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to give the following details regarding a small localised
outbreak which occurred in Fulham during this year.
The first case was notified to us on the 6th October,
1925, from 18, Glenrosa Street in the person of D.T.
A few days later, on the 28th October, another case,
F.C., was notified from 24, Glenrosa Street. Upon
making careful inquiries, it was found that another
case, G.C., belonging to a different family from F.C.,
had died of this disease at the same house, namely,
24, Glenrosa Street, on February 25th, 1925. This case
was unfortunately never notified to the Public Health
Department. These two cases occurring at 24, Glenrosa
Street are still further interesting in that the man
who died first, namely, G.C., would appear to have been
infected by F.C., although he was only notified to the
Public Health Department some nine months after
G.C.'s death. The history of F.C., however, is that he
was admitted to St. George's Hospital in April, 1924,
having been suffering apparently from encephalitis
lethargica for the past six months, but unfortunately
the case was not notified. When F.C. was admitted
to the Fulham Hospital at the time of notification
(October, 1925) he was suffering from post encephalitic
Parkinsonism. The connection between F.C. and
D.T. of 18, Glenrosa Street, also is interesting. It
appears that for some months prior to the admission of
F.C. to the Fulham Hospital in June, 1925, and while
that man was living at 24, Glenrosa Street, he was visited
on several occasions by D.T., who developed encephalitis
lethargica about September, 1925. I am of the opinion
that both G.C. and D.T. were infected by F.C., and
perhaps the most interesting point in this connection is
that it would appear that F.C. must have remained
in an infectious condition from about November, 1923,
when his disease first commenced, till September, 1925,
when apparently he infected D.T., at which time F.C.
was himself suffering from post encephalitic Parkinsonism.
It is much to be regretted in connection with this
little outbreak, that the cases of F.C. and G.C. were
not notified at the time of their onset to the Public
Health Department; possibly the obscure nature of