London's Pulse: Medical Officer of Health reports 1848-1972
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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 1934
[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 | 14 | 74 | 89 |
| Positive | 1 | 9 | 37 | 47 |
| Negative | - | 5 | 36 | 41 |
| Not reported | - | - | 1 | 1 |
| Inoculated without Schick Test | 140 | 423 | 7 | 570 |
| Injections—1st | 1 | 9 | 36 | 46 |
| 2nd | 151 | 411 | 40 | 602 |
| 3rd | 159 | 381 | 39 | 579 |
| 4th | 4 | 5 | 9 | 18 |
| 5th | 3 | 2 | 3 | 8 |
| Retested | 134 | 285 | 31 | 450 |
| Completely immunised | 124 | 274 | 32 | 430 |
| Positive after retest | 4 | 3 | 3 | 10 |
| Not reported | 6 | 8 | — | 14 |
| Additional Injections | 4 | 4 |
SUMMARY.
Number of Sessions 97
Total Number of New Cases 659
„ „ under 5 141
„ „ over 5 437
„ „ Adults 81
Number of attendances 2,840
Average attendance per session 29
Scarlet Fever.
Notifications of this disease numbered 212, the highest number of cases
reported in any one week being 10. There were no deaths from scarlet fever
during 1934. In 1933 there were 198 notifications, no deaths resulting.
The districts to suffer most from the disease were Christ Church and St.
Mary. In the former there were 86 cases and in the latter 57. In All Souls there
were 32 and in St. John 37.
As usual, the majority of the patients were children of school age, the age
group, 0—15, giving nearly one-half (97) of the total. Of the remainder, 45 were
aged under 5 years, and 70 over 15 years of age.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 28 instances that a definite connection could be
made out.
Defects in sanitation to the number of 11 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 3. There was one death. Of
Paratyphoid Fever there was 1 case and the patient 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.