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

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Poplar 1934

[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]

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96
Acute Poliomyelitis.
Four cases were notified and removed to hospital. In one case the
diagnosis was not confirmed, leaving 3 actual cases.
Acute Encephalitis Lethargica.
No cases were notified.
Three deaths were certified as being due to Encephalitis Lethargica
One case was of a patient who was notified prior to 1934; one was of an
inmate of a Mental Hospital outside the Borough (not notified), and a
third occurred in the London Hospital. In this last case subsequent
examination of the brain did not confirm the original diagnosis.
Cases of Encephalitis Lethargica are kept under observation until
the acute stage has passed. Subsequently, periodical visits are made an
reports as to the condition of patients are forwarded to the London County
Council. From time to time reports as to cases admitted to the Encephalitis
Lethargica unit at the Northern Hospital are received from the
London County Council.
Excluding the cases which died during the year, 20 cases were in
vestigated. The following is a summary of the reports submitted:—

From Institutions (10).

Patient.Notified.Institution.Report.Remarks.
G. E.Northern HospitalSlight Parkinsonism; oculogyric crises severeGenuine case. Stationary.
E. F.1921Rampton State Institution, near RetfordPoor general condition. No signs of Parkinsonism. Behaviour ' 'Apache'' type due to encephalitis lethargica.
B. F.Northern HospitalSevere oculo-gyric crises in morningsGenuine case.
R. G.1929Poplar InstitutionIntelligence deteriorated since admission.Genuine case.
G. J.1933Northern HospitalHemiparkinsonismGenuine case.
L. L.1929Poplar InstitutionDischarged to his home in Scotland.
R. L.Northern HospitalVery severe hemiparkinsonismGenuine case. Not improving.
H. R.Northern HospitalSleepy day and night. Generalised ParkinsonismGenuine case. Im proving.
R. St. G.Leavesden Mental HospitalQuarrelsome, pugnacious and viciousBehaviour suggestspost-encephalitic ^ state.
R. S.The Manor, EpsomIntelligence subnormal. Liable to petty pilfering; a bully; tendency to be cruel to animals. MyopicMentally Post encephalitc No. physical signs detected.