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In addition to the above cases information was received, of a case in another
Metropolitan Borough the patient being a cook employed, in a small restaurant
(a lock-up shop) in Holborn; there was no evidence that she acquired the infection
here. The patient was in charge of the kitchen where she worked single-handed.
Only one other worker was employed, a waitress, who was found to be in good
health. The restaurant was visited up to the end of the danger period. No
secondary case occurred.
Typhus Fever.
No case of typhus fever was notified during the year in the Borough. Two
were notified in London.
Cerebro-Spinal Fever.
No case of cerebro-spinal fever was notified in the Borough.
Eighty-eight cases were notified in London, giving rise to 80 deaths.
Bacillary Dysentery.
One case of bacillary dysentery occurred which, however, was mistaken for
food poisoning; we were informed by the Coroner of the post-mortem examination;
all the steps required by the Ministry of Heath were accordingly taken.
The following are brief notes of the case: —
17th April. Child apparently well, but took no breakfast; good dinner (stewed
rabbit followed by custard); milk only for tea. Evening of same day became ill,
shivering, retching and headache; diarrhœa ensued, the motions being reported as
" blue, green and pink." Admitted to hospital the following day where death
occurred a few horn's later. No other member of the family or residents in the
house developed any illness.
Examination in the Pathological Department of the Ministry of Health of
samples of the organs taken from the body showed Flexner dysentery bacilli
(Z type) in large numbers in the colon. Death was certified to be due to acute
enteritis and bacillary dysentery.
Malaria.
No case of malaria was notified.
Encephalitis Lethargica.
One case of encephalitis lethargica was notified in the Borough during the year,
'the patient died four days after the date of notification.