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47
diseases. This procedure has not been repeated as little advantage
accrues unless there is a sufficient skilled stall' for all
cases to be visited. Very few notifications were received from
parents in cases where a doctor was not in attendance, and
information is ordinarily received from the schoo's without
notification.

The following two cases were suspected of being cases
of Post-vaccinal Encephalitis.
1. Female aged 15; on 22/4 vaccinated but did not take;
26/4 vaccinated successfully; 29/4 suffering from headache,
attended work to 1/5; 2/5 periods of blankness,
progressive sleepiness, not taking food, falls to sleep
while feeding; 6/5 very sleepy, wakes if roused; 7/5
irritable, restive, sleepy, pulse 52. No history of sore
throat, coryza, etc., scab on site of vaccination, bowels
open with medicine, no incontinence, taking little, urine
output small, fauces normal. Eyes ? divergeat squint,
knee-jerks brisk, plantar reflex. Removed to hospital.
8/5, improving; on 10/5 threatened to jump out of
window." The patient was in bed for three day then
allowed up and subsequently returned home at parents
request. Later it appeared she remembered nothing'
except being brought back in the ambulance.The
diagnosis of dementia prascox was made at the hospital.
2. Male aged 53; vaccinated in infancy; on 13/5 revaccinal
ed, normal take; 26/5 he suddenly dropped a panel from
the right hand; 29/5 suffering from mental confusion,
mind clear about some things but amnesia for other
temperature 102, pulse 120, abdominal reflexes absent,
right knee-jerk increased, plantar rellexes right extensor,
left flexor; sensation normal, eyes react nor
mally, tongue and face normal; suffering from headache
but no vomiting; 30/5 mentally more blurred