View report page

33
The cost of carrying out the requirements of the Public Health (London) Act,
1891, and the various regulations with regard to notification was £56 16s. Od.,
equal to 10s. l1d. per 1,000 of the population.

Discharge Notices.—The number of certificates received from the Metropolitan
Asylums Board regarding the return of patients sent to hospital with
infectious diseases was 456, and referred to 931 cases. Visits were paid to these
cases by the District Inspectors, and advice given as to date of the return of
children to school and the advisability of obtaining treatment for and isolation
of any suffering from any sequel of a disease.
Diphtheria and Membranous Croup.
The number of cases notified was 177, the number in 1927 being 160. Of
the cases 12 died, and the case mortality rate was 6.7 percent.
The number of cases per thousand of the population was 1.7.
The cases were more or less evenly distributed, as usual, throughout the
borough, and only in a few instances was it possible to determine accurately the
source of infection. In 6 cases the source appeared to be a member of the family
previously infected; in 2 cases infection was counted to have been acquired ia
school, and in 21 cases in an institution.
The number of swabs from doubtful cases submitted for bacteriological
examination was 1,633. A positive result was returned in 68 instances.
Of the registration districts, that contributing the largest number of cases,
naturally, since in respect of child population it is the largest, was Christ Church,
with 72. In All Souls the number was 43, in St. Mary 42, and in St. John 20.
As usual, the age groups 1—5 and 5—15 were those most affected, 69 of the
cases falling into the former and 66 into the latter group.
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., 18. These were all remedied after service of notices.
Schick Test and Diphtheria Immunization.—By agreement with the Marylebone
Health Society a Schick Testing and Diphtheria Immunization Clinic was
opened at the Infant Welfare Centre in Salisbury Street ("Lissonia Centre") at
the beginning of the year. At the outset the proposal was that clinics should be
held on one day per week and be 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
1928. 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.