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42
The following table and summary give details of the work of the clinic during
the year.
Children
under 5.
Children
over 5.
Adults.
Tota.
Inoculated without Schick Test
63
4
–
67
Tested—Positive
15
11
46
72
Negative
–
3
42
45
Not reported
5
1
—
6
Injections—1st
15
12
45
72
2nd
77
14
41
132
3rd
61
12
39
112
4th
1
8
28
32
5th
—
—
25
25
Completely immunized
39
35
15
89
Retested
48
42
16
10
Not reported
7
1
1
9
Additional injections
2
6
—
8
SUMMARY.
Number of Sessions 66
Total Number of New Cases 190
„ „ under 5 83
„ „ over 5 19
„ „ Adults 88
Number of attendances 856
Average attendance per session 13
Scarlet Fever.
The notifications of this disease numbered 226. That there is a liability for
scarlet fever to show epidemic tendencies at intervals of five years, more or less,
is well known. In St. Marylebone the last year in which there was marked prevalence
was 1921 when the cases numbered 478.
The highest number of cases reported in any one week it may be noted was 14.
The total deaths from scarlet fever numbered 1, and the number of deaths
per cent, of the cases was 34.
The districts to suffer most from this disease were Christ Church and St.
Mary. In the former there were 100 cases and in the latter 49. In All Souls there
were 43 and in St. John 34.
As usual, the majority of the patients were children of school age, the age
group, 5—15, giving over one-half (117) of the total. Of the remainder 51 were
aged between 1 and 5 years, and 55 over 15 years of age.
The source of infection was believed to be a previous case in the same family
in 17 cases and in 9 cases in an institution.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 23 instances that a definite connection could be
made out.
Defects in sanitation to the number of 18 were discovered. All these were
want of cleanliness, etc. The nuisances were remedied after the service of notice
in each case.
Enteric Fever and Paratyphoid Fever.
The notifications of Enteric Fever numbered 9. There was one death. Of
Paratyphoid Fever there were 6 cases. All the patients recovered. In none of
the cases was any information obtainable indicating the source of infection within
the Borough. The majority indeed appeared to have been infected abroad or
outside the Metropolis.