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the treatment of this disease. When necessary mothers are admitted with their
infants. Sixteen of the cases were attended to by nurses from the Local District
Nursing Association who made an average of 34 visits per case.
The certified cases were at the rate of 26.2 per 1,000 births as compared with
i) for London as a whole, almost three times as great.
EPIDEMIC CEREBRO-SPINAL MENINGITIS.
Four cases were certified. One was in a female infant four months old, who fell
ill about January 22nd with fits and drowsiness. It was admitted to the Queen's
Hospital on January 31st and was notified six days later. The meningococcus was
found. The child recovered and left the hospital on February 25th. The second case
was that of a little girl aged four years who was taken ill on April 5th and admitted
to the Queen's Hospital the following day. The case was certified on April 7th and
terminated fatally on May 1st. The meningococcus was present. The third case was
in a little boy, 18 months old, who fell ill on April 19th and was admitted to
St. Bartholomew's Hospital the same day. The case was certified on April 23rd and
the child died on May 11th from meningococcul meningitis. The fourth case was in a
male infant eight months old, who was taken ill on October 10th, admitted to the
Mildmay Mission Hospital on October 23rd, certified on October 24th, and died two
days later.
POLIOMYELITIS.
Three cases of the above disease, which is generally known as infantile paralysis,
were certified. One of these was removed to the North Eastern Hospital, where it
was subsequently not regarded as a case of poliomyelitis. The second case was certified
from St. Bartholomew's Hospital and was treated at home. The left leg was affected.
The child seems to have completely recovered. On enquiry in Februaryof the current
year no signs of weakness in the left leg were observed. The third case was treated
in the Queen's Hospital. The patient was affected in the legs, arms, and hands, and
at the end of the year was still under treatment.
ENCEPHALITIS LETHARGICA.
The following are brief particulars respecting the cases certified during the year
under consideration:—
(1) A young woman, aged 28, of 18, H— Street, a machinist, last at work in
October, 1925, was taken ill about the middle of November. Drowsiness, loss of
power left side, arm and leg, with irregular muscular movements left side of face
were observed and the case was certified on January 5th, 1926. It was subsequently
admitted to St. Bartholomew's Hospital, where it terminated fatally on January 29th,
the cause of death being a cyst of the left basal ganglia with inflammation of the base
of the brain.
(2) A married woman, aged 31, of 79, H— Street, was taken ill about
January 1st but continued at work making babies' shoes until January 16th. She