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1938] 88
DIPHTHERIA IMMUNISATION CLINICS.
Report for Year 1938.
Total number of sessions—44 at Town Hall, 41 at Miriam
Price Coleman Day Nursery 85 (1937—51)
Total attendances at clinics 4,358 (1937—2,026)
Average attendance per session 51.3 (1937—39.7)
New cases commenced 942 (1937—518)
Cases immunised and completed 1,033 (1937—281)
Cases Schick-negative after two injections of A.P.T. 818 (1937—276)
Cases Schick-positive after two injections and Schick-
negative after three injections of A.P.T. 3
Cases Schick-negative after three injections of T.A.F. 34
Cases Schick-negative after four injections of T.A.F. 3
Cases ante-Schick-tested and found positive 260 (1937—145)
Cases ante-Schick-tested and found negative 175 (1937—105)
Cases commenced elsewhere and referred to I.B.C. for
completion 19 (1937—31)
Number who contracted Diphtheria after immunisation
and Schick-negative test Nil.
Number notified as Diphtheria contracted after immunisation
but diagnosis not confirmed 2
Age Group Summary of Cases Immunised and Completed.
1938 1937
1 to 4 years 418 155
5 and 6 years 200 87
7 years and over 415 39
1,033 281
Scarlet Fever.—701 cases were notified, and they showed a decrease of 331
on the average (1,032) of the ten years 1928-37. The attack-rate was equal to
2.40 per 1,000 of the civil population annually, which is a decrease of 0.89 per 1,000
of the mean rate (3.29) of the preceding ten years. In London the attack-rate
was 2.05 per 1,000 of the civil population.
Enteric Fever (includes Typhoid, Paratyphoid A and Paratyphoid B).—
8 cases of Enteric Fever were notified. This is a decrease of 7 on the average (15)
that obtained during the ten years 1928-37. The attack-rate was 0.03 per 1,000
annually, which is a decrease of 0.02 on the mean rate (0.05) of the last ten years.
In London the rate was 0.05.
In November an outbreak of Typhoid Fever occurred, due to "Carrier" infection,
and mainly confined to the Borough of Shoreditch, where a thorough investigation
was made. As a result of this—food infection by "carrier"—three cases notified
in Islington were associated with food purchased in Shoreditch. One of these, a
fatal case, however, was stated to be a Paratyphoid B case.
The outbreak in the neighbouring Borough, effectively controlled, resulted in
a large number of contacts having to be followed up in Islington. Some of these
contacts were suspiciously ill and were admitted to hospital by special arrangements
for observation; they, however, proved not to be cases.