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All positive reactors received immunising treatment. Several of the
children had had previous treatment in County Council residential schools
or elsewhere and in these cases treatment was completed or re-tests were
made. One hundred and fifty patients who had previously received
treatment were re-tested. Two of these did not report for reading of the
test; 142 gave negative results. Five gave slight positive results on
re-testing, and received additional treatment. One child, who had been
positive at the first re-test, and had received a second course of treatment,,
was still positive at the second re-test. Further treatment was given.
Antitoxin, for use in cases of diphtheria, is provided free ot charge
for medical practitioners attending patients residing in the City. The
supply is available on application at the City Hall and at the Coroner's
Court in Horseferry Road.
Enteric Fever.—There were 16 cases of typhoid and paratyphoid
which came to the knowledge of the department during 1937. Of these,
7 were notified as paratyphoid and 9 as typhoid.
The case rate for England and Wales was 0 05 and for Westminster
0'12. No death occurred.
Towards the close of 1937 an increased incidence of Enteric Fever and
fevers of the " para " groups was experienced throughout the Country
generally and Westminster shared in this increase. Whilst during the
last four months of 1936 no case was notified, in the corresponding period
of 1937 notifications numbered nine. It was during this period that the
Croydon outbreak occurred. A considerable number of Croydon contacts
work in Westminster and even a few of the persons subsequently taken ill,
but fortunately in the City there was no evidence of any spread of typhoid
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