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49
diarrhoea, and complained when he was lifted up that
his left leg hurt him. The mother rubbed the leg
with oils, and states that for four days the child was
unable to stand, but does not appear to have consulted
a medical man till September 11th. The doctor
only saw the child once, and apart from the rubbing
no further treatment appears to have been adopted
till October 15th, when the child was taken to St.
Mary's Hospital, Plaistow, where he was treated as
an out-patient. The case was notified by the Hospital
Authorities on October 16th, and on subsequent
visitation it was found that no history could be obtained
of clinical symptoms such as vomiting, screaming,
sleeplessness, loss of appetite, but there was
obvious wasting of the muscles of the calf of the
left leg, and the child dragged the toes of the left
foot along the ground, and frequently fell down. The
premises and bedding were disinfected on October 27th
at the request of the parent, who stated that the
child had recovered, but although much improved
there is still marked paresis of the left leg. In view
of the fact that the apparent onset of the disease
occurred more than six weeks before the notification
the other children in the house were not excluded
from school. No inter-communication between this
family and that of Case No. 6 could be discovered.
Case 8.—C. B., aged 5 years, of Station Road. Patient is
an only child, whose father died of phthisis. She has
always been delicate, but had no illnesses except
measles, at the age of 2½ years, and an operation for
appendicitis last year. She came from Heath Street,
Hampstead, to live at present address on October 3rd,
and the present illness began on Friday, October 10th,
with a " feverish cold," but she has had no discharge
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