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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 four 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
three years' work, from June 1936 (when the scheme was commenced)
to June 1939, is given hereunder:—
Number of leaflets issued to parents 4,910
,, ,, children for whom applications for treatment
have been received 880
,, ,, children who have been appointed to attend the
clinic 854
,, ,, children who have so far attended 841
,, ,, children who have continued to attend to-date 800
,, ,, children in respect of whom certificates of
immunity have been issued 746
,, ,, children awaiting Re-Schick test 42
,, ,, children receiving immunising injections 12
,, ,, children who failed to complete course 41
Number of Clinic sessions held 132
„ ,, attendances made by children 5,042
Average attendance per session 38
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 52. Three 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 49 cases which occurred
in Barnes 45 were admitted to the Council's Isolation Hospital,
one was admitted to the London Fever Hospital, and in 3 cases isolation
of the patient was carried out at home.