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

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Hackney 1934

[Report of the Medical Officer of Health for Hackney]

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The following table shows the housing conditions of those persons under 15 years of age who were attacked by diphtheria during the year:—

Cases removed to Hospital.Cases nursed at Home.
Less than 1 person per room.1 to 2 persons per room.More than 2 persons per room.Less than 1 person per room.1 to 2 persons per room.More than 2 persons per room.
63345364-

The deaths from diphtheria during the year numbered 27.
This mortality is equal to a death-rate of 5.22 per cent. attacked and
0.12 per 1,000 inhabitants, as compared with a death-rate of 4.93
per cent. attacked and 0.08 per 1,000 inhabitants for the previous
year. The death-rate from diphtheria for London during the same
period is 0.11 per 1,000 inhabitants.
During the year, 3,128 swabbings from throats of persons
suspected to be suffering from diphtheria were bacteriologically
examined, of which 284 gave positive results, and 2,844 negative
results.
Diphtheria Anti-toxin.—In accordance with the Anti-toxin
Order of 1910, a supply of diphtheria anti-toxin is provided by
the Council and issued as required to medical practitioners applying
for it in cases of diphtheria or suspected cases of diphtheria amongst
the poorer inhabitants of the Borough. During the year 66 bottles
of anti-toxin of 8,000 units each were supplied to medical practitioners,
most of which was used for prophylactic purposes.
Diphtheria Immunisation.—The active immunisation of persons
against diphtheria with toxoid-antitoxin mixture has been in
progress for some years past, and in London approximately one-half
of the Borough Councils have established Clinics for this purpose.
The Diphtheria Immunisation Clinic was opened at the Central
Maternity and Child Welfare Centre, No. 28, Lower Clapton Road,
on the 6th January, 1928, Dr. F. Porter-Smith being the Medical
Officer in charge.

Infants and children from one year of age are treated, and very encouraging results have been obtained, as shown in the following table:—

Year.No. of New Cases.Schick Tested.Commenced treatment without Schick Test.Naturally Immune.Immunised.Discontinued treatment and struck off Register.No. under treatment at end of year.
Pre-School Age.School Age.Adults.Pre-School Age.School Age.Adults
192846099350749553137745123
19294437728214707374168454193
193067514040380521221271682161369
19316471494138771631742862109282
193239810120888191146168363209
1933103321749720299128270218257567
19341012221474332841664603142108529