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47
(2) Female, aged 42 years; notified 19th October; onset of disease
8th October. The patient was admitted to a London general
hospital on the 11th October, 1938, for treatment and a
diagnosis of enteric fever was made subsequent to admission.
The patient was seriously ill on admission and the attack
proved fatal. Type of infection Bac. Typhosus. The
source of infection was not discovered.
The above-mentioned death corresponds to a death-rate for the
Borough of 0.02 per 1,000 of the population ; the death-rate for
London and for England and Wales was 0.00.
The two cases notified in the district correspond to an incidencerate
of 0.05 per 1,000 of the population for the Borough; the
incidence-rate for London was 0.05 and for England and Wales 0.03.
Acute Anterior Poliomyelitis.
One case of this disease was notified during 1938. The case
was that of a child aged 9 years. The child was an in-patient at
a London general hospital and was notified on the 9th July, 1938.
Some paralysis of the muscles of the arms and legs occurred.
Orthopaedic treatment for this condition wrs given in the hospital
and the patient was discharged on the 12th December, 1938.
Cerebro-spinal Fever.
There were two cases of cerebro-spinal fever notified during 1938'.
the two cases were not in any way connected.
One of the cases was that of a child aged 3 months. The child
had been admitted to a London general hospital for diagnosis and
treatment; the case was notified on the 11th January, onset of the
disease being on the 4th January. The disease proved fatal, the
child dying on the 3rd February, 1938.
The other case was that of a youth, aged 15 years, who was
admitted on the 10th March to a London general hospital for
diagnosis. The case was transferred on the same day, after diagnosis,
to one of the London County Council infectious diseases hospitals.
The patient recovered and was discharged from hospital on the
3rd April, 1938.
Encephalitis Lethargica.
There was no case of this disease notified during 1938.