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No applications for a free supply of antitoxin under the Diphtheria Antitoxin
(London) Order, 1910, were received.
The nuisances detected during the course of investigating the notified cases
were : Dirty Premises, etc., 31. These were all remedied after service of notices.
Schick Test and Diphtheria Immunization.—Towards the end of the year by
agreement with the Marylebone Health Society, arrangements were made for
the establishment of a Schick Testing and Diphtheria Immunization Clinic at
the Infant Welfare Centre in Salisbury Street ("Lissonia Centre") to be open
one day per week and available primarily for the infants and children attending
the Centre and for any mothers who might desire to take advantage of the
provision. Dr. Mabel Brodie was appointed by the Council to carry out the
work on 4th November, 1927, and between that date and the end of the year was
engaged in making preparations for the opening of the clinic at the beginning of
the New Year. Numbers of meetings were held at the Centre and a great deal
of propaganda work through talks and by means of posters and leaflets done.
The results up to date have been satisfactory and have justified the action of the
Council, but fuller information will be available by the end of the present year
and be given and discussed in the next annual report.
Scarlet Fever.
There was no epidemic prevalence of this disease during the year; the
number of cases being 178, as against 121 in 1926.
The highest number of cases reported in any one week was 9.
The total deaths from scarlet fever numbered 1, and the number of deaths
per cent, of the cases was 0.56.
The districts to suffer most from this disease were Christ Church and St.
Mary. In the former there were 82 cases and in the latter 43. In All Souls
there were 34 and in St. John 19.
As usual the majority of patients were children of school age, the age group,
5—15, giving 95 of the total. Of the remainder 54 were' aged between 1 and 5
years, and 29 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 7 instances that a definite connection could be
made out.
Defects in sanitation to the number of 39 were discovered in the premises
visited. All these were want of cleanliness, etc. The nuisances were remedied
after the service of notices in each case.
Enteric Fever and Paratyphoid Fever.
The Enteric Fever notifications received numbered 5. There were 2 deaths.
Of Paratyphoid Fever there were 12 cases. All the patients recovered.
Cerebro-Spinal Fever.
There were two cases of this disease notified during the year.
Encephalitis Lethargica.
There were three cases of this disease notified. One of the patients died.
For the reason that the disease frequently runs a slow and long course and
the sequels are often of a serious and distressing nature, arrangements were made
for following up and keeping the patients under observation. The following table
contains information as to result in each case:—