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The one child under 5 years, whose preliminary test was negative,
had had previous immunisation elsewhere.
None of those over 5 years had had immunisation treatment.
139 cases who had previously been treated were re-tested during the
year and all were found negative.
Antitoxin, for use in cases of diphtheria, is provided free of charge
for medical practitioners attending patients residing in the City. The
supply is available on application at the Public Health Department,
and at the Coroner's Court in Horseferry Road.
Enteric Fever.—There were 11 cases of typhoid and paratyphoid
which came to the knowledge of the department during 1938. Of these,
7 were notified as paratyphoid and 4 as typhoid.
The case rate for England and Wales was 0.03 and for Westminster
0.08. One death occurred.
County of London (Measles and Whooping Cough) Regulations
1938.
These Regulations, which came into force on 1st October, 1938,
made notifiable the first case occurring in a house within a period of
two months. All medical practitioners practising in the City were
informed of these regulations by circular letter.
Measles.—The following table shows the number of cases notified
by head teachers of schools, hospitals and private practitioners during
the last five years:—

The death-rate for England and Wales per 1,000 population was
0.04. Two hundred and eighty-one cases were removed to hospital,
169 being between the ages of 1 and 5. Four deaths occurred, giving a
death rate of 0.03.
German Measles.—Fifty-two cases were notified.
Influenza.—The deaths certified from this cause during the last
five years are as follows:—