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Only one child was definitely positive three months or more after
treatment. This child had only been given two injections of T.A.F. as
he had received the " ne shot" treatment twenty-one months before
presenting himself at the Clinic. A further dose has since been given, the
result of which will be tested later. There were in addition a few infants
in whom the subsequent test was not too satisfactory owing to their
youthful energy at the time of injection. In these cases the parents
have been advised to return for a further test before the children
commence school.

To date but little appreciation of this facility has been exhibited
in Coulsdon, Purley and Woodcote.
The doctors practising in the District have been asked to co-operate
by forwarding information of cases immunised privately, and in return
have been offered serum at reduced rates. No records have been received,
however, since the establishment of the Clinics, nor have
applications been made for serum, probably due to the fact that very
little immunisation has been done in this way during the year.
NON-NOTIFIABLE INFECTIOUS DISEASE.
The group of non-notifiable Infectious Diseases, with the exception
of influenza, caused no deaths during 1937, which was a very mild year
as far as these diseases were concerned.
Apart from the death-returns, the only information as to the
presence of outbreaks of non-notifiable Infectious Disease are the returns
received from the public elementary schools.
As judged by these, the incidence of these diseases were as follows:—
MEASLES.—Only occasional cases occurred until June and July, when
there was an outbreak in Sanderstead and Smithambottom, 49 cases being
notified. In the remaining months of the year only 2 cases were notified.
GERMAN MEASLES.—Very few cases were notified.
WHOOPING COUGH.—No cases were noted in the first three months
of the year; the following three months produced 20 cases, the majority
in Sanderstead, while in the last four months 16 cases were notified, chiefly
in Coulsdon and Old Coulsdon.
MUMPS.—Altogether 23 cases were notified, 12 of which occurred in
January, chiefly in Coulsdon. The remainder were scattered over the District
and throughout the year.
CHICKEN POX.—Only 30 cases were notified, of which 14 occurred
at Kenley in June. The others were well distributed over the District, and
throughout the year.
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