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swallowing were very painful, and the child became very low and
much wasted. The concurrence of all these signs alarmed the
doctor and made him think that his original diagnosis of chickenpox
might be wrong.
Both children eventually recovered.
CEREBRO-SPINAL FEVER.
POLIO-MYELITIS
AND POLIO-ENCEPHALITIS.
These diseases were made notifiable by an order of the London
County Council, dated March 9th, 1912, which came into operation
from and on March 13th, 1912.
For notification purposes, posterior basal meningitis is included
in the term "cerebro-spinal fever." This term, however, is not
to include cases of meningitis due to tuberculosis, syphil.s, middle
oar disease or injury.
Five notifications were received of cerebro-spinal meningitis and
three of poliomyelitis. The cases and the results of the illnesses
are appended.
Cerebro-Spinal Meningitis, 1913.
1. May 3rd. Female, 4 years. Removed to St. Bartholomew's
Hospital. Recovered.
2. May 27th. Female, 5 years. Removed to the Eastern Fever
Hospital. Recovered.
3. June 10th. Male, 4 months. Treated at home. Recovered.
4. July 13th. Male, 17 months. Treated at home. Died.
5. December 22nd. Male, 4½ years. Removed to St.
Bartholomew's Hospital. Died. This patient was
notified after death. He had had pneumonia on November
29th, and diarrhoea from December 14th to December
16th. It is probable that this case was one of pneumococcal
meningitis and not true cerebro-spinal fever.