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should be made the subject of a special report to the Sanitary
Authority by the Medical Officer of Health for the district, and
that a copy of such report should at the same time be forwarded
to the Board. Should such a report be received, the Board
would be prepared to render the Sanitary Authority such advice
or assistance as, in the circumstances, might appear to be necessary.
In the event of the Sanitary Authority desiring, in view
of any special circumstances, that cases of Cerebro-Spinal Fever
should be made compulsorily notifiable in their district, tne
Board would be prepared to consider an application for their
approval to a resolution of the Authority extending the provisions
of the Infectious Disease (Notification) Act, 1889, to that disease
for a limited period."
Memorandum on Cerebro-Spinal Fever.
"Cerebro-Spinal Fever, known also as epidemic Cerebro-Spinal
Meningitis, Spotted Fever, and by many other less frequently used
names, has recently attracted renewed attention in this country by
reason of the serious mortality occasioned by disease of this class
in New York and in certain localities on the Continent of Europe.
Interest in this malady has been further stimulated by the public
notice which has been taken of the recent identification of a case
in the neighbourhood of London, and of several cases, four of
which terminated fatally, at Irthlingborough in Northamptonshire.
Cerebro-Spinal Fever is not of rare occurrence in the United
Kingdom. In the course of the last forty years this malady is
known to have been prevalent in a considerable number of different
localities in England and Wales, several of these local outbreaks
having taken place in recent years. In some instances they have
formed the subject of investigation by a medical Inspector of the