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32
Scarlet Fever.—One hundred and ninety-eight cases of this disease
occurred in 1936, an increase of 4 on the figures of 1935. No death
occurred. The case rate of this disease per 1,000 of the population was
1.59 for the City, and for England and Wales 2.53. The death-rate for
London was 0.01 per 1,000, and for England and Wales 0.01. Of the
total cases in Westminster 99.4 per cent. were removed to hospital.
Diphtheria.—Eighty-two cases of this disease occurred, showing a
decrease of 29 on the figures of 1935. The case rate of this disease for
Westminster was 0.66 per 1,000 living, and for England and Wales 1.39.
There were 4 deaths: 2 males aged 4 years; females aged 2 and 5 years.
The death-rate for England and Wales was 0.07, for London 0.05,
and for Westminster 0.03.
Report on Schick Testing and Immunisation Treatment against
Diphtheria in Westminster, 1936, by Dr. Ian S. Thomson,
Deputy Medical Officer of Health.
This treatment was continued throughout the year, one clinic being
held weekly at each of the Council's Maternity and Child Welfare Centres
and at the Westminster Health Society's Centre.
During the year 245 cases were dealt with, as compared with 235
and 249 in 1935 and 1934 respectively.

Treatment was continued on the lines indicated in previous reports.
The preliminary Schick Test was only done on older children or for some
special reason in particular cases. The treatment was carried out without
difficulty and with satisfactory results. The following Table shows the
age groups of those treated and the result of such preliminary tests as
were performed :—