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46
(3) Male, aged 24 years; notified 25th October; onset of disease
17th October; isolation of the patient carried out at home.
The history in this case unquestionably points to infection
having occurred outside the area; the patient had been abroad
and his illness commenced on the day before his return to
this country. Type of infection Bac. Paratyphosus "B."
The source of infection was not discovered.
The three cases notified in the district correspond to an incidencerate
of 0.07 per 1,000 of the population for the Borough ; the incidencerate
for London and for England and Wales was 0.05.
Acute Anterior Poliomyelitis.
Two cases of this disease were notified during the year. The
cases were sporadic ones, neither having any connection with the
other.
One case was that of a child aged 7 years. The patient was
notified on the 17th June and was removed to one of the London
County Council special hospitals on the 18th June. Some paralysis
of the upper limbs, back and neck muscles occurred. Subsequently
on the 12th July the patient was transferred to another Special Institution
for the continuance of orthopaedic treatment.
The other case was that of a boy aged 15 years. The case was
notified on the 10th November, the onset of the disease being on the
18th October. Partial paralysis of some of the muscles of the upper
extremities resulted and the patient received treatment for this
condition at a London general hospital.
Cerebro-spinal Fever.
There was no case of this disease notified during 1937.
Encephalitis Lethargica.
Two deaths certified to be due to chronic encephalitis lethargica
were assigned to this Borough, both males, aged 62 years and 75
years respectively. Neither had been notified in this area as suffering
from "encephalitis lethargica." The former case was an "inward
transfer "death of a patient who died in the National Hospital,
Queen's Square. The latter was a "resident" death of a patient who
had suffered from paralysis agitans of about 2 year's duration, but
there is no history of an attack of acute encephalitis lethargica to be
obtained in this case.
Pneumonia.
There were 34 cases of pneumonia notified. Nine cases were
removed to institutions for treament, one of these was removed to the
Council's Isolation Hospital, and eight were removed to General
Hospitals.