Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Poplar, Metropolitan Borough]
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Cases of Encephalitis Lethargica are kept under observation until
the acute stage has passed. Subsequently, periodical visits are made and
reports as to the condition of patients are forwarded to the London County
Council. From time to time reports as to cases admitted to the Encephalitis
Lethargica unit at the Northern Hospital are received from the
London County Council.
21 cases were investigated. The following is a summary of the
reports submitted:—
| Patient. | Notified. | Institution. | Report. | Remarks. |
|---|---|---|---|---|
| J. T. C. | 1930 | Poplar Institution | Sleeps well at night; drowsy during day. Slight tremor right arm and tongue | Definite encephalitis lethargica. |
| G. E. .. | Northern Hospital | Intelligence quite good; not deteriorating, perhaps a little slow. Moderate generalised Parkinsonism. Oculogyric crises frequent but not very severe now | Genuine case. | |
| E. F. | 1921 | Rampton State Institution, near Retford | Sleepless night and day. Extremely restless. Much worse than when admitted. Violent, impulsive, depraved, unreasonable. | Post-encephalitis lethargica. |
| B. F. | — | Northern Hospital | Oculogyric crises daily Generalised Parkinsonism. Severe oculogyric crises. | Genuine P.E. L. Parkinsonism. |
| R. G. | 1929 | Claybury Mental Hospital | Very dull and lethargic generally. Excessively slow in movement, at times unaccountably restless. Paresis of face, arms and legs. Impaired sensation generally | Regarded as a true case of Post Encephalitis lethargica. |
| G. J... | 1933 | Northern Hospital | Marked rightsided hemiParkinsonism | Genuine case of Post Encephalitic Parkinsonism. |
| R. L... | Northern Hospital | Severe progressive Parkinsonism—most marked on left side. Oculogyric crises frequent. General condition poor and deteriorating | Genuine case. | |
| H. R. | Northern Hospital | Drowsy during day. No definite paralysis— some general rigidity present | Definite Encephalitis lethargica. | |
| L. St. G. | Leavesden Mental Hospital | Generally unsatisfactory— emotional, untruthful, a sexual pervert. | Genuine case. | |
| R. S. | The Manor, Epsom | Mental age 8-9 years. Occasionally mischievous and unruly. No evidence of Parkinsonism or other nervous lesion | ? Encephalitis lethargica. |