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PERSONAL HEALTH
Certain categories of the Council's staff, e.g. labourers, gardeners, motor mechanics and sewage and
refuse disposal workers, because of the nature of their work are particularly exposed to the risk of
developing tetanus following injury. Despite the usually poor response the Council again offered
vaccination against tetanus to these groups and by the end of the year 36 members of staff had either
completed a course of immunisation or received a reinforcing dose. A further eight staff had
commenced a course of immunisation before the end of the year.
Immunisation against influenza was again offered early during the winter to staff whose duties might
bring them into close contact with patients suffering from influenza. One hundred and forty-nine
staff were immunised against the 'Asian' type and subsequently 78 of these also accepted immunisation
against the 'English' type.
International
certificates
of vaccination
Three forms of International Certificates of Vaccination have been prescribed, namely, for smallpox,
cholera and yellow fever.
Yellow fever vaccination must, for international and technical reasons, be carried out at centre;
designated by the Government, and International Certificates of Vaccination against yellow fever art
supplied at those centres.
Vaccination against any disease other than yellow fever may be performed by a person's own doctor
The International Certificate against smallpox and cholera must be obtained by the traveller himsel
and taken to the doctor for completion. These forms are usually obtainable, free of charge, from th<
company arranging the traveller's transport, or from the Department of Health and Social Security
If the vaccinator is not an authorised user of an approved stamp, the person vaccinated must have the
certificate stamped by the local authority in whose area the vaccinator practises. As in previous years
very many International Certificates were stamped in this Department authenticating the signature ol
the vaccinator. See Table (20).
Section 27
National Health
Service Act 1946
Section 45
London Government
Act 1963
Ambulance Service
The duty of local health authorities to provide an ambulance service under Section 27 of the National
Health Service Act 1946 is, in the case of London, vested in the Greater London Council by Section
45 of the London Government Act 1963.
As the operational organisation of the London Ambulance Service is not based on the geographical
areas of the London Boroughs, statistical information is not available in respect of individual boroughs.
Ambulance stations situated within the London Borough of Enfield are:
Chase Farm The Ridgeway, Enfield
Edmonton Windmill Road, Edmonton, N.18.
Ponders End High Street, Ponders End
Service is provided in addition from stations sited outwith the Borough. The control system of the
ambulance service has recently been re-organised, and as a result of this the emergency work for the
whole of the Greater London area is dealt with from a new control containing the latest equipment at
the headquarters of the service in Waterloo Road, S.E.1. Non-emergency work for the North-East
Division, in which the London Borough of Enfield is now situated, is controlled from llford Control,
situated in Aldborough Road South, llford. Ambulances are directed by radio and by direct telephone
lines and telex to ambulance stations.
Guidance on how to obtain an ambulance is contained in the following notes:
For accidents (wherever occurring) and sudden illness in streets, public places and places of employment:
Dial "999" and ask for "Ambulance".
For urgent illness in the home: Call a doctor, NOT an ambulance. If admission to hospital is arranged
the doctor or the hospital authorities will order the ambulance.
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