London's Pulse: Medical Officer of Health reports 1848-1972

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Croydon 1935

[Report of the Medical Officer of Health for Croydon]

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68
method of immunization using one injection
of diphtheria toxoid alum precipitated.
Fidelis Convent, Central Hill, Upper Norwood.
Seven cases were treated, and these showed no ill-effects.
Sufficient time has not elapsed since the injection to proceed
with the Schick Retest.
No cases of Diphtheria or positive nose or throat swabs
occurred during this period.
Children's Infirmary, Fidelis Convent, Central Hill, Upper
Norwood.
28 cases were treated, and of these one child hud slight local
and focal reactions with general malaise and headache lasting 36
hours, otherwise there were no resultant ill effects.
Sufficient time has not elapsed to proceed with the Schick
Retest. One case of Diphtheria occurred during this period. This
was a child, J.G., aged 3½ years, who was admitted to the Infirmary
Nursery on December 8th, 1935. New admissions are immunized
in small groups and unfortunately this child was admitted
immediately following the immunization of a group of new children
and was not immunized.
She was removed to the Borough Hospital on December 25th
suffering from faucial and laryngeal diphtheria. A tracheotomy
was performed and large doses of antitoxin were given. She has
now recovered.
Five other children who were sleeping in the same room had
been immunized previously and were negative when Schick
Retested. Swabs were taken of the noses and throats of these
contacts and all showed the presence of Diphtheria organisms.
They were removed to the Hospital as a matter of precaution, but
none developed clinical Diphtheria, and they have all now returned
to the Convent Infirmary. This demonstrates strikingly the protective
influence of the previous immunization.
Russell School.
25 boys were injected and 23 were Schick Retested after an
interval of 8 weeks. (Two boys had left school).