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

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Walthamstow 1951

[Report of the Medical Officer of Health for Walthamstow]

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92
During the past five years the percentages immunised in the
various age groups were as follows :—

DIPHTHERIA IMMUNISATION

Age at ImmunisationPercentage Immunised to Population in Age GroupsNotified Cases
YearRegd. Births0—1 year1—2 years2—3 years3—4 years4—5 yearsTotal 0—5 yearsSchool AgeOver School AgeGrand Total% 0—1 to Total Births% 0—5 years% 5—15 years% 0—15 yearsAdmitted to HospitalDiagnosis ConfirmedDeaths
19462,5442879462121401601,745882112,63811.250.377.467.780226
72,67071986911168771,84481042,65826.952.486.072.2380
82,0681,07678010541472,04966212,71252.061.591.579.2341
91,8361,1123916360321,64830411,95360.562.596.282.1200
19501,5987072882931181,0732611,33444.260.596.581.9111
11,6376704425922191,2122651,47740.958.199.383.011

From the above table it will be seen that there have only been two confirmed cases of diphtheria in the
last five years, and no death.
On the other hand, the fall in the number of children immunised, especially in the 0—1 age group, gives
rise to misgiving, especially since the target of immunisation in this group is 75% of babies born before reaching
the age of one year.
There are several contributory causes to this decline, e.g., the reduction in the number of births, the
publicity given to the alleged association between injections of any kind and poliomyelitis, and the decreased
awareness on the part of the public to the dangers of diphtheria. In addition there is some evidence that general
practitioners do not send in records in order to claim fees for many of the immunisations done by them.
62 children were given “combined” diphtheria/whooping cough immunisation by general practitioners,
but the prophylactic was not supplied by the Local Authority. These are included in the above total.