Routine neonatal screening for phenylketonuria in the United Kingdom 1964-78. Medical Research Council Steering Committee for the MRC/DHSS Phenylketonuria Register.

From 1964 to 1968, despite a general policy of routine neonatal screening for phenylketonuria that was usually carried out using the Phenistix nappy test, half to one-quarter of all cases reported to the register had been missed in the screening programme and had not been detected before the age of 4 months. In about two-thirds of the "missed" cases no screening test had been carried out, and in one-third a urine test had been performed but had given a false-negative result. In 1968-9 the screening programme was reorganised according to recommendations made in a Government circular (HM (69) 72), which proposed that a specimen of blood should be obtained by heel prick from all newborn infants between the 6th and 14th day of life and be tested in a central laboratory for the presence of raised blood phenylalanine concentrations. The senior medical officers of the various regions were made responsible for ensuring that all infants were tested. By 1974 only 1 to 2% of surviving infants were not being tested for phenylketonuria in the neonatal period, and only five of the 357 cases born between 1974 and 1978 and notified to the register had been diagnosed after the age of 3 months.     

The numbers and distribution of buffalo in the Ruwenzori National Park*, Uganda

The buffalo (Syncerus coffer (Sparrman)) in the Ruwenzori National Park, Uganda were censused by means of aerial survey. Details of earlier censuses of buffalo from the air are given. Herds were located by flying along flight lines 1–6 km apart at a height of 300 m above ground. Buffalo in small herds and in bachelor groups containing less than thirty animals were counted individually but most herds were photographed and the number of buffalo counted from the prints. Two full photographic counts were made in November 1968 and December 1969 and subsequently, counts of herds only were made four times a year during each wet and dry season. The total numbers of buffalo were estimated from the herd counts on the basis of the mean herd size and percentage of bachelors recorded earlier. A total of 17 835 buffalo, comprising 16 749 in 165 herds and 1086 bachelor bulls, was recorded in 1968 and 18 040 buffalo made up of 17 141 in 162 herds and 899 bachelors were counted in 1969. The mean herd size was 101-5 in 1968 and 105-8 in 1969 with bachelors representing 6-1% and 5-0% of the totals in 1968 and 1969 respectively. The mean size of the bachelor groups was 4–7 and 3-3 in 1968 and 1969 respectively. The density of the buffalo was the same each year at twelve animals per sq. km. If only the preferred habitat is considered, the density becomes thirty-eight buffalo per sq. km. The mean areas occupied by a single herd were 9-4 and 9-6 sq. km in 1968 and 1969 respectively. The mean area of preferred habitat used by one herd was 2–9 sq. km each year. It is concluded that herd counts are not a satisfactory method for assessing the total buffalo population although they have value as indices, provided the same observer is used. However, they do suggest in the present work that there is a slight but definite seasonal movement of buffalo into forested areas or towards permanent water during the dry season.     

Congenital Cytomegalovirus Infection: Clinical,Pathological and Virological Studies of Two Fatal Cases

Two infants severely ill at birth as a result of congenital cytomegalovirus infection were born in Halifax, Nova Scotia, in April and July 1968. Both died within seven weeks. Clinical, pathological and virological studies including serology and electron microscopy were made both before and after death. Cytomegalovirus was isolated in tissue culture from urine specimens from both infants during life and from organ tissues, blood and ascitic fluid after death. Large inclusion-bearing cells mixed with the erythrocytes and leukocytes were seen within the lumina of pulmonary blood vessels. A brief general discussion is presented of the various clinical manifestations of congenital cytomegalovirus infection and of the different serum antibody patterns found in these two pairs of mothers and infants.     

Investigation of the incidence of influenza A viraemia caused by virus strains circulating among children in 1968 - 1977.

Nineteen strains of Type A influenza virus isolated from the blood of small children in 1968--77 were studied. The investigation of the strains in HAIR with antisera to the antigenic components of the strains in HAIR with antisera to the antigenic components of the strains A/Hong-Kong/68,A/Anglia/72, A/Port Chalmers/73 and A/Victoria/75 made it possible to demonstrate antigenic "drive" of the haemagglutinin in the years 1968--1977 and to divide the strains into 4 varieties. A high sensitivity to inhibitors was observed in all the strains isolated. The study of pathogenicity and toxicity of the strains revealed viraemia in the strains isolated during the 1972--1973 epidemic and the subsequent epidemics with the absence of pathogenicity and toxicity for white mice. Regular finding of viraemia coincided in time with increased thermostablty of the haemagglutnin in the strains under study.     

Haemophilus influenzae Type B Septicaemia

In the period November 1967 to September 1968 Haemophilus influenzae type b was isolated from the blood of 11 young children. Only three of these presented with meningitis; others had septic arthritis, oesteomyelitis, subcutaneous abscesses, cellulitis, respiratory infections, and undifferentiated pyrexia. During the preceding five years H. influenzae type b was isolated from the blood cultures of 15 patients, and all but two of these were cases of meningitis. Blood culture has proved of value in establishing the role of H. influenzae type b in a broad spectrum of acute infections, and the suggestion is made that meningitis may represent only a minority of cases of haemophilus septicaemia. Because H. influenzae is resistant to some antibiotics bacteriological diagnosis of such cases is important if the correct treatment is to be given.     

