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There were six deaths. Enquiries were made, though without success, to
trace the source of infection and in several instances contacts were examined
bacteriologically. None of the contacts, however, proved to be carriers of the
meningococcus.

Encephalitis Lethargica.
Number of cases notified during the year Nil
Number of cases Post Encephalitis Lethargica living in the
Borough at end of year (approximately) 27
Number of cases Post Encephalitis Lethargica admitted to
special Institutions during the year 3
Number of applications for admission made by Medical
Officer of Health Nil
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.
Two cases of this disease were notified, one a girl aged 8½ years and the
other a boy aged 4 years and 9 months. Both were removed to hospital.
This disease, which most commonly attacks children, is characterized by
acute feverish onset, with pain in one or more limbs, and is followed by more
or less extensive paralysis.
Frequently it is not diagnosed during the initial stages, and the number
of actual cases is no doubt in excess of the notifications.
After treatment is most important. If neglected, children readily become
badly crippled, who under skilled orthopædic treatment might enjoy normally
active lives. Every effort is made by the Health Visitors to secure that
children under 5 years of age who are afflicted in this way attend hospital and
that the parents carry out the advice given.
On reaching school age these children attend the Hoxton House Physically
Defective School where all are medically inspected and referred to
hospital where necessary.