Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Croydon]
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The following details give a summary of the work done:
Total attendances throughout the year 5,636
Total number of sessions held during the year 97
Highest attendance at any one session 92
Lowest attendance at any one session 14
Average attendance per session 58.1
During the year 1417 children and 14 mothers attended for
treatment. While no parents have been offered Immunization,
those requesting a Schick Test have received this, and, if found
susceptible, immunized thereafter. Of the children who attended,
944 were schoolchildren, a table showing their distribution throughout
the schools of the Borough being attached; while 473 children,
under the age of 5 years and not attending school, came under
treatment. This number is disappointingly small, as it is definitely
advantageous for a child to be immunized before attending school.
The opportunities of contact with infection become greater there
and it is felt that if it was possible to immunize the greater
proportion of entrants, Diphtheria would become of very minor
importance as an infection of school life.
644 Primary Schick Tests were carried out, while this test was
dispensed with in the case of 508 children. 947 in all completed
an immunizing course of Toxoid-antitoxin-mixture (T.A.M.),
while 11 mothers or older children underwent a similar series of
injections of Toxoid-antitoxin-Floccules (T.A.F.), 2,960 injections
of T.A.M., and 35 of T.A.F. being given throughout the year.
I. Classification of Those Who Attended Clinic.
Definite school cases 944
Definite M. and C.W. cases 265
Under 5 years but not sent from M. and C.W. 198
Nursery school 10
Adults 14
1,431
II. Distribution Among Schools of Children Treated, 1935.
As it is felt that immunization without subsequent Schick
Testing is of no definite value, and perhaps even a source of danger,
an effort has been made to carry this out in the case of everyone
immunized at the Clinic. Post-immunization tests were performed
at an interval of three months or more after the third injection,