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

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Willesden 1942

[Report of the Medical Officer of Health for Willesden]

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15
Laboratory.
The Bacteriological Laboratory was opened for work on 1st January, 1932. It undertakes the
examination of the routine bacteriological specimens from the District, the Municipal Hospital, and other
local institutions.

Table No. 21. For the Year 1941.

No.Nature of Examinations.Positive result.Negative result.Total.
1Swabs for C. diphtherise2561,3991,655
2Swabs for C. diphtherise, with typing——43
3Sputum, etc.— Direct examination for M. tuberculosis31186217
4Sputum— Concentration with antiformin25148173
5Blood— Widal321143
6Blood— Cultures--8
7Blood— Counts--40
8Blood— Films--34
9Blood— Chemical examinations--28
10Blood— Grouping--3
11Urine— Chemical examinations--43
12Urine— Microscopical examinations--57
13Urine— Cultural examinations--110
14Faeces— Microscopical examinations--1
15Faeces— Cultural examinations--178
16Cerebro-Spinal Fluid— Chemical examinations--30
17Cerebro-Spinal Fluid- Microscopical examinations---50
18Cerebro-Spinal Fluid— Cultural examinations--10
19Swabs, etc.— Direct smears--66
20Swabs, etc.— Cultures--113
21Gastric contents— Test meals--7
22Water— Presumptive B. coli test--37
23Water— Enumeration of total organisms--37
24Drugs for sterility--7
25Meningococcus serological grouping--3
26Streptococcus serological grouping--4
27Salmonella serological identifications--20
Total ..--3,017

Table No. 22.

Sources of Specimens examined 1941.

Willesden Municipal Hospital 1,642Other Hospitals8
Private Practitioners 752Engineer's Department72
Municipal Health Centres 516
Middlesex County Council Dispensary 27Total3,017

Schick Test and Active Immunisation against Diphtheria 1941.
(1) Nursing Staff.
During 192(5 a commencement was made in Schick Testing the Nursing Staff and immunising those
nurses who proved susceptible to diphtheria. Since that date, 17 cases of diphtheria have occurred :—
1 in 1927, I in 1928, 1 in 1929, 2 in 1930, none in 1931, 1 in 1932, none in 1933, 2 in 1934, 1 in 1935,
2 in 1936, 2 in 1937, 1 in 1938, 2 in 1939, none in 1940 and 1 in 1941.
(1) Number of cases of diphtheria occurring amongst probationer nurses during the first
eight months of 1926 9
(Before immunisation was carried out)
(2) Incidence rate per annum 45%
(Taking 30 as average number of probationer nurses)
(3) Number of cases of diphtheria occuring amongst probationer nurses from 1927 to 1941 17
(After immunisation was carried out)
(4) Incidence rate per annum 3.7%
(Taking 30 as average number of probationer nurses)
(5) Number of nurses Schick Tested (1927-1941 inclusive) 353
(6) Number of nurses giving a positive reaction 160
(7) Percentage of nurses giving a positive reaction 45.3%
(8) Number of nurses re-Schick Tested 78
(9) Number of nurses re-Schick Tested giving a positive reaction 19
(10) Percentage of nurses re-Schick Tested giving a positive reaction 24.3%