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16
and in the community which will be able to destroy the
parasite if it manages to invade the body.
The sounder method is that of controlling the
parasite. The efficiency of protective inoculation, so
far as the prevention of epidemics is concerned, depends
on the proportion of the whole community which is
successfully protected: the outstanding success of AntiTyphoid
Inoculation in the Amy in the last war was due
to the fact that nearly 100% of the people at risk were
protected.
In some diseases, Diphtheria for example, it is
impossible to control the activities of the parasite,
and so large scale immunisation is our most certain
method of prevention.
But the parasite of Typhoid Fever can be controlled:
and the course of the infection can be discovered and removed,
and the means by which it gains access to the human body
food and drink - can be safeguarded and, if exposed to
infection, can be rendered harmless.
Active Public Health measures appear to me to offer
a surer means of prevention and protection, than a
limited amount of protective inoculation: and past
experience suggests very strongly that such inoculation
would not be taken advantage of by 40% of the population.
Individual protection, however, is another matter:
and I think it is reasonable that facilities should be
made available for those who desire this extra safeguard
to be able to receive it,
PUFRPERAL PYREXIA.
12 cases were notified: 8 occured in the Beckenham
and Penge Joint Maternity Home and 3 in private Nursing
Hones .
0P1HALMIA NEONATORUM.
Two cases wore notified,
TUBERCULOSIS.
The total of 65 cases compares with 66, 71, 60, 72
and 67 in the preceding five years.
In addition to the 65 new cases there were 19 definite
cases transferred from other areas, 1 case restored to the
register and 9 cases were not notified until after death.
At the end of the year the number of notifiod cases in the
area was:-
154 Pulmonary Males, 137 Pulmonary Females, .45 nonpulmonary
Males, and 45 non-pulmonary Females; a total of
381 cases, which compares with 364 last year, 58 cases were
placed off the register for the following reasons:
died, 28; cured, 2; left area., 28,