London's Pulse: Medical Officer of Health reports 1848-1972

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London County Council 1952

[Report of the Medical Officer of Health for London County Council]

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Table 4

Poliomyelitis cases by different types of antigen with expected number calculated from the not inoculated group according to the month of inoculation.

Same monthIn the following monthIn the second month following inoculationIn the third month following inoculationTotal of the four preceding columns *
Obs.Exptd.Obs.Exptd.Obs.Exptd.Obs.Exptd.Obs.Exptd.
For the year 1949
A.P.T.
71.6782.842.502.50159.51
Combined
161.06152.9353.1413.253710.38
All other antigens
10.450.9711.051.1023.57
For the three months July, August and September only
A.P.T.
40.4950.960.991.0993.53
Combined
130.77121.4931.371.38285.01
All other antigens
0.220.430.480.491.62

*This column shows the total experience of observed and expected cases over the same month and three months
following inoculation.

month following injection, i.e., within six weeks of injection. The proportion of observed to expected cases is summarised below :

PeriodIn the same monthIn the following monthIn the same month and the month following togetherIn the same month and all the three months following inoculation
A.P.T.
Year 1949Four timesNearly three timesThree timesSlightly less than twice.
July—September onlyEight timesFive timesSix timesThree times.
Combined antigen
Year 1949Fifteen timesFive timesEight timesNearly four times.
July—SeptemberSeventeen times Eight timesEleven timesFive times.

Only with the combined antigen does the excess of expected cases in the same
month, the month following inoculation and these two together attain statistical
significance both for the year and for the three months of July, August and September;
the differences in the A.P.T. figures only attain statistical significance in the case of the
same month and the month following inoculation taken together though they should
not be ignored merely on that account.
The excess of actual over observed cases declines month by month from the time of