THE EFFECT OF IRRADIATED PLASMA ON NORMAL HUMAN CHROMOSOMES AND ITS RELEVANCE TO THE LONG-LIVED LYMPHOCYTE HYPOTHESIS

The persistence of unstable chromosome-type aberrations in peripheral blood lymphocytes of irradiated individuals has led to the proposal that some lymphocytes survive for many years in vivo without undergoing mitosis (Fitzgerald, 1964). It has recently been shown, however, that plasma from irradiated individuals can induce chromosomal damage in cultures of normal blood lymphocytes (Hollowell & Littlefield, 1968) even when the plasma donors were irradiated 7 years earlier (Goh & Sumner, 1968). Goh (1968) has therefore suggested that ‘An alternate explanation to the “long-lived cell” theory proposed by others…would be that a substance is produced or activated by total body irradiation and remains capable of affecting the chromosomes for extensive lengths of time'. The present results show that a lymphocyte chromosome-breaking factor can be induced in the plasma of blood irradiated in vitro as well as in vivo. All of the aberrations induced by this ‘plasma factor’and those reported by other workers can be interpreted as being of the chromatid type. Before the long-lived lymphocyte hypothesis can be brought into serious disrepute, it must be shown that the plasma factor can induce aberrations of the same type as persist after in vivo irradiation (i.e. unequivocal chromosome-type aberrations, such as dicentrics and rings) and that these can be induced in vivo.     

The early development of the quail (Coturnix c. japonica) furcula reconsidered

Although the avian furcula is generally regarded as a dermal bone, this view was challenged by Lansdown (1968 a ), who postulated that it is a cartilage bone. His reinterpretation was predicated upon histochemical data, derived from embryological observations made on the Japanese quail, and is deserving of further investigation as it bears importantly upon the interpretation of the homology of the furcula, and upon aspects of avian phylogeny and the origin of the flight apparatus.
Employing the same investigative methods as Lansdown (1968 a ), together with additional techniques, his interpretations have been reconsidered and no support for his suggestions has been found. The furcula of the quail, instead, has the early developmental characteristics of a typical dermal bone and conforms with the developmental details seen in the chicken.     

Myelomatosis: Comparison of Melphalan and Cyclophosphamide Therapy

Untreated patients suffering from myelomatosis were allocated at random for treatment by the daily oral administration of either cyclophosphamide or melphalan: 141 received cyclophosphamide and 133 melphalan. The trial began on 1 October 1964 and the intake of patients continued until 31 July 1968. The statistical analysis includes follow-up of the surviving patients to 31 May 1970.The most important single factor affecting the prognosis was the blood urea concentration at presentation. The median survival of the 125 patients whose blood urea concentration was less than 40 mg/100 ml was 33 months, compared with 20 months for the 96 patients whose blood urea concentration was 40-79 mg/100 ml and two months for the 55 patients whose blood urea concentration was 80 mg/100 ml or more.The median survival periods of the 114 patients in the cyclophosphamide group and of the 105 in the melphalan group whose blood urea concentration at presentation was less than 80 mg/100 ml were 27 and 23 months respectively. The difference is not statistically significant.     

The Random Phenotype Concept, with Applications

A random phenotype is defined as a probability distribution over any given set of phenotypes. This includes as special cases the kinds of phenotypes usually considered (qualitative, quantitative, and threshold characters) and all others. Correspondingly general methods are indicated for analyzing data of all forms in terms of the classical Mendelian factor concept (as distinct from the biometrical methods usually applied to measurement and graded data, associated with the effective factor concept). These are applied in a new analysis of the data of E. L. Green (1951, 1954, 1962) on skeletal variation in the mouse. The adequacies of various classical one-factor and several-factor models are considered. Indications of an underlying scale are found from this new standpoint. The results are compared with those obtained by Green using the scaling approach. An illustrative application is also made to some of Bruell's (1962) continuous behavioural data on mice. This work was substantially completed in 1959 but not previously prepared for publication. The same approach was originated and developed independently by R. L. Collins who has treated a wider range of theoretical problems (cf. Collins 1967, 1968a, 1969b, 1970c) and a wider range of applications (cf. Collins and Fuller 1968; Collins 1968b, 1969a, 1970a). A less general independent development is that of Mode and Gasser 1972.     

A population study ofStenocranus minutus (Fab.) (Hemiptera: Delphacidae)

The seasonal and annual fluctuations in a population of the delphacid, Stenocranus minutus (Fab. ) on Dactylis glomerata L. were studied from March 1968 to September 1970. The study involved the comparison of several sampling methods to estimate the egg, nymphal and adult numbers and an investigation into causes of mortality within each stage. A population budget was made for the years 1969 and 1970.     

