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The table on page 36 gives the number of
cases notified under age groups
Smallpox
There were 22 referrals for supervision of
possible smallpox contacts who had arrived
in this country from locally infected or
declared endemic smallpox areas and who
were reported to be proceeding to addresses
in Hounslow All these were visited and kept
under surveillance for the required period
Whooping cough
There was a substantial decrease in
notifications only 11 cases notified compared
with 78 in 1968 and 112 in 1967 Two of
these cases were under the age of one year
and one of these was aged 3 months and the
other was aged 9 months
Vaccination records show that 2 of the nine
notified cases under the age of six years had
been immunised in infancy
Measles
There were 576 cases notified compared with
466 in 1968 and 1 535 in 1967 In the past
24
the disease has assumed epidemic proportions
biennially and the measles vaccination campaign
which was introduced in May 1968 had an impact
on the incidence of the disease during what
otherwise would have been an epidemic period
Dysentery
There were 40 cases compared with 109 cases
in 1968
Typhoid fever
Two cases were notified a lady aged 65 years
was admitted to hospital on the 6th August and
a clinical diagnosis of typhoid fever was made
This was confirmed by isolating salmonella
typhi phage A from both her blood and her stool
Her landlady aged 83 years was admitted to
hospital on the 13th August when typhoid fever
was confirmed There were no other known cases
and intensive investigations failed to reveal
the source of the infection
Food poisoning
Although 83 cases of suspected food poisoning
were notified after full investigation only
twenty-nine cases were confirmed The
causative organisms were as follows
salmonella typhimurium (8) salmonella
bredeney (1) salmonella thompson (1)
salmonella enteritidis (6) salmonella
panama (1) salmonella virchow (3)
salmonella Stanley (6) salmonella
manhatton (1) salmonella Chester (1)
salmonella monophastic (1)
Of the 54 remaining cases notified (36
sporadic and 18 cases in 6 families) all
laboratory investigations proved negative
Medical arrangements for long-stay immigrants
Long stay immigrants are asked to give their
destination addresses at ports of arrival and
these are forwarded to the medical officer of
health All the addresses situated in the
borough are visited by public health
inspectors who advise the immigrants on how
to use the national health service If the
immigrant is accompanied by a child the
address is visited by a health visitor