Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for London County Council]
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As a result of scrutiny of the clinical and virological findings, a final diagnosis was made
in respect of each notification. The diagnosis of paralytic poliomyelitis was made on clinical
grounds, although virological confirmation was present in the majority of cases. A diagnosis
of non-paralytic poliomyelitis was made only in cases in which poliomyelitis virus was
present in the stool, or when serological evidence supported the diagnosis. Table (xii) gives
an analysis of the original notifications according to the final diagnosis.
Table (xii)—Final diagnosis of poliomyelitis notifications, 1959
Final diagnosis | Notified as paralytic | Notified as non-paralytic | Total (all ages) | ||||||
---|---|---|---|---|---|---|---|---|---|
0-4 years | 5-14 years | 15+ years | Total | 0-4 years | 5-14 years | 13+ years | Total | ||
Paralytic | 78 | 26 | 27 | 131 | 3 | 6 | 1 | 10 | 141 |
Non-paralytic | 2 | 1 | - | 3 | 15 | 16 | 2 | 33 | 36 |
Not poliomyelitis (or not known) | 2 | 2 | 1 | 5* | 6 | 12 | 6 | 24 | 29* |
Total | 82 | 29 | 28 | 139 | 24 | 34 | 9 | 67 | 206 |
* includes 1 case, diagnosis not known
It will be seen that out of 139 cases notified as paralytic eight proved to be non-paralytic
or not poliomyelitis (including one case where the true diagnosis was not known) and that,
out of the 67 cases notified as non-paralytic, ten proved to be of the paralytic form and
24 were not poliomyelitis. Thus, on balance, the original notifications slightly understated
the extent of the paralytic form—139 against 141—and there were 29 cases which proved
to be not poliomyelitis (including the one not known). The vaccinal state of the 141 cases
finally diagnosed as paralytic poliomyelitis and the 36 non-paralytic cases is set out in
table (xiii).
Table (xiii)—Vaccinal state of confirmed cases of poliomyelitis, 1959
Age | Vaccinated * | Not vaccinated | Total | ||
---|---|---|---|---|---|
No. | % | No. | % | No. | |
(a) Paralytic cases | |||||
0-4 years | 18 | 22 | 63 | 78 | 81 |
5-14 | 6 | 19 | 26 | 81 | 32 |
15+ | 2 | 7 | 26 | 93 | 28 |
Total | 26 | 18 | 115 | 82 | 141 |
(b) Non-naralvtic cases | |||||
0-4 years | 3 | 18 | 14 | 82 | 17 |
5-14 | 3 | 18 | 14 | 82 | 17 |
15+ | — | — | 2 | 100 | 2 |
Total | 6 | 17 | 30 | 83 | 36 |
* One, two or three injections
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