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The number of cases in which a second course of injections
(usually two in number) has been required before complete immunity,
as shown by the Schick test, was established has been very small.
Only 10 instances have occurred in the year's work.
In every case a Re-Schick test after a negative primary Schick
test, or a Post-Schick test after immunising injections, has been performed
and a negative result obtained before issuing a certificate of
natural immunity, or of artificial immunity after protective injections.
Reactions after injections have been very few in number, and
those that occurred were only slight in degree.
(c) Progress since the Commencement of the Clinic.
A summary of the progress made under the scheme during
two year's work, from June 1936 (when the scheme was commenced)
to June 1938, is given hereunder
Number of leaflets issued to parents 4,390
,, ,, children for whom applications for treatment
have been received . 789
,, ,, children who have been appointed to attend the
clinic . 765
,, „ children who have so far attended 754
„ ,, children who have continued to attend to-date 726
,, ,, children in respect of whom certificates of
immunity have been issued 616
,, ,, children awaiting Re-Schick test 84
,, ,, children receiving immunising injections 26
,, ,, children who failed to complete course 28
Number of Clinic sessions held 93
„ ,, attendances made by children 4,035
Average attendance per session . 45
There has been no instance of any child in the Borough who
had reacted negatively to a primary Schick test, or who had been
immunised after a positive Schick test, having been notified as a case
of diphtheria.
Scarlet Fever.
The number of cases notified during the year was 84. Two of
the cases in respect of whom notifications were received were
patients who had developed the disease whilst in London general
hospitals and were removed thence to London County Council
infectious diseases hospitals. Of the remaining 82 cases which occurred
in Barnes 67 were admitted to the Council's Isolation Hospital;
in 15 cases isolation of the patient was carried out at home.