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adjoining Borough. One of the patients was a member of the staff of
the North-Western Hospital, and presumably was infected in hospital.
A mild ease occurred in the person of a bricklayer who worked in the
Borough Council's sewers. In four cases no history of infection could
be ascertained.
Puerperal Fever.
One case was notified, which proved fatal, as compared with 3
cases in 1912, all of which proved fatal. The case occurred in the
Bclsize Ward and was removed to hospital. It will be observed that
only one case was recorded in 1913, and that two deaths were registered ;
this is accounted for by the fact that a case notified in 1914 died in
hospital at the close of 1913, and the precise causc of death was not
ascertained until the post-mortem examination.
The hospitals of the Metropolitan Asylums Board are now available
for the reception of a limited number of puerperal fever case,
which, however, must be recommended for admission by the Medical
Officer of Health. This arrangement was sanctioned by the Local
Goverment Board on 20th August, 1912.
Epidemic Cerebro Spinal Meningitis.
This disease, popularly known as "Spotted Fever," is now one of
the notifiable diseases. No case was notified during the year. One
case occurred in 1912.
Acute Polio-Myelitis or Acute Polio-Encephalitis.
This disease, which is popularly known as " Infantile Paralysis, "
was, by an order of the London County Council, made permanently
notifiable in the County of London from March 13th, 1912. There is
considerable evidence to show that the disease is communicable, but it
is by no means clear how the infection is communicated.
Four cases were notified during the year, one of which proved
fatal. The cases were as follows:—
Male, aged 20 years, who died in February, ou the second day
after notification;
Female, aged 10 months, notified in August. At first the left
arm was paralysed, and later both legs. The patient was