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Scarlet Fever.
The number of cases of scarlet fever (148) which occurred was slightly higher than that
for the constitutent districts during the preceding year.
The cases were distributed throughout the whole area, arid on the whole were of a mild
type. No death occurred from this disease. Cases occurred during each month, the highest
number (20) occurring during December.
Immunization of children against this disease was not undertaken during the year.
Diphtheria.
The number of notifications (116) Was nearly double that of the preceding year for the four
constitutent areas, when 68 cases were notified.
Almost all the cases were admitted to the hospital of the joint Board at Isleworth. Two
cases resulted fatally, making a case fatality rate of 1.7 per hundred cases notified.
The cases occurred principally in the Teddington area of the Borough during the last
four months of the year, the chief focus of infection being a Junior Mixed and Infant School.
In addition to the usual measures of frequent inspection of classes and swabbing and
exclusion of suspects, the opportunity was felt to be a favourable one to extend to Teddington
the arrangements for immunisation against this disease which had been carried out in the area
of the former Borough during the preceding three years. Immunisation was therefore offered
to each child attending this school and accepted in almost every case. Arrangements were
therefore made and immunisation was carried out at the school. This service was also carried
out in another school in the affected area, and later in the year a regular weekly session of the
Immunisation Clinic was instituted at the Stanley Road, Teddington, clinic, in addition to that
already established at the York house, Twickenham, clinic. In consequence, two sessions of
the Immunisation Clinic are held weekly, and the service is now available for the entire area
of the Borough.