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In the second case there was a history of a disease resembling
Enteric Fever in one of the children about 2 years ago, and this
child had suffered from Diarrhoea a few months before the receipt
of the present notification. The excreta of this child were sent
for bacteriological examination, but no Typhoid bacilli were
present.
In the other 2 cases the source of infection was not traced.
ACL'TE ANTERIOR POLIOMYELITIS.
During the year 6 cases of Acute Anterior Poliomyelitis have
been notified, and a history of these cases is given in the following
pages. In 3 of these there was no paralysis at the time they
were visited, and all the children were able to use their limbs.
It is admitted that cases of Poliomyelitis occur in which no
paralysis supervenes, but usually the diagnosis is made on the
initial symptoms, and the association with other paralytic cases.
In these 3 cases there was no association with paralytic cases, and
the symptoms were in no way similar to those ushering in the
graver forms. In one there was a history of an accident, and as
the bruise caused by the accident cleared up, the lameness disappeared.
In the second the child was only 4 months old, and the
suspected weakness only lasted a short time.
In the third the only symptoms were diarrhoea and vomiting.
Moreover, no precautions were taken to prevent these children
mixing with the other patients in the wards or in the out-patients'
department.
In the other cases, death occurred in one, and paralysis supervened
in the other two.
All the surviving children are kept under observation.
1. A. B., girl, 4½ years old, notified on April 14th, 1913,
from the West London Hospital.