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

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Hornchurch 1946

[Report of the Medical Officer of Health for Hornchurch]

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might conceivably occur in unusual circumstances, admission for
any case can be obtained either through the Public Health Department
or at other times, as for example, after office hours and on
public holidays, by direct arrangement between the attending practitioner
and the medical authorities at the Rush Green Isolation
Hospital.
Diphtheria Immunisation.
It will be known that the County Council as the Welfare
Authority are responsible for dealing with the children under 5
years of age, while the local Council are responsible for those children
over that age. In practice we, as Agents of the County Council,
deal with the under fives also to a very large extent, maintaining,
of course, a close liaison with the County in this matter.
During the year 1,245 children (1,153 under 5, and 9'2 over 5)
completed the course, which consists of two injections of A-P.T.
with an interval of four weeks, and '248 children were given a secondary
or re-inforcing injection subsequent to the complete full course.

The following shows the immunisation state in relation to the child population regarding the number of children who had completed a full course of immunisation at any time up to 31st December, 1946 :—

Age at 31.12.46Number immunisedEstimated mid-year population 1946.
Under 1297,980
1839
21,067
3904
4812
5 to 94,42714,620
10 to 144,494
Total under 1512,57222,600

Disinfection.
A proposed local scheme was submitted to the Council.
Opinion has changed significantly in recent years on the question
of terminal disinfection, and whilst in diseases such as smallpox,
typhoid and the like, its importance must not be minimised,
yet in the minor diseases, such as measles, scarlet fever and whooping
cough, opinion has swung heavily to the side of efficiency of
control being vested largely in concurrent disinfection. In other
words, the application of common sense and practical hygiene to the