London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Hornchurch 1938
[Report of the Medical Officer of Health for Hornchurch]
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| Completed. | Incomplete. | |||
| Adults | 6 | 0 | ||
| School Children | 462 | 96 | ||
| Pre-school Children | 173 | 36 | ||
| 641 | 132 | |||
| 3. Schick Tested after Treatment:— | Result. | |||
| No. tested. | Negative. | Positive. | ||
| Adults | 5 | 5 | 0 | |
| School Children | 541 | 503 | 38 | |
| Pre-school Children | 174 | 170 | 4 | |
| 720 | 678 | 42 | ||
No person can be considered to have been immunised until he
has received three injections and has been found to have a negative
reaction to the subsequent Schick test.
The following table shows particulars of all such cases which have been reported during the year.
| Sex. | Age. | Treatment received. | Final diagnosis. | Result. |
|---|---|---|---|---|
| F. | 10 | T.A.F. 3 c.c. | Diphtheria | Recovered. |
| F. | 13 | T.A.M. 3 c.c. | Tonsillitis | „ |
| M. | 4 | T.A.F. 3 c.c. | Laryngitis | „ |
| F. | 9 | T.A.M. 3 c.c. | Rhinorrhoea | „ |
| F. | 7 | T.A.F. 3 c.c. | Diphtheria | „ |
| M. | 12 | T.A.F. 3 c.c. | Tonsillitis | „ |
It will be seen that two cases of Diphtheria which were confirmed
bacteriologically occurred after the injection of three 1 c.c.
doses of Toxoid antitoxin floccules which had been followed by a
negative Schick test. The first was a mild case and was a child who
had been subjected to a very severe infection with the Gravis type
of K.L.B. The second case was that of a girl who also received
three 1 c.c. injections of Toxoid antitoxin floccules followed by a
negative Schick test. The type of organism with which she was
infected was the Intermediate type. She had a moderately severe
attack but made a good recovery.