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without being recognised by the parents, and the child is allowed
to return to school in a highly infectious state. Fortunately they
remain carriers for only a short period, so that by the time the
contact case is recognised their swabs have become negative.
Immunisation and reinforcing doses were given to every child in
the schools whose parents consented, and a fall in the incidence
followed rapidly.
Diphtheria Immunisation
Efforts have continued during the year to obtain the
immunisation of every child before his second birthday. A birthday
greeting letter is sent on the first birthday, making an
appointment for immunisation, and three clinics are available,
so that no mother is beyond easy walking distance of a clinic.
The health visitors have urged the mothers at the welfare centres
and when making home visits, to have their children immunised,
and have made special visits in difficult cases.
Immunisation has been continued at the schools, although
large numbers have been immunised during evacuation. All the
non-immunised children at the Day Nurseries were immunised
after admission.