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from marked weakness of his legs, that he was allowed to travel to his
home at Drayton Green, Baling, on the 4th May. On the same evening
spots began to appear and there was puffiness under the eyes. The
next day, Sunday, the 5th May, spots appeared on various parts of the
body. He remained at home until Sunday, the 12th May, when he
visited some friends in Woodfield Avenue, and on the following day
Monday the 13th May, he returned to his work in the City. He was at
work all day and at 6.30 in the evening he saw Dr. Adams, the partner
of the doctor who saw him previously. The patient came to his home
in Ealing on that evening and next morning the doctor telephoned
informing me of the case and the nature of the rash. I immediately visited
the patient and formed the opinion that he was suffering from smallpox.
I had him removed to the M.A.B. Hospital at Dartford and gave
particulars of the case by telephone to Dr. Willoughby, the Medical
Officer of Health to the City of London, so that he could deal with the
contacts there.
All the contacts in Ealing were ascertained.
On the same day full particulars of the case and information regarding
the contacts were sent to the Minister of Health, the Medical Officer to
the City of London, the Medical Officer to the County of Middlesex and
other Medical Officers of Health in whose districts contacts resided and
who had already been informed by telephone.
The Clerk to the Board of Guardians and the Public Vaccinators in
Ealing were also informed of the occurrence of a case of smallpox in
Ealing so that steps could be taken to meet requests for vaccination.
All the contacts in Ealing have been kept under supervision since
the date of the notification of the case but no case of the disease and no
suspicious illness has been met with. It may therefore be assumed that
the danger is over and that no further case will occur as a result of
infection from this case.
THOMAS ORR,
Medical Officer of Health.
28th May, 1929.
Cerebrospinal Fever.—One case of cerebro-spinal fever was
notified during the year. This was a child, five years of age, who
ultimately recovered. Two deaths, however, occurred from
cerebro-spinal fever in children who were not notified in the district,
but whose deaths were assigned to the district. One was a boy,
seven months old, who died in the King Edward Memorial Hospital,
and the other was a girl, 17 months old, who died in the West
Middlesex Hospital.
Encephalitis Lethargica.—There were three cases of
encephalitis lethargica notified. Two were women, 54 and 60 years
of age respectively, and the third was a boy of 17 years. There
were two deaths from the disease.
Malaria and Dysentery.—There were four cases of malaria
notified, all of whom developed the disease abroad. There were
no cases of dysentery.