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48
No cases of diphtheria have occurred among the immunised children during
tho year; since starting the work nine cases in all have occurred, particulars as
to these were set out in last year's Annual Report.
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 1933.
At this hospital Schick testing of all newcomers and immunisation of positives
is now compulsory.
From June, 1930, till the end of December, 1933, 145 nurses were tested, 24 of
these were tested for the first time in 1933, 16 of these were positive (all of these
were immunised) and eight were negative.
Immunisation of School Children.
Attendances of London public elementary school children to be immunised
against diphtheria at Municipal Centres are now allowed to count as attendances
at school.
Scarlet Fever.
There were 96 notifications of scarlet fever. All but two were removed to
hospital. Six of these were returned from hospital diagnosed as not suffering
from this disease.
Five notifications of "secondary" cases were received. From two hospitals
in the Borough 39 in-patients were notified as so suffering; none was resident in
Holborn. There was no "return" case of scarlet fever.
There were two deaths from this disease.
21,911 cases of scarlet fever were notified in London with 84 deaths.
Acute Rheumatism in Children.
The Holborn (Acute Rheumatism) Regulations of 1929 came into
force on the 1st April. 1929; these require the notification of acute rheumatism
in children up to the age of sixteen years. The regulations were superseded from
the 1st January, 1933, by the Holborn (Acute Rheumatism) Regulations, 1932.
Acute rheumatism as defined by the Regulations means:—
(i) Rheumatic pain or arthritis, if accompanied by a rise in temperature;
(ii) Rheumatic chorea (St. Vitus' dance);
(iii) Rheumatic carditis.
Twenty-four cases were notified in 1933. As regards the sources of information
relating to the total number of notifications from 1929 to 1933 eight were notified
by doctors in private practice, eight were notified by an Assistant School Medical
Officer, 23 were notified by doctors in institutional practice, 13 were notified by
the Medical Officer of the Rheumatism Supervisory Clinic, 71 were notified by the