Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Heston and Isleworth]
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times and always when he tried to read, the letters ran into one
another. He could not bear the light on his eyes at all. He was
very shaky the first week he was up, and had difficulty in standing.
Pain in the hamstrings after walking. He had well marked
vertical and lateral nystagmus, especially lateral. Convergence
good. Knee jerks slightly increased but sluggish. Bi-lateral
ptosis together with some 3rd nerve paralysis. Great toe extensor
reflex.
Recovered.
Case No. 66.
M. 35. School teacher. Onset 1/2/26.
Subject to Rheumatism. Had occasional pain in legs since going
into a new house which was not completely dried out. Headache
commenced 30/1/26, mostly in occipital region, severe. He laid
down and the headache went away. Next morning he felt better
and went to work. At noon the pain re-commenced but he carried
on until he came home and went to bed early. No sickness, no
dizziness. Put on an extra blanket and sweated profusely, and
pain left his head and commenced in the legs and arms. Went to
work the next day with a certain amount of pain. Headache came
on again during the day, more severely than the day before. Went
to work the following day, the headache started almost as soon as he
left Hounslow, and became so bad that he came home. The headache
was behind the eyes and nose, and also in the occipital region.
No history of visual troubles. Pain in the head was very acute
next day, and the doctor was sent for. The next day the pain in
his head lasted for 5 to 6 hours in the middle of the day, after
which he felt alright. It was the same on the following day but
gradually getting less. He managed to take his food alright all
the time except on two days. Bowels regular. No