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8
During the year the Medical Research Council recommended
that immunisation against diphtheria and whooping
cough should be given separately. This reduces any chance
of provoking poliomyelitis to a minimum and it was, therefore,
adopted by the Clinics in Ealing,
The need for maintaining a high percentage of children
being immunised against diphtheria remains as great as
ever and this is stressed at every opportunity.
DYSENTERY.
252 cases were notified, an increase of 73 compared
with the previous year,
ENTERIC FEVER.
One case of typhoid fever was notified. The infection
did not however originate here. The patient, an Italian
boy of 15½ years, arrived from Sicily to study English
and was taken ill three days later and removed to Neasden
Hospital, where typhoid fever was confirmed by blood countbut
not isolated in the stools or urine. After a course
of Chloromycetin he appeared well with one urine and two
stool results negative, and was discharged.
There is one carrier of enteric fever under surveillance
in the Borough. This is the person mentioned in
previous reports and she remains under the same surveillance
with three monthly stool examinations,
ERYSIPELAS,
13 cases were notified,
FOOD POISONING,
20 cases were notified, a decrease of six compared
with 1956, Of these 20 cases diagnosis was confirmed by
laboratory examination in 7, 6 being Salmonella typhimurium
and 1 Salmonella thompson.
During July an outbreak of suspected Food Poisoning
occurred at Oldfield School Central Kitchen, This kitchen
serves 17 schools which means approximately 1,600 meals
per day. 146 children and 36 adults were affected by
either nausea, vomiting, pain, or diarrhoea or various
combinations of these symptoms in fairly equal proportions.
The illness as a whole was not severe and lasted about 12
hours.
The suspected meal comprised: -