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All these cases are visited heavily by the Health Visitor for obvious
reasons—the process is so devastating, rapid and grave in its end results.
Two of the cases were illegitimate. Only 4 mothers were found to
have a vaginal discharge, but I take little notice of a denial in such
cases as it is well-known that a woman can have a gonorrhæa with but
little pain.
Acute Anterior Poliomyelitis.
Cases of this disease are just as important as those of Ophthalmia
Neonatorum. This disease is insidious in onset and may be easily
missed, the first intimation of the fact of the disease being the
commencement of a deformity.
All cases are visited at once and at least once a quarter thereafter.
Four cases were notified in 1925.
Short resume of Cases.
V.W., October, 1925. Irritability, drowsiness, loss of power left
leg, fretfulness. Attended Miller Hospital as out-patient. Final
report: quite well, no muscular shrinking, no paralysis.
J.P., January, 1925. Commenced with " severe cold," delirious at
night, loss of power left leg. Sent to St. Bartholomew's Hospital.
Later : left leg slightly thinner than right. Massage at St. John's
Hospital. A year later : child discharged from hospital quite well.
D.L., September, 1925. Drowsiness and fever, tenderness lower
limbs and loss of power right leg. Child was sent to Evelina Hospital,
Southwark. Later: now at Queen Mary's Hospital, Carshalton,
where Dr. Pugh has every hope of child being able to walk eventually.
R.S. was notified from St. Bartholomew's Hospital.

In all cases while co-operating with the family doctor, it is kept in
view that full provision has been made at Queen Mary's Hospital,
Carshalton, for the treatment of cases three months after onset
(entering the second stage), and for those requiring correctional
operations for deformities resulting from it.