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55
Typhoid and Paratyphoid Fever.
Enteric Fever.
Two notifications were received of Holborn residents suffering with enteric
fever.
In the first, a female, aged 40, the bacteriological examination gave a
positive agglutination against B. Typhosus (0) in a dilution of 1 in 250, but was
negative against B. Typhosus (H), B. Paratyphosus A and B, and Paratyphosus B.
No evidence was obtainable of infection in England. It was, however, found that
the patient had recently been spending a holiday on the Continent.
The second case was that of a female, aged 22. In this case the Widal
reaction was positive for B. Typhosus in a concentration in 1 in 1,000: Typhoid
Bacilli were isolated from the stools and the blood count showed a leucopenia with
a relative lymphocytosis. The patient arrived at an hotel in the Borough from
Poland the day before the illness began.
Two hundred and fifty-five cases were notified in London giving rise to 31
deaths.
Typhus Fever.
No case of typhus fever was notified during the year in the Borough or in
London.
Cerebro-Spinal Fever.
Two cases of cerebro-spinal fever were notified in the Borough.
One hundred and thirteen cases were notified in London, giving rise to 71
deaths.
Dysentery.
Amoebic. Three cases were notified. In two of these the history showed
that the illness had been contracted in India. All cases were treated in hospital.
Bacillary. No cases of Flexner or Shiga type were notified.
There were three cases of Sonne Dysentery. The patient in one case was a
nurse in the ward of a hospital where there were several cases. The source of the
infection was not traced. The other two cases also occurred in hospital; and in
this instance also the source of infection was not discovered.
Three hundred and four cases were notified in London with 16 deaths.
Malaria.
Two cases of malaria were notified.
Thirty-five cases were notified in London with 2 deaths.
Encephalitis Lethargica.
No case of encephalitis lethargica was notified in the Borough during the year.
Since the Public Health (Encephalitis Lethargica) Regulations came into
force on the 1st January, 1919, twenty-one cases of the disease have been brought
to our notice as occurring in Holborn. In thirteen of these it is known that the
disease proved fatal, and three cases had left the British Isles. At the end of
1936 two patients were still in hospital; one was an out-patient at a hospital; one