schools, Resettlement Estates and other densely-populated areas during mass immunization campaigns. Poliomyelitis vaccine of the oral tri- valent Sabin type was available for children at all Maternal and Child Health Centres,
93. At Appendix 5 is a summary of the incidence of notifiable diseases over the past five years, and Appendix 6 details the numbers of prophylac- lic immunizations administered during 1963. The specific mortality rates of the principle infectious diseases during the year are shown in Table II.
TABLE II
SPECIFIC MORTALITY RATES OF SOME NOTIITABLE INFECTIOUS DISEASES
Disman
Cholera
Amoebiasis
Dysentery { Bacillary
Enteric Fever
Poliomyelitis
Unspecified
Typhoid Paratyphoid
Cerebrospinal Meningitis
Diphtheria
Meusles
Puerperal Fever
1963
Caser
Ivanka
COVE Fatality Raver
bearh Rates
Proportional Specific
Mortality Rafel-per 100 deaths from all
per 100,000 popu faziam
0.39 0.013 0.084
0,779
Cawa
115
4
241
12
3.48
4.98
0.020
Дми
0.061
0.111 0.334
791
11
}}
989
49
27}
2.60 0.142
53
7.55 0.020
0.111
50
24
48.00
871
B岵
9.87
НИЯ
" ។...
PIN
3.416
I
13,031
1,762
0.668
2.015
405 11.85 2.05) 11.222 50.00 0.006 0.028
13.52 8.972 49.052
0.122
0.435
M-
Tuberculosis
Notes: (1) Total deaths from 1.1.63 to 31.12.63 were 19,748.
(2) Estimated Population for mid-1963 was 3,592,100.
Amoebiasis
94. An appreciable increase in the incidence of this disease was recorded although the case fatality rate remained unchanged,
Bacillary Dysentery
95. The incidence of this disease remained almost stationary during 1963 but there was a slight increase in severity as measured by the case fatality rate.
96. Much intensive health education in the prevention of dysenteric infections is carried out by Health Officers amongst those connected with the handling, preparation and sale of food. A total of 126 carriers was detected amongst contacts of cases; all were treated and restrained from relum to normal activities until three negative and consecutive stool specimens had been obtained. The common organisms isolated ware 5. flexneri and S. sonnei.
Chickenpox
97, Notifications of this disease were comparatively few following the large number of cases (1,003) reported during the first quarter of 1963. Mortality was minimal.
Diphtheria
98. Diphtheria incidence continued to show the marked decline which has been observed since the commencement of an intensive and almost continuous immunization campaign in the autumn of 1959, Although disrupted by the cholera immunization campaigns of the past three years, this programme has given very encouraging results, the annual incidence having been reduced from 2,087 cases in 1959 to 871 in 1963. The cases presenting continued to be predominantly in children under ten years of age. The case mortality rate remained stationary.
99. Amongst the contacts of cases, 127 carriers of diphtheria were found and all were isolated in hospital until they were proved free of infection.
100, C. diphtheriae mitis continued to be the predominant organism and only in race instances was in intermedius or gravis strain isolated.
Enteric Fever
IDL An increase of approximately twenty per cent was recorded during 1963 in the notifications of this group of diseases. The increase was probably attributable to the abnormal drought conditions with the consequent severe restrictions on mains water supplies and the use of water from suspect sources. The case mortality remained low.
102. All food handlers, including staff of water-boats, are required by law to be protected by T.A.D. inoculation and, in addition, facilities for such inoculation were available to school-children and members of the public.
22
23
No comments yet.
Private notes are available after approval.