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The total attendances during the year amounted to 4,529.
The cases concluded and issued with certificates of apparent immunity during the year
amounted to 808.
Of these 746 persons had been successfully immunised.
62 were found to be naturally immune.
Immunisation Centre.—It is interesting to see how the demands for immunisation is
increasing in respect of the younger children.
With regard to the investigation which we published last year, researches are still being
carried out with regard to the further increased dose of T.A.M., when it is hoped to be able to
show that the gap of 5 per cent., which we recorded last year, has been almost, if not entirely,
closed.
Diphtheria Antitoxin.—Boxes containing a Sterile Antitoxin syringe, and the necessary
dressings, etc., are kept at the Hounslow Police Station so as to be available in case of emergency.
During 1935, 28 vials of Antitoxin of 8000 units each were supplied to medical practitioners.
Smallpox.—No cases were notified during the year 1935.
Enteric Fever.—Four cases were notified. Two were notified from the West Middlesex
Hospital, one was not a resident in this district.
Erysipelas.—Twenty-five cases of this disease were notified, of whom 16 were of cases in
the West Middlesex Hospital. Twelve were non-residents in this district.
Ophthalmia Neonatorum.—(See page 45).
Puerperal Fever.—Twenty-three cases were notified. Twenty of these cases were notified
from the West Middlesex Hospital, of whom 18 were not usually resident in this district. Two
cases confined at home were removed to Queen Charlotte's Hospital for treatment. One case was
confined in a Nursing Home.
Two deaths occurred from Puerperal Sepsis.
Puerperal Pyrexia.—Thirty-three cases were notified; 31 of these were notified from the
West Middlesex Hospital, including 26 who were not usually resident in this district.
Encephalitis Lethargica.—Two cases were notified during the year. One was from the
West Middlesex Hospital not usually resident in this district.
Cerebro-Spinal Fever.—One case of this disease was notified from Hounslow Hospital in
the person of a non-resident.
Pneumonia.—There were 116 cases notified—71 notifications were from the West
Middlesex Hospital. Fifty were non-resident in this district.

Upon receipt of information of the existence of a case, inquiry is made by a School Nurse
to obtain all necessary facts.
Influenza.—There was 1 death from Influenza during the year, the mortality being 0.01
per 1000 of the population.
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