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the bone at the back of the ear, requiring operation by skilled
aural surgeons. Unfortunately, hardly known before, mastoid
inflammation is occurring frequently with measles now.
With regard to diphtheria we have not had many cases
during 1935 in epidemic form to cause anxiety. There were
5 fatal cases. We may hope to have fewer in the future
as you have sanctioned immunisation—providing the injection
and paying the doctor's fees for those who are eligible.
All I would stress here is that wise parents will call in
doctors and have a swab taken of the pharynx on the 1st or
2nd day at latest of any acute sore throat—be on the safe
side, and have the injection in the early stage of the disease.
DIPHTHERIA IMMUNISATION.
Last year you inaugurated a scheme for the immunisation
against Diphtheria which is being widely accepted. It
was arranged with the approval of the local branch of the
British Medical Association, and assured to the doctor his
fee for attendance and the toxoid ; the service being free of
charge to the patient.
It is hoped that gradually large numbers of the children
of the district will be rendered immune to diphtheria . The
beneficiaries, it is understood, should be within the National
Health Insurance Scale.