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

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Paddington 1934

[Report of the Medical Officer of Health for Paddington, Metropolitan Borough of]

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1934. Number of Schick Tests.

Pos.Neg.Ps. Pos.Ps. Neg.Unknown Result.Total.Fully InoculatedPartly InoculatedNo. of Inocs. given.
26314449642622546781

Number or Schick Re-tests.

Positive.Negative.Ps. Pos.Ps. Neg.Unknown Result.Total.
After first Re-test.After further Re-test.After first Re-test.After further Re-test.After first Re-test.After further Re-test.After first Re-test.After further Re-test.
461170381319269

The number "Fully Inoculated" to be shown under the following age groups:—
6 to 12 months 1
1 year to 5 years 76
5—10 years 115
10—15 years 29
15 years and upwards 4
Towards the end of 1934 the Council, after consultation with local representatives of the medical
profession, decided to introduce a scheme for enlisting the services of private medical practitioners in
the work of diphtheria immunisation. The scheme provides for the payment to the practitioner of a
fee of 10s. for immunising treatment given to any child between the ages of one year and twelve years,
whose parent or guardian cannot reasonably be expected to afford a private fee for such treatment.
All Schick testing for the purpose of ascertaining whether the child is susceptible to diphtheria is
to be done by the Medical Officer of the Council's diphtheria immunisation clinic at the Welfare
Centre, No. 232, Harrow Road. In the case of a child sent to the clinic for a pre-immunisation test,
the result of which is negative, a fee of 2s. 6d. only is payable to the practitioner. The practitioner
is required to bear the cost of an immunising agent specified by the Medical Officer of Health, and
he is also responsible for any subsequent medical attention that may be necessary.
The scheme was not fully in operation at the close of the year, and no results can therefore be
recorded.
SMALLPOX.
No case of this disease was notified during the year, but a number of persons who had been exposed
to risk of infection from cases occurring outside the Borough were kept under observation until all
danger of their developing the disease was over.
During the year all vaccinations of smallpox contacts were performed by the Public Vaccinator,
none being performed by the Medical Officer of Health under the Public Health (Smallpox Prevention)
Regulations, 1917.
VACCINATION.
There are two vaccination districts in the Borough, one consisting of the Paddington Hospital,
for which the Medical Superintendent, Dr. W. G. Bendle, acts as Public Vaccinator, and the other
of the rest of the Borough, the Public Vaccinator being Dr. S. Denovan Adam.
The Vaccination Officer is Mr. T. E. Rainger, who was appointed to that position in 1931. The
appointment is a part-time one, Mr. Rainger also holding a position on the clerical staff of the Public
Health Department.
The latest return available as to the state of vaccination in the Borough is for the year 1933.
This shows that 59.0 per cent. of the children whose births were registered during that year were
successfully vaccinated, and that 17.5 per cent. were exempted on production of statutory declarations
of conscientious objection. Insusceptibility, removals, deaths, and not traced, account for the
remaining 23.5 per cent.
During the year 1934, 4 primary vaccinations and 4 re-vaccinations were performed in the
Paddington Hospital. In the rest of the Borough 698 infants under one year of age, and 53 persons
over that age were successfully vaccinated by Dr. Denovan Adam, by whom also 34 persons were
re-vaccinated who had been successfully vaccinated at some previous time.
Of children born in the Borough and those transferred from other districts the total number
vaccinated by Public Vaccinators and other Medical Practitioners was 1,416; and the total number of
statutory declarations received from Paddington and other districts was 381.
Legal proceedings were taken for non-compliance with the provisions of the Vaccination Acts
in 6 cases. Of these 3 were successfully vaccinated after the proceedings had been commenced.
Adjournment and 2 cases not found account for the balance.