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 St. Marylebone, Metropolitan Borough]
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48
The number of swabs from doubtful cases submitted for bacteriological
examination was 2,349. The bulk of these were from institutions, St. Charles'
and the Royal National Orthopaedic Hospitals, and were taken from ward contacts
with notified cases. Towards the latter part of the year, however, arrangements
were made to have specimens from St. Charles' Hospital, which is actually in
Kensington, examined elsewhere, the cost not being chargeable to St. Marylebone
under the new scheme. Fortunately nearly all proved negative, a positive result
actually being returned in 72 instances only.
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 33. In All Souls the number was 18, in St. Mary 22, and in St. John 10.
As usual, the age groups 1—5 and 5—15 were those most affected, 27 of the
cases falling into the former and 38 in the latter group.
Four 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., 5. These were all remedied after service of notices.
Diphtheria Immunisation.—The Schick Testing and Diphtheria Immunization
Clinic opened at the beginning of 1.928, continued to operate under Dr. Bulman at
113, Marylebone Road, to which address it had been transferred from the Lissonia
Centre on 12th January, 1931. In the main the children dealt with were those
attending the Welfare Centres.
The following table and summary give details of the work of the clinic during the year.
Children under 5. | Children over 5. | Adults. | Total. | |
---|---|---|---|---|
Tested | 4 | 2 | 41 | 47 |
Positive | 2 | 2 | 25 | 29 |
Negative | 1 | — | 13 | 14 |
Not reported | 1 | — | 3 | 4 |
Inoculated without Schick Test | 199 | 142 | 4 | 345 |
Injections—1st | 3 | 2 | 31 | 86 |
2nd | 177 | 142 | 33 | 352 |
3rd | 171 | 128 | 33 | 332 |
4th | 23 | 24 | 32 | 79 |
5th | 15 | 18 | 29 | 62 |
Retested | 145 | 138 | 39 | 317 |
Completely immunised | 118 | 102 | 34 | 254 |
Positive after retestd | 16 | 22 | 5 | 48 |
Not reported | 11 | 9 | — | 20 |
Additional Injections | 7 | 6 | 7 | 20 |
SUMMARY.
Number of Sessions 83
Total Number of New Cases 395
„ „ under 5 198
,, „ over 5 149
„ „ Adults 48
Number of attendances 1,865
Average attendance per session 22