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152
Acute Anterior Polio Myelitis.
(Infantile Paralysis.)
No case of acute Poliomyelitis occurred in Hampstead during the
year.
One patient aged 10 was notified as suffering from this disease,
and was removed to a hospital for infectious diseases, but the diagnosis
was not confirmed. There was no paralysis and the final diagnosis was
myalgia.
Cerebro-Spinal Fever.
There were six cases of Cerebro-Spinal Fever during 1938; the
ages of the patients were 4 months, 1½ years, 3½ years, 3½ years, 16
years and 28 years respectively. In every instance the diagnosis was
confirmed bacteriologically and all the cases were treated in hospital.
Unfortunately two of the patients died. The Medical Officer in
charge of one of the patients—aged 4 months— states that the child
was almost moribund on admission to hospital and the cerebro-spinal
fluid was thick and purulent. Prontosil Rubra was given intrathecally
and intramuscularly. The patient recovered. Another child treated
with Prontosil died. The remaining four patients were given the
appropriate serum.
The female patient aged 28 years was admitted to hospital in the
first instance as a case of Para-typhoid fever. No bacteriological confirmation
of this was obtained and she was diagnosed in hospital as a
cases, with one exception, were removed to hospital.
Diphtheria.
During the year there were 80 cases of diphtheria with no death
as compared with 87 cases and four deaths in the previous year. All
cases, with one exception were removed to hospital.
Immunisation.
Immunisation is available in the Borough by private arrangement
of inhabitants with their own family doctors, in which case the cost