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Four cases were removed to St. Margaret's Hospital—a special institution
of the London County Council for the treatment of this disease.
Mothers can be admitted with their infants, thus securing continuity of
breast-feeding. Two cases were admitted to St. Leonard's Hospital.
Eighteen cases were treated as out-patients at the Royal London Ophthalmic
Hospital (Moorfields). Three were nursed by the nurses of the Shoreditch
and Bethnal Green District Nursing Association, the nurses acting under
the instructions of the doctor in charge of the case.
Cerebro Spinal Fever.
Twelve cases of this disease were known to occur in the Borough during
the year. Six terminated fatally. In one of these cases the diagnosis was not
made until the patient had recovered, and in one it was not confirmed.
In no instance was it possible to trace the source of infection.
Several bacteriological examinations of contacts were made in connection
with these cases, but with negative result in every instance.

Encephalitis Lethargica.
Number of cases notified during the year 1
Number of cases Post Encephalitis Lethargica known to live
in Borough at end of year 27
Number of cases Post Encephalitis Lethargica admitted to
special Institutions during the year 1
Number of applications for admission made by Medical
Officer of Health 1
The case notified was a male aged 34 years.
The after effects of this disease are most serious. Years after the initial
illness these patients frequently develop partial paralysis. If this is progressive
they can only receive satisfactory treatment and care in special institutions.
Acute Poliomyelitis.
A girl aged eighteen months and two boys aged three years and two
years and five months were notified as suffering from this disease. All three
were removed to hospital.