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The various protective measures, i.e., vaccination against smallpox
and immunisation against diphtheria and whooping cough
were well maintained, and with the ready assistance of family
doctors. The percentages represented by completed cases in children
under one year of age were: Vaccination—34.0%, Immunisation
against Diphtheria—47.8%, Immunisation against Whooping
Cough—21.6%. The Minister's target of 75% completed immunisations
against diphtheria by one year has not been reached in
most parts of the country, and was 47.8 for Walthamstow. Although
the percentage for the age group 0/15 years was nearly 80, complacency
continues in the absence of diphtheria, but there have
been several sharp reminders elsewhere, not only as to the need
for primary immunisation, but also for the "boosting" immunisation,
preferably at entry to school, and ideally again before transfer
to the primary school. It must never be forgotten that
"DIPHTHERIA STILL KILLS."
The services in regard to the prevention of illness, care and
after-care and the domestic help service were well maintained,
especially in regard to the tuberculous.
The lack of extended chiropody facilities is still to be deplored,
especially as foot defect is a major cause of rendering old people
non-ambulant.
Dr. Sheppard and Miss Keenan (Superintendent Health
Visitor) retired during the year, after long and faithful service.
Once again I have to record the good work of the departmental
staff, the help and consideration of the members of the
Committees concerned, and particularly of the Chairman, Alderman
Lady McEntee. I would also record the help of the other chief
officers concerned and last, but not least, of the family doctors
practising in the Borough.
1 have the honour to be.
Your obedient Servant,
A. T. W. POWELL,
Medical Officer of Health.