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38
Cerebrospinal Fever.— No cases of cerebro-spinal fever
occurred during the year.
Encephalitis Lethargicia.— Three cases of encephalitis
lethargica were notified. One was a woman 68 years of age, another
a youth of 17 years, and the third a young woman of 19 years.
The first two died but the third recovered without any mental
or physical impairment.
Malaria and Dysentery.— Four cases of malaria and one of
dysentery were notified. The disease in each case had been
contracted abroad.
Pneumonia and Influenzal Pneumonia.— During the year 73
cases of primary and 13 cases of influenzal pneumonia were notified.
As will be seen in Table V the number of cases of primary pneumonia
is in excess of those in previous years but the number of cases
of influenzal pneumonia is less than in the preceding four years.
The increase in the former may be due to some extent to the better
observance by medical practitioners of the regulations requiring
the disease to be notified.
Puerperal Fever and Pyrexia.— Two cases of puerperal
fever were notified. One occurred at the Chiswick and Ealing
Maternity Hospital from which she was removed for operation to
the King Edward Hospital, where she died. The other was under
the care of a private medical practitioner; she was removed to the
West Middlesex Hospital, from which she was discharged three weeks
later.
Twelve cases of puerperal pyrexia were notified. One of the
cases was found to be really one of puerperal fever and followed
operative measures at the birth of the child. In four others the
rise in temperature followed operative measures, but there were
no abnormal symptoms beyond the rise in temperature. Of the
remaining cases one was due to pneumonia, one to bronchitis,
one to an epileptic seizure, one to an abscess of the arm, one to
"white leg," and one to a haematoma, while in one no cause
could be discovered. Seven of the cases were seen at the request
of the medical practitioner by Dr. J. W. Bell, the Council's obstetrical
consultant.