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under observation by the Health Visitors to ensure proper treatment. Of the cases
certified, 11 were of a severe type, but in all there was recovery without impairment
of vision. Many of the cases were treated at Moorfields Eye Hospital, the Queen's,
the Metropolitan, and other institutions, and one case was removed to St. Margaret's
Hospital, an institution of the Metropolitan Asylums Board especially provided for
the treatment of this disease, mothers as well as the infants being admitted when
necessary. Fifteen of the cases were dealt with under nurses from the local district
Nursing Association, some 348 visits being made in connection with them. The
cases certified in Shoreditch were at the rate of 30.0 per 1,000 births as compared with
9.0 for London as a whole, more than three times as great.
EPIDEMIC CEREBRO.SPINAL MENINGITIS.
Two cases were certified, one in a boy aged three years, who fell ill about
May 7th and was certified on May 28th from the Queen's Hospital, where he was
admitted on May 24th ; this case recovered. The other case was in a schoolboy,
aged 14 years, who was taken ill on September 15th and admitted to St. Bartholomew's
Hospital on the 17th, where he was certified on the following day. The case
terminated fatally, the cause of death being however pneumococcal meningitis.
ACUTE ANTERIOR POLIOMYELITIS.
The following cases were investigated during the year:—
1. A little boy, aged one year and eight months, of 27, S-Street, was taken
ill on June 13th with sore throat, drowsiness and twitchings. He was taken to
St. Bartholomew's Hospital on 21st and was certified two days later. Both legs were
paralysed. At the end of the year the patient was in St. Mary's Hospital, Carshalton.
2. A little girl, aged a year and ten months, of 33, W- Place, was said to have
had a fall on June 20th, which was followed by weakness of the legs. She was taken
to Great Ormond Street Hospital on June 23rd and was certified three days later.
This case terminated fatally on June 30th.
3. A little boy, aged one year and ten months, of 4, C-Place, was taken
with vomiting which was attributed to a fall, and was seen at the Metropolitan Hospital
on August 1st. Nothing definite was then noticeable about the child. On
August 3rd, as the child still seemed unwell, he was taken to a doctor in the neighbourhood.
Later on it was noticed that the child was weak on its legs and it was
taken on August 15th to the Queen's Hospital. There being no vacant bed there the
case was admitted to St. Leonard's Hospital The case was certified on August 18th.
At the end of the year the child was still in the hospital with paralysis of both lower
extremities.
4. Alittle boy, aged one year, was taken ill about August 1st with sleepiness,
convulsions and loss of power in shoulders. He was taken to Great Ormond Street
b