London's Pulse: Medical Officer of Health reports 1848-1972

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Tottenham 1924

[Report of the Medical Officer of Health for Tottenham]

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20
J. T., 7 years, inoculated 25-10-24.—
5-11-24.—"Poorly."
6-11-24.—Slight rash, no sore throat, no temperature.
7-11-24.—Notified as Scarlet Fever as a precautionary measure.
16-11-24.—Satisfactory.
6-1-25.—Satisfactory.
Inoculated Cases Removed to Hospital owing to Home Conditions:—
H. C., 4 years, inoculated 26-11-24.—
E. C., 4 years, inoculated 26-11-24.—
30-11-24.—Both patients ill; notified as Scarlet Fever. Both
children had vomiting, no sore throat, rash all over body
except for blanching on left side with inoculation spot in
centre.
1-12-24.—Both removed to hospital owing to verminous and
overcrowded condition of house.
(Proved very mild cases and were allowed up on 11th day, whereas
a previous case in family, who refused inoculation, was still in
bed at 6th week.)
R. G., 6 years, inoculated 28-11-24.—
2-12-24.—Sore throat, vomiting and rash, with large blanched
place on left hip (seat of inoculation), notified as Scarlet
Fever and removed to hospital owing to verminous and overcrowded
condition of house.
B. G., 8 years, inoculated 28-11-24.—
4-12-24.—Sore throat, vomiting and rash, with large blanched
place on left hip (seat of inoculation); notified as Scarlet
Fever and removed to hospital owing to verminous and overcrowded
condition of house.
The other reason for my belief that the serum is a true scarlatinal
anti-toxin is that in five instances the rash of the fever did not affect the
site into which the anti-toxin had been injected. Quite a large area of
skin retained its normal colour, in marked contrast to the rest of the
rash-covered skin.
Inoculations were given to contacts only at the request of parents
or guardians. Apart from serum rashes and malaise about a week or so
after injection, nothing untoward occurred. The largest amount given
was 10 c .c's, and the disturbance with the larger doses was no greater than
with the smaller. The severest re-action occurred in a schoolgirl, after
2 c.c. inoculation. She, however, had had Diphtheria some years previously
and anti-diphtheritic serum was then administered. It was