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

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Islington 1970

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

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INCONTINENCE PADS
Incontinence pads were supplied, mainly through district nurses and home visitors, as requested during
the year. In addition, disposable knicker linings and other protective equipment were supplied on the
recommendation of a medical practitioner. By arrangement with the Council's Cleansing Department,
polythene bags, which could be sealed and placed in dustbins for collection and disposal, were provided
with incontinence pads and other disposable articles.
PROPHYLAXIS
VACCINATION AND IMMUNISATION
It is generally accepted that a better immunological response is obtained if the commencement of the
basic schedule of protection is delayed until the child is nearing six months of age, and the intervals
between doses extended. This also has the advantage that only one "booster" is necessary just before, or as
soon as possible after, school entry. For these reasons it was decided towards the end of 1970 to introduce
in this borough the revised schedule recommended by the Joint Committee on Vaccination and
Immunisation. All children born on and after 1st October, 1970, are now offered the revised schedule
commencing at age five months (instead of at three months) with an interval of 6-8 weeks between the first
and second doses of Triple Antigen and Oral Polio vaccine, and an interval of approximately six months
between the second and third doses.

The revised recommended schedule is as follows:

Diph/Tet/Pert/Polio5 months
Diph/Tet/Pert/Polio7 months
Diph/Tet/Pert/Polio13 months
Measles Vaccination14-15 months
Smallpox Vaccination15-16 months
Diph/Tet
Oral Polio — Booster dosesapprox. 4½-5 years
Re vaccination against smallpoxapprox. 4½-5 years
Rubella Vaccinationbetween 11-14 years — girls only
B.C.G. Vaccination13 years
Oral Polio
Tetanus — Booster dosesSchool leavers or at age 15-19
Smallpox Revaccination only

All infants attending child health sessions are offered the basic course of immunisation unless they are
already being given this protection by their own doctors. In addition ad hoc vaccination and immunisation
sessions (7% weekly) continued to be held at most of the main maternal and child health centres.

STATISTICS

Primary courses completed1969
Diphtheria3,692 (4,102)
Whooping Cough3,267 (3,738)
Tetanus3,800 (4,160)
Poliomyelitis3,754 (4,173)
Measles3,092 (1,739)