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circumstances, special emphasis was placed on prophylaxis, resulting in an improved
situation towards the end of the year.
The marked reduction in the incidence of whooping cough is undoubtedly due
to infant vaccination over recent years: there were no deaths and only 93 cases (all
ages) in the borough during 1965.
The routine courses of vaccinations, using triple DTP, have resulted in a high
proportion of young children gaining active immunisation against tetanus. This protection
will undoubtedly assist in the treatment of accident cases particularly those
admitted to hospital.
The former London County Council assisted the Medical Research Council in
conducting trials of the protective effect of measles vaccine. This Council continued
the assistance by taking part in the postal follow-up of children included in the
trial. The results appeared to have been satisfactory and it seemed probable that the
Ministry of Health would authorise the use of approved vaccine for general use.
Completed primary courses cover the series of procedures normally performed
up to the age of 12 or 13 months in accordance with schedules P and Q, or their
equivalent at later ages, included in the booklet "Active Immunisation against
Infectious Disease" prepared by the Standing Medical Advisory Committee and distributed
to Medical Officers of Health and general practitioners in March, 1963.
The numbers of injections/doses comprising primary courses is as follows:—
Handicapped children.
The handicapped and observation registers in operation on 1st April, 1965
were greatly extended. The new comprehensive register includes all children in the
borough who from birth, because of the parents' medical history or for other reasons
may be at risk of handicap; who have a handicap visible at birth; who are found
later to be handicapped; or who acquire a handicap. This ensures that any child
likely to suffer from any continuing disability of body .intellect or personality that
may interfere with his normal growth, development or capacity to learn, is kept
constantly under review and all possible remedial help given. The information on
which these registers are based is provided by hospitals, general practitioners, domiciliary
midwives, medical officers and helth visitors who notify the Medical Officer
of Health of every case thought to be at risk or handicapped. The registers are
reviewed at regular intervals by a senior medical officer.
The review ensures that:
(a) the child's family receives guidance and support to help in its day-today
problems in caring for a handicapped child;
Quadruple DTPP 3 injections
Triple DTP
Diphtheria/Pertussis
Diphtheria/Tetanus „ (2 if adsorbed)
Pertussis
Tetanus
Salk 2 injections
Sabin 3 doses
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