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

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Dagenham 1931

[Report of the Medical Officer of Health for Dagenham]

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.37
(3) On 10/1/32, a girl of 6 was notified as suffering from
theria. She was Sehick-positive when tested on 25/9/31
and received 1 c.c. Toxoid Anti-toxin on October 1st,
8th and 15th, but was not subsequently Schick-tested.
The illness from which she was suffering however, was
scarlet fever.
(4) A child of 3 received 1 c.c. doses on 1st, 8th and 15th
October, 1931. He was admitted to hospital on 4/2/32
suffering from what appeared to be diphtheria. The
diagnosis was, however, changed to tonsillitis, both on
account of the clinical condition and as result of swab
examinations proving negative to the diphtheria
organism. m

The following table shows the proportion of children of various

ages who reacted Schick positively :—

Age.Total.No. of Positives.Percentage of positives.
Under 613861.5
722517076.0
824217170.6
922414966.5
„ 1020613364.5
1115810063.9
„ 121488658.1
,, 13713650.7
>. 14421433.3
,, 157457.0
Over 1515853.3

This table shows that of those children under 7 years of age,
74.7 per cent, are positive ; of children 7 to under 12, 65.3 per cent.,
and of children over 12, 45.9 per cent, are susceptible. Of children
under 7 years tested in Holborn, 85 per cent., and in Camberwell,
79 per cent, are Sehick-positive. These figures are probably not
strictly comparable as whereas the under-7 group in this district
were almost entirely children of age 6, in the other two districts
they would be comprised largely of children of younger ages.
Of children of 7 to under 12 years, the local percentage of
positive reactors, namely, 65.3 per cent., compares with figures of
54.77 in Holborn and 59.0 in Camberwell.
The percentage of positive reactors in those of age 12 and over
was 45.9 in Dagenham, 41.77 in Holborn and 50.0 in Camberwell.
Of children of ages 5 to 10, the proportion of positive reactors
in this district agrees closely with that found in Lambeth, namely,
69.3 per cent, and 69.8 per cent.
In age-group 10 to 15 the local figures were 56.2 per cent.,
and Lambeth 66.6 per cent.