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At the end of 1945 it was considered that 78% of children under 5 years of age and 72% of those ween 5 and 15
had been immunised. These estimates include, so far as can be assessed, children immunised in St. Marylebone by
private arrangement and children who came into the Borough after being immunised elsewhere.
Although the Council's individual case records had always been kept in a foim substantially simi r to that suggested
in Ministry of Health Circulars 193/45 and 194/45, dated 14th November, 1945, new cards were p: spared in order to
comply with the Minister's request for uniformity.
Vaccination.—Vaccinations carried out numbered 511 (primary, 398; re-vaccinations, 113). Vaccination was
successful in 502 instances; unsuccessful in 2; while 7 cases were awaiting inspection. Of the 875 children whose
births were registered in 1944, 616 (70.4%) were successfully vaccinated.
Scabies.—The Council's Cleansing Station in Lisson Grove dealt with 875 cases of scabies: adults 236 (men 49,
women 187); children 639 (boys 187, girls 452). The Scabies Clinic at the Middlesex Hospital treated 1,589 cases:
adults 1,363 (men 761, women 602): children 226 (boys 113, girls 113). This Clinic closed down on the 31st December,
1945. Opened on the 18th April, 1942, it served a most useful purpose during the later years of the war in treating
cases from the eastern part of the Borough and from adjoining areas. With its closure arrangements were made for all
cases of scabies occurring in the Borough to be treated at the Council's Cleansing Station. Domiciliary visits paid in
connection with St. Marylebone cases numbered 269.
Impetigo.—Forty-seven boys and 62 girls received treatment for this condition at the Cleansing Station.
Dysentery.—During April, 36 cases of Sonne dysentery were reported from the nurses' home of a large hospital in
the Borough. The outbreak was mild in character and all the nurses recovered rapidly. No case occurred amongst the
patients in the hospital.
Venereal Diseases.—Continued assistance was given to the propaganda campaign for drawing public attention to
the dangers of these conditions and to the adequate facilities which exist for those in need of treatment.
Talks on sex education were given to members of local youth clubs and others, by lecturers of the Central Council
for Health Education under the grant received by that body from the London County Council, and the larger firms in
the Borough were supplied with copies of a leaflet dealing with the dangers of venereal diseases.
Blood specimens from patients attending the Council's ante-natal clinics continued to be submitted, as a routine
measure, to a group laboratory of the London County Council for the Wassermann reaction and Kahn test.
Insulin.—Supplies of insulin for the poorer inhabitants suffering from diabetes were provided free of cost by the
Council in three cases, under the authority of Ministry of Health Circular 2734, dated 4th January, 1943.
Food Poisoning.—Six cases of food poisoning, which is notifiable in the Borough, were reported. In a group of 4
cases the suspected article was trifle eaten in a restaurant. The remaining 2 cases were alleged to be due to hens' eggs.
In neither instance was the presence of food poisoning organisms revealed by bacteriological investigation.
Tuberculosis—New Cases and Mortality.—Table 8, prepared at the request of the Ministry of Health, contains
information with regard to age and sex distribution of all forms of tuberculosis.

Notifications.—Table 6 (p. 10) gives information regarding notifications of pulmonary and non-pulmonary tuberculosis
received during the year. The total number of cases of tuberculosis remaining at the 31st December, 1945, on the
register was 652, 44 more than at the end of the previous year.
Dispensary.—The work of the Dispensary continued to increase generally. Statistics for 1945: new patients 729
(including 128 contacts), old cases, 454; attendances, 5,857; tuberculosis officer called into consultation on 601
occasions; home visits by tuberculosis officer—new 50, old 110; hospital visits by tuberculosis officer, 51; home
visits by tuberculosis visitors-—first visits 151, re-visits 1,193.
During the year 2,192 examinations (films, 975; screening only, 1,217) were made by means of the Council's X-ray
plant. Forty-six patients received artificial pneumothorax treatment on the premises and 892 refills were given.
Sputum examinations carried out in the dispensary numbered 390.
Expenditure on milk supplied to 91 tuberculous persons for varying periods amounted to £545 19s. 6d.
In addition to the Council's Tuberculosis Dispensary, forming part of the Town Hall Extension, there is situated in
the Borough the Margaret Street Hospital for Diseases of the Chest, No. 26, Margaret Street, Cavendish Square, W.l,
which is maintained by a voluntary organisation and possesses facilities for the treatment of tuberculosis.