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60
There was no case of marked upset or prolonged illness; the
only effects noted were that 3 children fainted, two during the
performance of the first Schick test, and one during the injection
of the first dose of toxoid-anti-toxin mixture. All three recovered
rapidly and the fainting was certainly due to psychological causes
and not to any effect of the material used. Fourteen parents
reported that their children had a "stiff arm" for one or two days,
but there was no local inflammatory reaction and no generalised
symptoms. Three children had some localised inflammatory
reaction around the site of injection, which subsided rapidly and
did not cause any marked constitutional disturbance.
Five children required a second course of injections as they
were still Schick positive at the end of the first series of three
injections.
The material used was toxoid-antitoxin mixture (T.A.M.) and
3 doses of 1 c.c. was injected at weekly or fortnightly intervals
into the muscles of the upper arm. Strictest aseptic precautions
were taken. The procedure is practically painless and children
very soon lost all their apprehension; there is no difficulty in
obtaining their attendance.
IMMUNISATION AT SCHOOLS.
The Convent—Central Hill, Upper Norwood.
One hundred and twenty-three new cases were dealt with on
the same lines as given above, and 113 retests of previously
immunised or Schick tested children were made. Of the latter 51
cases had been Schick tested and immunised in 1931. All these
cases were negative on retest. Fifty-two cases were negative on
primary test in 1931 and were again negative in 1934. No illeffects
arose.
There has been no case of Diphtheria in the Convent since
systematic immunisation was commenced.
Gordon Boys Home and the Russell School, Ballards.
Immunisation work continued in these institutions and the
details are given in Table V. No cases of any ill-effects occurred.
There have been no cases of Diphtheria reported since
systematic immunisation commenced.