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in a girl of 5 in October. In the same month a boy of 9 was notified
from a hospital outside this district. He had suffered from a
complaint diagnosed as influenza in July, but the history of the
onset of the paralysis of the leg from which he was suffering when
admitted to hospital on September 29th, dated only about a week
previously. Ten days later a sister of seven years of age was
admitted to the same hospital suffering from paralysis of the leg,
the onset of illness in her case being a week before removal. Another
girl of three years of age fell ill in late October and a girl of 17
early in November. All these patients were treated in general
hospitals.
Encephalitis Lethargica.
Three notifications of encephalitis lethargica were received,
though one was withdrawn in favour of cerebral thrombosis. On
29th March a man of 31 was admitted to hospital, where he died
the next day, the illness dating from some eight weeks prior to
admission. In July the diagnosis was made in the case of a man
of 27.
NON-NOTIFIABLE INFECTIONS.
Measles.
Before this disease became notifiable, knowledge of its prevalence
came from the returns of the head teachers of the local
elementary schools. For the first seven months of the year for
which period these returns relate, there were only some 21 cases
of measles and 13 of German measles throughout the whole district.
Whooping Cough.
As contrasted with measles, whooping cough was more prevalent
than in the previous years, 458 intimations being received in the
spring and summer terms. Thirteen school departments were
affected, three each with over 50 cases and three with between
40 and 50.
Chickenpox.
The district was relatively free from this infection. While the
153 cases were distributed amongst 17 school departments, in only
one school was there any heavy incidence, in this some 40 cases
occurring in the month of January.
Mumps.
36 of the 85 cases of mumps occurred in the one school.
Influenza.
This infection was not specially prevalent. Most of the 20
deaths ascribed to it occurred in the first four months of the year.