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17
ENCEPHALITIS LETHARGICA.
The following are brief particulars respecting the four cases certified during the
year under consideration:—
(1) A boy aged 2½ years was removed on January 5th to the Eastern Hospital,
where the diagnosis was changed to pneumonia. He was discharged on 11th February.
(2) A woman aged 28 years was certified on 5th April. At the time of certification
the disease had reached an advanced stage, the patient being unable to look after
herself by reason of tremors of the limbs. She was admitted to St. Leonard's
Hospital, where she died towards the end of the year.
(3) A young man aged 18 years was certified in October, and is being treated at
home. The patient has only slight tremors, and is able to get about and to look
after himself. He is not able to work. At the time of going to press no mental
change was noticeable.
(4) A young man aged 21 years was also notified in October. In this patient
paralysis with accompanying tremors is very marked and salivation is excessive. He
is unable to dress or feed himself, but there is no mental deterioration. He is being
treated at home.
GLANDERS, ANTHRAX AND HYDROPHOBIA.
No cases were certified in Shoreditch during the year.
PNEUMONIA, MALARIA AND DYSENTERY.
In accordance with the Regulations of 1919 some 273 cases of acute primary
pneumonia and 21 of influenzal pneumonia were certified during the year.
Of the cases of pneumonia investigated 218 were treated in St. Leonard's
Hospital, 4 in St. Bartholomew's Hospital and 5 in other institutions. Some
46 were nursed at home by relatives, 7 of There with the help of the District Nursing
Association. Some 26 other cases of pneumonia (not notified) also received the
nursing assistance of the Association. Altogether 451 visits were made by the
nurses of the District Association in connection with pneumonia cases. In 108
instances the dwellings occupied were satisfactory as regards air space, light and
ventilation; in 62 they were fairly so, and in 103 they were unsatisfactory.
Three cases of malaria were certified. In each case the patient was an ex-service
man and contracted the disease abroad.
VENEREAL DISEASES.
The London County Council is the authority responsible for the provision of
facilities for the diagnosis and treatment of these diseases and special clinics are
held in various voluntary hospitals and in other institutions. None of these are
actually within the boundaries of the Borough but those at the Metropolitan, the
London. the Royal Free and University College Hospitals are readily accessible
to the people of Shoreditch.