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.
The following is a summary of the reports received regarding 24 patients:— (a) From Institutions (13).
| Patient. | Notified. | Institution. | Report. | Remarks. |
|---|---|---|---|---|
| E. B. | — | Northern Hospital | Sleeps well at night; not sleepy in daytime. Right arm rather rigid. Speech explosive after 15 seconds, effort time lag reduced to 3 seconds | Genuine P.E.L. |
| H. B. | ? 1929 | Northern Hospital | Sleeps well at night; is not drowsy in the day. Behaviour good now. Mild generalised Parkinsonism. Definite general improvement since being put on Stramonium | Genuine P.E.L. |
| E. A. B. | — | Northern Hospital | Sleeps well at night; is not lethargic by day. Speech now much improved. Marked improvement shown since taking Stramonium | Genuine P.E.L. |
| J. T. C. | Northern Hospital | Sleeps well by night; is not very lethargic in daytime. Is having Stramonium, which does not seem to be having much effect | Genuine P.E.L. | |
| G. E. | — | Northern Hospital | Oculo-gyric crises at least two or three times each week. Mild degree of Parkinsonism | Genuine case of encephalitis lethargica. |
| E. F. | 1921 | Rampton State Institution, Retford | Now sleeps well. Feebleminded; deteriorating. Spastic right leg | Post-Encephalitic with Parkinsonism |
| B. F. | — | Northern Hospital | Sleeps well at night; rather drowsy by day. Occasional oculo-gyric crises—mild generalised Parkinsonism | Genuine P.E.L. |
| R. G. | 1929 | Claybury Mental Hospital | Some mental deterioration. Conduct irresponsible. Mask-like rigidity of face— slight Ptosis bilateral with tremors of eyelids. Gait somewhat spastic; speech slow | Post-encephalitio dementia. |