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SMALLPOX. No case of smallpox occurred in the Borough during 1963. Persons
arriving in the Borough from parts of the world where smallpox is prevalent, are kept
under observation till any chance of their developing the disease is over.
According to the returns, 325 children under the age of one year were vaccinated
in 1963 as compared with 671 in 1962. Modern travel is such that the risk of importing
smallpox is ever present.
SCARLET FEVER. This disease was less prevalent - 13 cases notified as compared
with 22 in the previous year. This disease continued to be mild in character.
DIPHTHERIA. The Borough's freedom from diptheria was maintained during the year.
The number of children under the age of one year who were immunised during 1963 was
469 as compared with 451 in 1962.
ERYSIPELAS. Eleven notifications of this disease were received.
PNEUMONIA. Notifications of pneumonia were 18 as compared with 14 in 1962. Of
the total pneumonia deaths, 85 per cent occurred at age 65 and over.
MENINGOCOCCAL INFECTION. One case was notified during the year.
ACUTE ENCEPHALITIS. No notification was received during the year.
POLIOMYELITIS. No case was notified during the year.
Inoculation against poliomyelitis was continued during the year and the use of
oral vaccine was started. Three doses of oral vaccine were given to 1,501 persons, one
dose following two injections to 332 persons, 2 injections to 78 persons and third injection
to 130 persons.
TYPHOID FEVER. No case of typhoid fever was notified during the year.
PARATYPHOID FEVER. No notification was received during the year.
DYSENTERY. This disease shows great variations in prevalence from year to year
and from place to place. During the year 34 cases were notified.
The infection in all cases was of the Sonne type and the illness was mild in
practically every case. The mildness of the illness is such that medical advice is not
always sought, and unless the disease is kept constantly in mind, cases are likely to be
missed.
TUBERCULOSIS. During the year 39 notifications of pulmonary tuberculosis, and
11 notifications of non-pulmonary tuberculosis were received. Persons continue to be
certified as dying from tuberculosis who have not been notified during life, but it is
hoped that with the improved facilities for diagnosis and treatment now available, any
reluctance to seek investigation and treatment will disappear.

A permanent mass X-ray unit has been established at West Middlesex Hospital and
is open to the public without appointment. During the year 736 children were inoculated
with B.C.G. vaccine as a protection against tuberculosis.
A mobile mass X-ray unit visited the Borough in November. Arrangements were made
with 12 factories and sessions open to the public were held at Cranford, Heston, Isleworth
and Hounslow. The response by the public was very poor and only 1,871 attended these
public sessions.
OPHTHALMIA NEONATORUM. No case was notified during the year.
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