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49
Diphtheria Immunisation.
A certain number of children have bean immunised during the
year by private practitioners in the district and some have been
immunised by the medical superintendent of the Wandle Valley
Isolation Hospital. The question of establishing a clinic for
immunisation is under discussion at the present moment.
Typhoid Fever.
Three cases of typhoid fever were notified during the year.
Three cases removed to hospital.
No deaths were registered.
Diarrhœa and enteritis under two years of age.
Four deaths from diarrhoea and enteritis under two years of age
were registered, as compared with ten deaths in 1932. It has been
shown that the mortality from this disease begins to increase when
the four foot earth thermometer reaches 56° F., and as this
temperature rises so the mortality tends to increase. On July 1,
1933, the four foot earth thermometer registered 56° F., and this
temperature gradually rose until on August 31, 1933, the maximum
of 61° F was reached. The temperature gradually fell until on
October 20 the thermometer again registered 56° F. In spite of this
it is gratifying to see that only four deaths were registered. This
low mortality is due, probably, in part to the fact that a large
proportion of young children attend the Welfare Centres, where the
early signs of the disease are recognised and prompt advice given,
and also in part to the fact that water-borne sewerage is almost
universal in the district, and also that a strict supervision is kept on
all the dustbins, ensuring that all of them are sound and have proper
fitting lids.
Encephalitis Lethargica.
One case was notified during the year and one death registered.
Cerebro-Spinal Fever.
Three deaths were registered from this disease during the year ;
all the deaths were of males. All the cases were removed to hospital.