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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Marylebone 1933
[Report of the Medical Officer of Health for St. Marylebone, Metropolitan Borough]
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34
Diphtheria Immunization.—The Schick Testing and Diphtheria Immunization
Clinic opened at the beginning- of 1928, continued to operate under Dr. Bulman at
113. Marylebone Road.
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 | — | 1 | 49 | 50 |
| Positive | — | — | 35 | 35 |
| Negative | — | 1 | 14 | 15 |
| Not reported | — | — | — | •— |
| Inoculated without Schick Test | 127 | 105 | 1 | 233 |
| Injections—1st | — | — | 35 | 35 |
| 2nd | 106 | 96 | 38 | 240 |
| 3rd | 90 | 89 | 32 | 211 |
| 4th | 15 | 9 | 26 | 50 |
| 5th | 12 | 9 | 21 | 42 |
| Retested | 91 | 93 | 25 | 209 |
| Completely immunised | 76 | 76 | 24 | 176 |
| Positive after retest | 7 | 12 | 5 | 24 |
| Not reported | — | — | — | - |
| Additional Injections | 3 | 2 | 10 | 15 |
SUMMARY.
Number of Sessions 82
Total Number of New Cases 284
„ „ under 5 127
„ „ over 5 106
„ „ Adults 51
Number of attendances 1,281
Average attendance per session 16
Scarlet Fever.
Notifications of this disease numbered 198, the highest number of cases
reported in any one week being 10. There were no deaths from scarlet fever
during 1933.
The districts to suffer most from the disease were Christ Church and St.
Mary. In the former there were 69 cases and in the latter 60. In All Souls there
were 48 and in St. John 21.
As usual, the majority of the patients were children of school age, the age
group, 5—15, giving nearly one-half (95) of the total. Of the remainder, 57 were
aged under 5 years, and 46 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 24 instances that a definite connection could be
made out.
Defects in sanitation to the number of 10 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 7. There were no deaths. Of
Paratyphoid Fever there were 2 cases. All the patients recovered. In none of
the cases was any information obtainable indicating that the source of infection
arose within the Borough.
Cerebro-Spinal Fever.
There was one case of this disease notified during the year.