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In the meanwhile it is of importance that any outbreaks of
influenza which may occur in Great Britain should be speedily
investigated, with particular reference to the identification of the
causative agent, but having regard to the fact that the capacity of
the Public Health Laboratory Service for this purpose is not
unlimited, selection and control of the material sent for investigation
may be necessary. You are asked to keep a close watch
for the possible introduction of epidemic influenza amongst your
patients, and to notify me at once of any unusual trend. When
it is apparent that an outbreak of influenza-like disease is
developing a decision will be made as to the investigations
necessary in the light of the situation as a whole in this and
surrounding areas.
The early ascertainment, including laboratory investigation
of such outbreaks, depends on the co-operation of all general
medical practitioners in the matter of early notification."
Plans were laid for the emergency measures which could be
brought into effect if the outbreak reached this count and spread to
this area.
In the early Autumn the Ministry of Health nnounced that
although no mass vaccination scheme was contemplated, vaccine
would be available for " certain groups who are specially exposed to
infection and on whom an epidemic places an exceptionally heavy
burden, e.g., hospital staff, general practitioners, and local health
authority staff who care for the sick in their own hones, for example
nurses, midwives, home helps, ambulance staff, and any other staff
who may be called upon to visit the sick at home."
In mid-October a supply of vaccine was received so that family
doctors, district nurses, midwives, domestic helps and other priority
groups wishing to be protected could be vaccinated
There was a significant rise in sickness, particularly amongst
school children, from the middle of October onwarc but towards the
end of November there was a distinct fall in the inc ence of influenzas
such which, at no time, had been widespread enough to cause
serious dislocation of life. Children seemed to be the most affected
and at one time one in four of the school population of 12,000 were
absent on account of illness. It was a relief to know, however, that
what could have been a serious epidemic did not materialise.
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