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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2 marked reactions followed the 1st injection. Redness
and some swelling appeared at the site of the injection,
with some pain in the arm lasting for a few days, when
it subsided satisfactorily.
Focal Reaction.—None reported.
General Reactions.—One case complained of sore throat and
spots on the body following the 3rd injection of T.A.M. They
caused no discomfort and disappeared in a day.
Local and General Reaction.—One case experienced a sharp
local reaction with slight temperature, malaise and headache
coming on on the second day. No subsequent trouble. This
occurred after the 1st injection of T.A.M.
One case had a slight general reaction as shown by malaise
after the 2nd injection.
A second case after the 2nd injection experienced a sharp
local reaction with a slight malaise and headache.
Total number of Reactions to T.A.M. 17
„ „ „ T.A.F. 0
The Schick Test.
One child suffered from a very severe local reaction and complained
of sore throat four days after a Primary Schick Test.
No other abnormal reactions were recorded.
Pseudo-Reactions.—As cases are seen one week after the
injections, many of the pseudo-reactions are not seen, as in 7 days'
time the pseudo-reaction has disappeared. Accordingly, only 3
pseudo-reactions were recorded, all in cases who had been reSchicked
after completing their course of injections. They were
of a transitory nature and caused no discomfort.
Diphtheria.—Previous, Intercurrent and Subsequent.
Previous.—18 cases gave a history of having had diphtheria.
of these 14 were Schick positive and 4 Schick negative. The 4
Schick positive were immunized, 2 with T.A.M. and 2 with
T.A.F., and all were negatived on re-Schick.
Two cases gave histories of having been carriers, and both
were Schick negative.