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24
Erysipelas.
32 cases of this disease were notified, of whom 21 were West
Middlesex Hospital cases, 10 of the persons affected being nonresidents.
Puerperal Fever.
10 cases of this disease were notified, 9 were institution cases,
and were not residents in this district.
Ophthalmia Neonatorum.
Four children were notified as suffering from this disease. One
was notified from Warkworth House. In one severe case two
Nurses were placed in the house as accommodation could not be
obtained for the mother and child in Hospital. The results were
entirely satisfactory.
Encephalitis Lethargica.
There were 33 cases notified this year, four of which proved
fatal. This is a much larger number of cases than any year previously—last
year there was one case notified and in 1922 three
cases.
As will be noticed from the following table, 16 out of the 33
cases were notified in May and 4 in June, constituting a small
epidemic. Most of the 20 cases were of a mild nature, the main
symptoms being dizziness and diplopia.
On the 21st May, Dr. Parsons of the Ministry of Health,
visited 8 of the earlier cases and confirmed the diagnosis, except in
one case about which he was doubtful.
An interesting feature of the outbreak was that the cases were
confined to a small and populous area of Hounslow. With the
exception of one case in June which occurred in Isleworth, the other
9 cases were all within the approximate radius of ½-mile from the
junction of the Bath and Staines Roads, whilst the majority were
within as small a radius as ¼mile.