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

View report page

Tottenham 1938

[Report of the Medical Officer of Health for Tottenham]

This page requires JavaScript

45
Cases of Diphtheria treated in hospital:—
Hospital.
Diagnosis correct
and cases treated
to a conclusion.
*Diagnosis
incorrect.
Fatal cases.
Number
of cases.
Average
stay in
Hospital
(days.)
Number
of cases.
Average
stay in
Hospital
(days.)
Number
of cases.
Average
stay in
Hospital
(days.)
Southgate
168
56.6
15
15.6
2
4.5
Hornsey
5
54.4
—
—
1
44.0
Enfield and Edmonton
13
61.7
3
21.0
-
—
London Fever
15
69.0
—
—
—
—
L.C.C
3
90.7
2
25.0
—
—
* Notifications withdrawn.
Cases wrongly diagnosed were reclassified as follows:—Tonsillitis,
11; Scarlet Fever, 3; Croup, 1; Quinsy, 1; Vincents Angina, 1;
Rhinitis, 1; no ascertained disease, 2.
Diphtheria Immunisation.
Facilities are provided free of charge by the Tottenham Corporation
for the protection of children against diphtheria. Clinics are held at
the Town Hall every Tuesday and Thursday afternoon at 2.0 o'clock, at
which children of all ages receive immunisation treatment. In addition,
immunisation is carried out at the Day Nursery with the consent of
parents.
Children are immunised by two injections of Diphtheria Toxoid
(Alum Precipitated); the first injection consists of 0.1 c.c. to 0.2 c.c.,
according to age, and the second of 0.5 c.c. An interval of three weeks
is allowed between the first and second injections. It is generally
considered that a higher percentage of immunised individuals and a
more lasting immunity can be obtained by administering the dose in
two portions, than by giving only one dose of 0.5 c.c. as advocated by
some. Children over eight years of age are first Schick-tested to ascertain
whether they are naturally immune to diphtheria, in which event no further
action is considered necessary.
Complete resistance to the disease usually takes a period of several
months to develop, but a partial immunity develops after a few weeks