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46
Erysipelas.
21 cases of Erysipelas were notified, 15 male and 6 female,
of whom 8 were admitted to hospital 40 per cent of the
cases occurred in persons aged over 40. The face was affectcd
in 70 per centy of the cases. 60 per cent occurred
in the last three months of the year.
Cerebro-Spinal Meningitis.
Two cases of Cerebro-Spinal Meningitis were notified.
There were two deaths, one of a girl aged four, in April, aud
one of a (boy of 18 months, in March.;
Poliomyelitis.
No notifications of Poliomyelitis were received, but one
of Polioencephalitis. This was a boy aged four and proved
fatal after an illness of 10 days' duration.
Encephalitis Lethargica.
One notification was received of a man aged 31, who, after
an acute illness commencing with a period of unconsciousness
of 20 hours, subsequently made an apparently complete recovery
.One death from this cause was registered of a man
whose onset was in 1919 and who for years had been receiving
nstitutional treatment.
Smallpox.
No cases of Small Pox were notified in this district
until the last month of the year, when three notifications were
received. The first case was an unvaccinatcd adult, aged 19,
who was one of a number of cases who contracted the di-
sease at his workplace in one of the Metropolitan Boroughs.
The patient was at home four days before removal, spending
the days in the living room with four members of the family!,
and the nights in a bedroom with four others. Although only
one out of the remaining 9 members had been vaccinated, only
one secondary case occurred—namely, a brother with whom
he slept the lack of infectivity was in marked contrast
to that exhibited at the works, where some 15 succumbeds
the third case was an unvaccinatcd adult woman, in the case
of whome the source of infection could not be traced. All
three cases were mild and made an uninterrupted recoveryin hospital.
.A total of 1,033 visits were paid to the homes of Smallpox
contacts by the Sanitary Inspectors. Visiting is continued
19th day from last exposure to infection. Chickenpox
was for three months in 1928 added to the list of hotifiablei