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child who had lived in the same house up to the 1st Oct.,
was removed to Wandsworth where she died. She seemed
very nervous during her stay with her cousins in Kingston.
She also complained of a painful toe and suffered from sick
headache. E. G. had been away from home for most of
the time during which the other child had stayed in the
house, and returned home on the 6th Oct., the two children
having last met about the 24th Sept. E.G. was first seen
by a doctor on Friday, the 17th Oct. The symptoms were
squint, nystagmus, retraction of neck and paresis of deltoid
and other shoulder muscles. Was seen by a specialist on
the 18th Oct., who advised that lumbar puncture should
not be performed unless the child got worse, as he considered
it useless as an aid to diagnosis. The child is now
better. A brother had an obscure attack of vomiting and
slightly marked nervous symptoms about Oct. the 8th, but
is now quite well.
The cases mentioned under No. 4 were in a house of a
rental of about £50, and is about 60 yards from the ward of
the Infirmary where No. 3 is under treatment, and about 200
yards from Kingston Victoria Hospital where No. 2 is under
treatment. No. 3 went into the Infirmary on the 3rd Oct.,
and her home is half a mile away. No. 2 went into the
Victoria Hospital on Aug. the 30th, and was still under
treatment there when the other cases were notified.
Spinal puncture was not resorted to in either of the cases
in Kingston. I have no information concerning the Wandsworth
case.
The case in the Workhouse Infirmary and the case in
the Kingston Victoria Hospital were treated in the ordinary
wards, but they, neither of them, were in the acute stage.
No. 4 case was isolated at the top of the house with a trained
nurse in charge, and she made a fairly good recovery. There
is some weakness and wasting of the shoulder muscles.