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36
Encephalitis Lethargica.
There were three cases of this disease notified. All the patients died.
For the reason that the disease frequently runs a slow and long course and
the sequels are often of a serious and distressing nature, arrangements were made
for following up and keeping- the patients under observation.

Polio-Myelitis.
There were two cases of this disease notified.
Erysipelas.
The notifications of erysipelas numbered 40.
Puerperal Fever.
The number of cases of this disease notified was 4, the figure for 1928 being 3.
Puerperal Pyrexia.
There were 19 cases notified as suffering from puerperal pyrexia during the
year; most of the notifications received came from institutions where, of course,
the precautions taken would naturally result in the detection of any signs indicating
the occurrence of pyrexia (fever) in the early stages of the lying-in period.
No application was made for the services of a consultant or any other of the
facilities the Council is empowered to provide under the Public Health (Puerperal
Fever and Puerperal Pyrexia) Regulations. The number notified in 1928 was 32.
Measles and German Measles.
Since the disease is not now notifiable it is impossible to say exactly the
number of cases that occurred, but as only 364 were reported by school teachers,
compared with 1,424 in 1928, it is safe to conclude that 1929 may be counted as
one of the non-epidemic years.
There were only 4 deaths. The course adopted in relation to the cases was
the same as in previous years so far as visitation and nursing were concerned.
Whooping Cough.
Most of the information obtained with regard to this disease is derived from
the death returns, and during 1929 the number of deaths registered as due to
whooping cough was 23; thirteen more than in 1928. Nurses were sent in to 5
cases, and 61 visits were paid.
Glanders and Anthrax.
No cases were notified.
Small Pox.
The number of cases of this disease notified was 3. There were no deaths.
In 1928 there were 30 cases, all from the St. Marylebone Home.
In all three instances the infection had been acquired outside the Borough,
one on board the s.s. Tuscania. The outbreak on this vessel was noteworthy
partly on account of the virulence of the infection and partly because it was largely
responsible for the setting up by the French Government of a quarantine barrier
against Cross-Channel traffic. Fortunately neither from the Tuscania case nor
from any of the others was there any spread of infection. For this presumably the