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45
J. G.—Mentally unbalanced since attack. Was in-patient, General
Hospital for 5 weeks. Has been under observation of School
Medical Officers since 1922, when he had to be excluded from ordinary
elementary school. Was then found to be mischievous, very excitable,
uncontrolled and spiteful, etc., and unmanageable at home. Was
transferred to Special (Residential) School, but after a short period had
to be discharged from there on account of being unmanageable and vicious
in habits. Has now been dealt with by Medical Officer under Mental
Deficiency Act, and is an inmate of an institution.
G. W. (4-6-26).-—Attack of Encephalitis Lethargica about a year
ago. In-patient, National Hospital for Paralysis. Now mentally and
physically changed. Has become spiteful and untruthful. Legs weak,
and cannot walk far. Face immobile; mouth open; eyes, fixed stare.
All movements sluggish. Speech very slow.
Enteric Fever.—Two cases were notified in 1925, and both were
removed to hospital. One of these proved fatal. A second death from
Enteric Fever was debited to this District, and related to a female adult—
an inmate of Napsbury Asylum.
Facility is afforded for the verification of diagnosis by Widal's test
at the Laboratories of the Prince of Wales's Hospital.
Erysipelas.—For the hospital treatment of patients suffering from
Erysipelas, we are indebted to the Enfield and Edmonton Joint Hospital
Board. Dr. Haldane Cook, of that Institution, has come to Tottenham's
aid generously when, but for the hospitality of his Board, Tottenham's
patients in need of institutional care would have been deprived of that
advantage. Of the 44 cases notified, 12 were removed to hospital, and
32 were nursed at home.
Diphtheria.—The "peak" in respect of the incidence of this disease
was reached in 1921, with 561 notifications. The notifications in 1923
were 194, the "trough" of the wave—almost exactly one-third of that
of the ' 'peak'' year. The number of deaths, and the Death-Rate, were
correspondingly high in 1921. Although since 1923 there has been an
increase in the numbers notified, there has been a steady declension in
the deaths and Death-Rate; so that for 1925, with 4 deaths and a DeathRate
of .025 per 1,000 of the estimated population, the mortality has
been the lowest for the past 6 years—the period under review. 36 cases
removed to hospital, supposed to be suffering from Diphtheria, were