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The third cast: notified was contracted abroad, the illness beginning when the
patient was at sea two days off Bombay on the homeward journey.
The fourth case was a male age three years, admitted for treatment to the
London Homeopathic Hospital. No bacilli were isolated on bacteriological
examination at the date of his admission, but subsequently on further
examination of urine the bacillus of paratyphosus A was isolated; this was
confirmed by an examination of a further specimen of urine; the blood
agglutination test was positive.
The family of the patient eat much fish and the mother thought it very
probable that the child had recently partaken of such food. The child, however,
had drunk water from puddles in the street gutters.
Typhus Fever.
No case of typhus fever was notified during the year. Information was,
however, received from the Medical Officer of Health of St. Marylebone, respecting
a contact of a case of the disease notified in that Borough. A contact of the
patient was found to be employed in Holborn.
Investigations wore made and it was ascertained that the contact had been
excluded from work until the possibility of infection had terminated.
Two cases were notified in London.
Cercbro-Spinal Fever.
One notification of a case of cerebro-spinal fever was received after death;
the case was first notified as enteric fever, the diagnosis cerebro-spinal fever not
being mad until post mortem examination.
84 cases were notified in London.
Dysentery.
No case of dysentery was notified.
27 cases were notified in London.
Malaria.
No case of malaria was notified.
Encephalitis Lcthargica.
One case of encephalitis lethargica was notified in the Borough during the
year. The patient, a male aged 14, was admitted to the Charing Cross Hospital
where he died.
68 cases were notified in London.
Acute Poliomyelitis.
One case of acute poliomyelitis was notified,
38 cases were notified in London.