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52
L. G., female, aged 30. Onset of illness October 1st, with headache, vomiting, lethargy,
but no fever. The pupils were fixed and contracted. The case was notified on November 7th.
Later there was incontinence, and the patient became unconscious. The bacteriological
examination supported the diagnosis of encephalitis letliargica. This case is still in hospital,
and appears to be improving.
PNEUMONIA.
During the year 286 cases of acute primary pneumonia, and 46 of acute influenzal
pneumonia, were notified.
Pneumonia, in various forms, is a frequent complication of other diseases, and also a
common cause of death. During 1923 there were registered 103 deaths attributed to bronchopneumonia,
45 to lobar-pneumonia, and 53 to pneumonia (type not stated).
All notified cases are visited, and in necessitous cases a nurse from the District
Nursing Association is instructed to attend, the cost being defrayed by the Borough Council.
In 1923, 108 cases of influenza and pneumonia were dealt with at the Council's
expense, 1,767 nursing visits being paid.

Other statistical details will be found on pages 31 to 35.
Of the 286 cases of acute primary pneumonia, 151 were treated in their own homes
and 135 in hospitals. Of the hospital cases, 85 were treated in the St. Pancras Poor Law
Hospitals and 50 in voluntary hospitals. The hospital cases had already been admitted when
the homes were visited after notification, with the exception of six which were sent to hospital
after the inspector's visit and report. In regard to the 151 cases which were treated at
home, 99 were under the care of visiting nurses (in 67 of the cases the nurse was sent in
as a result of the inspector's visit).
With regard to the 46 cases of acute influenzal pneumonia, 31 were nursed at home
and 15 in hospitals. Of the hospital cases, nine were treated in the St. Pancras Poor Law
Hospitals and six in voluntary hospitals. In regard to the 31 cases which were treated at home,
18 were under the care of visiting nurses (in 17 of these cases the nurse was sent in as a
result of the inspector's visit).
Most of the hospital cases were notified by the hospital authorities.
After-care visits were made to 23 of the cases under five years of age.
OTHER NOTIFIABLE INFECTIOUS DISEASES.
Malaria.—13 cases were notified, but no death was recorded.
Dysentery.—Three cases were notified, one of which proved fatal.
No cases of typhus, cholera, plague, anthrax, glanders, or hydrophobia were reported.