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27
"mouth and sore throat and appeared ill. He did not see the case
"again for 4 or 5 days, when the temperature was normal and
"paralysis had supervened in the left leg."
"This child is now an out-patient at Great Ormond Street
"Hospital."
"P.G.—This child was taken ill on August 2nd, and seen by
"Dr. H. next day. Her temperature was 102° which lasted 4 days,
"Paralysis showing itself on August 7th (5 days) in both legs.
"The girl was taken in by the Great Ormond Street Hospital on
"August 26th, and is there at present.
"This case was not notified until August 23rd, the doctor
''stating he was unaware it was notifiable."
"L.C.—This case lives next door to the previous one. She was
"taken ill on August 19th, and seen by Dr. H. the same day.
"He tells me that her temperature was normal and that
"Paralysis had already supervened in the anterior muscles of her
"left leg."
"This case also was not notified until August 23rd."
"B.B,—The history of this case is that on August 25th, when
"apparently quite well, she was taken for a long walk to Epping
"Forest; on the following afternoon her mother thought she had
"'caught cold,' and put her to bed. The next morning it was found
"that the child could not stand, so she was taken to Dr. F. at
"6.30 p.m. that evening, who found her temperature 100°, and that
"she had paralysis in the right leg. The next morning her tem"perature
was normal."
"All these children now appear to be convalescing.
"The first house, is one of a row of four old cottages on the
"main road from London to Hertford; all the others are side roads
"with merely local traffic."
Measures taken for Checking Spread of Disease.
"On receipt of a notification the house is at once visited either
"by myself or by one of the Sanitary Inspectors, instructions are
"given as to isolation and precautions necessary, and disinfectants
"are supplied. When the medical man certifies that in his opinion
"the case is no longer infectious, the house is at once disinfected
"with formalin, and the bedding and wearing apparel, etc., removed
"to the Council's disinfecting station. The other members of the
"family are kept under observation, and the children are not
" allowed to attend either day or Sunday school."