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

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Croydon 1939

[Report of the Medical Officer of Health for Croydon]

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The Work of the Year.
On January 1st, 1939, 497 oases were awaiting completion
of treatment. Of these, 1 completed a course of T.A.M.,
13 of T.A.F., and 454 of a.P.T; 29 defaulted.
In 1939, 1020 new cases attended, a decrease of over 500
on the previous year. The cause of this is to be found in the
outbreak of war and the evacuation of the child population. Small
outbreaks of the disease at Whitehorse; Ecclesbourne and Elmwood
Schools were followed, as is always the case by a rush of applications
for treatment.
593 of the new 1939 cases were given a Primary Schick
test, of which 452 were positive, a percentage of 76; 141 were
negative, a percentage of 24; a more detained Table giving the
results of Schick tests at ages is appended - Table III. 427
cases commenced treatment without a Primary Schick test. The new
cases were derived from the following sources:-
School Cases 704
Infant Welfare Centre Cases 225
Other cases under 5 years 91.
As will be seen from Table VI the proportion of cases
from Infant Welfare Centres has increased this year, a change
probably due to the evacuation scheme.
No case in 1939 received T.A.M.; 9 cases received T.A.F.;
and 724 A.P.T. This makes a total of 733 completed cases. 87
cases were awaiting completion of treatment on Dec.31st, 1939;
59 cases defaulted.
The 468 cases carried over from 1938 and completed
in 1939, together with the 733 cases make a total of 1201 cases
completed in 1939. The total number of cases that attended in 1939
was 1488.
7 of the. 1938 A.P.T. cases were found to be Schick positive
two or three months after their second injection. The
reaction noted was. very faint. 5 cases were given a further
injection and were then found to be Schick negative. One of the
1939 A.P.T. cases was faintly Schick positive; a further injection .
was given.
272 of the 1939 oases were given a final Schick test; 271
were found to be Schick negative.
The following figures give some further details
Total number of sessions held 61
Highest attendance at any one session 118.
Lowest " " " " " 11
Average attendance per session 63.
TABLE III
Summary of Results of 593 Primary Schick Tests.
Age Group
Positive
%Positive.
Negative
%Negative
Total
Under 5 years.
85
95.5
4
4.5
89
Over 5 under 6
44
90
5
10
49
"6 "7
40
95
2
5
42
" 7 " 8
31
86
5
14
36
" 8 " 9
40
83
8
17
48
" 9 " 10
34
77
10
23
44
" 10 " 15
178
62
107
38
285
TOTAL
452
76
141
24
593
107