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55
elusion of all affected persons, for adequate ventilation, and the
avoidance of combining classes and holding general assemblies. At
the same time all family doctors in the Borough were advised as to
the general position and in regard to the availability of Influenza
vacccine.
At the suggestion of the County Medical Officer consideration
was given to the possibility of the medical and nursing members of
the departmental staff assisting family doctors since the Home
Nursing and Domestic Help Services were already fully extended.
Assistance was also readily forthcoming from the British Red Cross
Society and the St. John Ambulance Brigade in regard to home
nursing during the evenings and at weekends. The progress of the
outbreak in Walthamstow is given in the table which follows.
By the time vaccine was received the outbreak was virtually
over.
One hundred and seventy-four applications were received for
vaccination and 83 persons received their first dose but only 20
elected to receive the second dose. There appeared to be considerable
reluctance to accept vaccination, and more so by those
vaccinated to come for the second dose.

The attendances at Day Nurseries throughout were average for
the time of year. Staff were more affected with Influenza than
children.
There were 1,202 Sick Benefit claims made on the Ministry of
Pensions and National Insurance during October, 1957, as compared
with an average of 479 per month over the whole year.