Serological identification of 9 viral isolates from European eels (Anguilla anguilla) with stomatopapilloma by means of neutralization tests

9 viruses have been isolated from European eels with stomatopapilloma during 16 years (1968–1984). Isolates (5) from the blood of eels could be identified as IPN-virus, subtypes Ab, and viruses (4) obtained from tumors were identified as Rhabdovirus anguilla, subtype EVX by means of neutralization tests.     

Bristol Floods 1968. Controlled Survey of Effects on Health of Local Community Disaster

An investigation into the health of people in Bristol flooded in July 1968 was made by means of a controlled survey and a study of mortality rates. There was a 50% increase in the number of deaths among those whose homes had been flooded, with a conspicuous rise in deaths from cancer.Surgery attendances rose by 53%, referrals to hospital and hospital admissions more than doubled. In all respects the men appeared less well able to cope with the experience of disaster than the women.     

Conservation and variation in the hemagglutinins of Hong Kong subtype influenza viruses during antigenic drift.

The nucleotide sequence was determined for the hemagglutinin gene of the Hong Kong subtype influenza strain A/Bangkok/1/79. The amino acid sequence predicted from these data shows a total of 36 amino acid changes as compared with hemagglutinin for a 1968 Hong Kong strain, 11 more than had occurred in a 1975 strain. The distribution of these changes confirmed that there are conserved and highly variable regions in hemagglutinin as the viral gene evolves during antigenic drift in the Hong Kong subtype. Of the four variable regions found in this study, only two have been seen previously. Correlation of highly variable areas in the hemagglutinins of Hong Kong subtype field strains with sites of amino acid changes in antigenically distinct influenza variants enabled us to predict likely antigenic regions of the protein. The results support and extend similar predictions made recently, based on the three-dimensional arrangement of hemagglutinin from a 1968 influenza strain.     

Efficacy of Whooping-cough Vaccines used in the United Kingdom before 1968: Final Report to the Director of the Public Health Laboratory Service by the Public Health Laboratory Service Whooping-Cough Committee and Working Party

The efficacy of pertussis vaccines was investigated in 33 areas in the United Kingdom from November 1966 until April 1968 inclusive. Bordetella pertussis was isolated from 1,293 persons, but there were only six isolations of B. papapertussis. Among vaccinated contacts under 5 years in homes in which B. pertussis was isolated 52% developed paroxysmal cough. The corresponding attack rate among unvaccinated contacts was 69%. These findings suggest that much of the pertussis vaccine in use for five or six years before 1968 was not very effective. However, vaccine from one producer was more effective than vaccine from another. Of the cultures of B. pertussis identified 89% were serotype 1, 3 and only about 9% were serotype 1, 2, 3. Serotype 1, 2, 3 was isolated much more frequently from unvaccinated than from vaccinated children, but some cultures identified as type 1, 2, 3 were found on re-examination to contain colonies of type 1, 3. Virological investigations were made in some areas during the first year of the study. Of the wide variety of viruses identified adenovirus and parainfluenza virus were the most common groups. Virus isolation rates were similar in patients and symptomless contacts, but B. pertussis was isolated far more often from patients than from symptomless contacts. The evidence suggests that B. pertussis remained the major cause of whooping cough in the U.K.     

The fish fauna changes and the place of clupeids in Lake Kainji,Nigeria

The fish fauna changes and the place of the clupeids was examined. It was found that the conditions in the lake since impoundment have favoured the growth and development of these little sardines. The studies undertaken prior to impoundment and their continuation right from the time of the closure of Kainji Dam in August 1968 has made it possible for these changes to be followed sequentially.     

Outbreak of Anticonvulsant Intoxication in an Australian City

An outbreak of anticonvulsant intoxication occurred in epileptic patients in Australia during 1968-9. All affected patients studied in Brisbane were taking one brand of phenytoin. In 87% of them the blood phenytoin levels were above the therapeutic range. Reduction of phenytoin dosage relieved the intoxication in all patients. The excipient in the responsible phenytoin capsules had been changed several months before the outbreak, and this change was probably related causally to the altered blood phenytoin concentrations.     

Academic origin of geneticists--a second look

The academic and geographic origins of 1186 members of the Genetics Society of America whose biographies appear in the fourteenth edition of American Men and Women of Science were researched and the data collected compared to comparable data for 1019 GSA members studied in 1968. In general, the colleges and universities that were major producers of geneticists at both the baccalaureate and doctoral levels in the 1968 study continue to be so. The geographic regions of the United States continue to produce and employ geneticists much as they did in 1968, but in the current study, 17 percent of the geneticists were found to be foreign-born, as compared to only 5.4 percent in 1968. Of the 1186 geneticists, 167 or 14.1 percent were women vs. 12.5 percent in the 1968 study. Over 80 percent of the geneticists were employed in academia, but the percent employed in government, business, and industry was nearly twice what it was in 1968. Compared to 1968, geneticists in the current study were decidedly older, a fact that could portend a threat to the continued viability of the science of genetics in the United States.