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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.

Scarlet Fever.
Notifications of this disease numbered 155, the highest number of cases
reported in any one week being 9. There were no deaths from scarlet fever
during 1935. In 1934 there were 212 notifications, no deaths resulting.
The districts to suffer most from the disease were Christ Church and St.
Mary. In the former there were 82 cases and in the latter 39. In All Souls there
were 24 and in St. John 10.
As usual, the majority of the patients were children of school age, the age
group, 5—15, giving over one-halfl (80) of the total. Of the remainder, 37 were
aged under 5 years, and 38 15 years of age and over.
Though it seemed probable that many of the children notified acquired their
infection in school, it was only in 19 instances that a definite connection could be
made out.
Defects in sanitation to the number of 8 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.
Three notifications of Enteric Fever and three of Paratyphoid Fever were
received. There were two deaths. 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.
Encephalitis Lethargica, Polio-Encephalitis and Polio-Myelitis.
The first of these diseases was entirely absent from the Borough during the
year, but one case of Polio-Encephalitis and three cases of Acute Polio-Myelitis
were notified. No death resulted.
Erysipelas.
The notifications of erysipelas numbered 35, and there were no deaths. Most
of the acses were notified from St. Charles' Hospital and the General Hospitals,
and 24 patients were treated in such institutions.
Puerperal Fever and Puerperal Pyrexia.
The number of cases of Puerperal Fever notified was 10. Particulars of the
2 deaths attributed to these conditions are given under the heading Maternal
Mortality.
In each case, other than where the notification was in respect of a non-resident
in-patient of an institution, a visit was paid by one of the Health Visitors and
assistance and advice as was suitable and possible offered.