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35
Active immunisation against scarlet fever was carried out at four of the Council's
residential establishments, and a reference to this work is made later in the report
At two treatment centres the practice obtains of passively immunising childrer
against scarlet fever and diphtheria with a combined antitoxin consisting of streptococcus
and diphtheria antitoxins before tonsil and adenoid operations, with a view
to preventing the occurrence of those diseases after the operations have been performed.
Parental consent is obtained in each case. This procedure has been in force at the
Cyril Henry treatment centre, Woolwich, since 1933, and at the Hanover Park treatment
centre. Peckham, since 1936.
Passive
immunisation
before
tonsil and
adenoid
operations

One child at the Cyril Henry treatment centre suffered from scarlet fever after
the operation. The parents had consented to immunisation, but this was not done
as the child had been immunised a year previously in similar circumstances. The
previous high incidence of post-operative scarlet fever and diphtheria at the clinics
has disappeared.
The biennial epidemic of measles commenced in November, 1937, and for the Measles
week ended 18th December, 1937, the number of school children reported to be
suffering from the disease was 324. After the Christmas holiday, the number of
cases reported in the four school days of the week ended 15th January, 1938, was
999, which number included absentees suspected to be suffering from measles.
The Council's scheme of control, which provides for special co-operation between
the school nurses, teachers, school attendance officers and borough medical officers of
health, in order to bring to the notice of the borough medical officers of health cases of
measles in their earliest stage, was put into operation on 12th January, 1938, and
continued until the incidence of measles in the schools had decreased sufficiently to
justify its suspension during the week ended 16th July, 1938.
The following figures indicate the numbers of measles cases reported among the
elementary school population during this and the five previous epidemics. The figures
relate to the epidemic period of nine months from November to July.
Cases reported Average number Attack rate
Date from schools on school rolls per 1,000
1927-28 45,343 652,342 69
1929-30 36,634 623,728 59
1931-32 35,705 598,865 60
1933-34 38,949 584,049 67
1935-36 32,690 518,630 63
1937-38 35,292 467,442 75
It will be noted that the number of cases was greater than in the previous epidemic,
but less than in the 1933-34 epidemic. The attack rate per 1,000 was higher
than in recent epidemics. A detailed report on the epidemic is in course of preparation.
Cases of ringworm of the scalp occurring among children in the Council's
elementary schools are followed up by the school nurses, and, if any difficulty is
experienced in treatment by ointments and lotions, or if this treatment is considered
unsatisfactory,the parents are offered X-ray treatment under agreements made by the
Council with certain voluntary hospitals and treatment centres.
Ringworm
and favus