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The figures for smallpox vaccination, after a year in which a large proportion of the
population had been vaccinated, dropped heavily in 1963 and continued to be small in
1964, but there was an encouraging increase in the number of infant vaccinations from
300 in 1963 to 440 in 1964.
Contacts:—
From time to time during the year contacts of suspect cases of smallpox entering or
returning to the Borough are notified. The number of these during 1964 was seven such
persons who were notified and kept under observation. No smallpox developed.
Also eight persons were notified as entering from smallpox areas without valid certificates
of successful vaccination. These persons were offered vaccination and kept under
surveillance until they could be cleared.
Typhoid Fever
No cases of this disease were notified during the year.
Twice during the year outbreaks of typhoid in other places gave cause for extra
observation in Southall.
1. A contact was reported from a case on a liner entering the country from abroad.
The contact was kept under observation for the prescribed period, but no symptoms
developed.
2. Shortly after, information came in concerning a considerable outbreak of
typhoid fever in Aberdeen, the cause of which was unusual as it was alleged to be due
to imported corned beef in tins. As this was stated to be the only possible cause of
the outbreak, it was necessary to check in the Borough that no tins of the suspect
brands should be allowed to go for sale until clearance could be given. Watch was
kept for a considerable time, but no case occurred in the Borough.
Scarlet Fever (Scarlatina)
The number of notifications received during the year was 23, as compared with 5 in
1963, 19 in 1962 and 27 in 1961. In three families there were multiple cases, and in each
of these instances there was secondary infection after a period of two weeks, showing that
isolation was not good. They were all nursed at home.
Diphtheria

The figures for immunisation against diphtheria improved greatly for the second
year in succession, and the level of protection with immunisation maintained at this rate
would be satisfactory.
Ophthalmia Neonatorum
No cases of ophthalmia neonatorum were notified during the year.
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