932 nine cases of diphtheria occurred in children
who had been found positive on Schick test and treated with three immunising
injections; the details of these are given in Table III.
Diphtheria was also notified as having occurred in eleven other children who had completed
their course of inoculation, but the diagnosis in these cases was eventually not confirmed.
Two of these (brother and sister) were removed to hospital as suffering from diphtheria,
but they were diagnosed as suffering from rubella and " carrying " diphtheria
bacilli but not as suffering from diphtheria. A third child was removed with diphtheria and
found to have measles. A fourth removed with diphtheria was returned as a case of coryza,
not diphtheria, and a fifth was removed with faucial diphtheria, but the diagnosis was not
confirmed. All these children had been found negative to the retest some time previously.
Three others were removed to M.A.B. hospitals as suffering from diphtheria, but were shortly
afterwards discharged as not cases; neither had been re-Schicked since being inoculated; one
case after his return from hospital gave a negative reaction to the re-Schick test. The
ninth was notified as suffering from scarlet fever and diphtheria, but was later diagnosed
as suffering from scarlet fever only; the tenth and eleventh also removed to hospital with
diphtheria were returned as cases of catarrhal sore throat and not diphtheria.
Two adults who had completed their course of inoculation but had not been retested were
removed to L.C.C. hospitals as suffering from diphtheria, but were returned as not diphtheria;
one was suffering from follicular tonsillitis and one from tonsillitis.
Immunisation of Nursing Staff at the London Homoeopathic Hospital.
The arrangements made in June, 1930, with the authorities of the London
Homoeopathic Hospital for the Medical Officer of the Council's Immunisation Clinic
to Schick test and immunise the nursing staff was continued during 1932.
At this hospital Schick testing of all newcomers and immunisation of positives
is now compulsory.
From June, 1930, till the end of December, 1932, 121 nurses were tested, 30 of
these were tested for the first time in 1932 , 24 of these were positive (all of these
were immunised) and six were negative.
Scarlet Fever.
There were 57 notifications of scarlet fever. All but two were removed to
hospital.