Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Willesden]
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(2) Diphtheria.
The average length of detention of diphtheria patients is also approximately the same as
last year:—
1931—56.2 1933—42.0
1932—45.6 1934—42.1
(3) Other Diseases.
Average stay in hospital of patients suffering from " other diseases," 1931—1934:—
1931—29.3 1933—25.5
1932—27.2 1934—22.6
Cases Admitted from Other Authorities.
During the year 107 cases were admitted from Authorities other than the Borough of Willesden.
These may be tabulated as follows:—
Table No . 61.
Name of Authority. | No. of Cases. | Disease. | No. of Cases. |
---|---|---|---|
Harrow Urban District Council | 34 | Erysipelas | 1 |
Scarlet Fever | 23 | ||
Diphtheria | 10 | ||
Middlesex County Council | 32 | Measles | 15 |
Diphtheria | 6 | ||
Erysipelas | 6 | ||
Scarlet Fever | 4 | ||
Ophthalmia Neonatorum | 1 | ||
Borough of Heston and Isleworth | 18 | Scarlet Fever | 8 |
Diphtheria | 6 | ||
Measles | 4 | ||
Borough of Ealing | 15 | Scarlet Fever | 7 |
Diphtheria | 7 | ||
Measles | 1 | ||
Wembley Urban District Council | 8 | Erysipelas | 8 |
A considerable number of cases referred for admission to Hospital by outside Authorities had
to be refused as no beds were available for their accommodation. The amount of income derived
from the maintenance of these patients during the year was £1,855 6s. 4d. The corresponding figures
for last year were—Number of patients 51, amount of income £1,211 2s. Od.
Schick Test and Active Immunisation Against Diphtheria.
(1) Nursing Staff.
During 1926 a commencement was made in Schick Testing the Nursing Staff and immunising
those nurses who proved to be susceptible to diphtheria. Since that date 8 cases of diphtheria have
occurred, 1 in 1927, 1 in 1928, 1 in 1929, 2 in 1930, 1 in 1932 and 2 in 1934. It is becoming clearer
that immunisation is not infallible in preventing diphtheria, and the position may be expressed in
the following terms. Immunisation against diphtheria is a 100 per cent. security against a fatality
and a 95 per cent. security against an attack of the disease.
The following table demonstrates the benefits derived from this method of preventive medicine :
Table No. 62.
(1) Number of cases of diphtheria occurring amongst probationer nurses during the first eight months of 1926 (before immunisation was carried out.). | 9 |
(2) Incidence rate per annum (taking 30 as average number of probationer nurses). | 45% |
(3) Number of cases of diphtheria occurring amongst probationer nurses from 1927 to 1934 (after immunisation was carried out) | 8 |
(4) Incidence rate per annum (taking 30 as average number of probationer nurses). | 3.3% |
(5) Number of nurses Schick Tested (1927 to 1934 inclusive) | 212 |
(6) Number of nurses giving a positive reaction | 105 |
(7) Percentage of nurses giving a positive reaction | 49.5 |
(8) Number of nurses re-Schick Tested | 54 |
(9) Number of nurses re-Schick Tested giving a positive reaction | 17 |
(10) Percentage of nurses re-Schick Tested giving a positive reaction | 31.4 |