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75
Ear, Nose and Throat Cases.
On April 1st, 193G, a special clinic to deal with ear, nose and throat conditions occurring in
school children and children under school age was opened, and 383 cases have been dealt with.
Sick Staff.
Six cases of infectious disease occurred amongst the Nursing Staff, namely Scarlet Fever 3,
Diphtheria 2, and Measles 1.
One case of Diphtheria occurred amongst the Domestic Staff.
Duration of Stay in Hospital.
Scarlet Fever.
The average length of detention of Scarlet Fever patients in hospital is less than last year, as the
following table shows:—
1926 47.2 days 1934 33.3 days
1928 37.0 „ 1935 37.6 „
1933 32.1 „ 1936 35.0 „
Diphtheria.
The average length of detention of Diphtheria patients shows an increase:—
1931 56.2 days 1934 42.1 days
1932 45.6 „ 1935 46.5 „
1933 42.0 „ 1936 49.1 „
Schick Test and Active Immunisation against Diphtheria.
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 11 cases of diphtheria have
occurred :—1 in 1927, 1 in 1928, 1 in 1929, 2 in 1930, 1 in 1932, 2 in 1934, 1 in 1935, and 2 in 1936.
The details of the latter two cases are as follows:—Staff Nurse W. W. commenced duties at the
hospital on 1-6-35. She was Schick tested on 6-6-35, gave a positive reaction and immunised. On
14-3-36 she reported sick. On examination a small amount of exudate was found to be present on
both tonsils, and the swab proved positive to K.L. bacillus. She made an uneventful recovery.
Probationer Nurse M. M. commenced duties on 29-3-35. She was Schick tested on 29-4-35, gave a
positive reaction and immunised. On 11-9-35 she was again Schick tested and found to give a negative
reaction. On 14-3-36 she reported sick. On examination a patch of membrance was found to be
present on the left tonsil only and the swab was positive to K.L. bacillus. Apart from a slight serum
reaction she made an uneventful recovery.
Table No. 63.
(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 1936 (after immunisation was carried out) 11
(4) Incidence rate per annum (taking 30 as average number of probationer nurses) 3.7%
(5) Number of nurses Schick tested (1927-1936 inclusive) 254
(6) Number of nurses giving a positive reaction 117
(7) Percentage of nurses giving a positive reaction 46.0%
(8) Number of nurses re-Schick tested 57
(9) Number of nurses re-Schick tested giving a positive reaction 17
(10) Percentage of nurses re-Schick tested giving a positive reaction 29.8%
Willesden Residents.