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The following particulars, with reference to the state as regards
vaccination on the 31st December, 1937, in respect of the 262 infants
whose births were registered between 1st January and the 31st
December, 1936, have been supplied to me by the Vaccination Officer
for the district:—
Births Registered in 1936 262
Certificates of successful vaccination 118
Certificates of exemption 105
Certificates of postponement of vaccination 3
Insusceptible to vaccination —
Died unvaccinated 5
Removed to other districts 20
Nor yet accounted for in Vaccination Register .. 11
Diphtheria.
Three cases only of this disease were notified during 1937, a
remarkably small number in a population of 41,100. All three
cases occurred in the Borough.
As regards age distribution of the 3 cases notified, 1 was a child
under school age, 1 was a child of school age (attending a public
elementary school) and the remaining case was an adult.
The incidence-rate (cases per 1,000 of the population) was 0.07,
the rate for London being 1.93, and for England and Wales 1.49.
The incidence-rate of diphtheria in Barnes was less than one-twentieth
of the incidence-rate of this disease in the country as a whole.
All three cases were admitted to the Council's Isolation Hospital.
No death occurred from the disease. The death-rate from
diphtheria for London was 0.05, and that for England and Wales
0.07 per 1,000 of the population.
The preventive measures taken have been the same as in previous
years and were given in detail in my Annual Report for 1930 (page 59).
As regards house-incidence the three cases which were notified
in the Borough occurred in separate houses.
Diphtheria antitoxin is supplied to medical practitioners applying
for it for their patients resident in this district; a supply is immediately
available on application at the Isolation Hospital. Antitoxin supplied
in this way is charged for at cost price unless the patient to whom it
was administered is subsequently admitted to the Isolation Hospital,
in which case no charge is made.