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from eyes or nose, and no cough. First complained
of pain in head, then of pains all over, was sick twice
on the following day, was slightly delirious at times,
and the medical man called in on October 13th, suspected
meningitis. Progressive loss of muscular power
supervened until she appeared unable to lift either
limb. There was no loss of sensation, she could move
her fingers and ask to have her limbs moved. She
was removed to the West Ham Infirmary, Whipp's
Cross, on October 21st, and the disease notified from
there on October 24th, since when no further particulars
have been obtained. Disinfection was carried
out on October 25th. There were no other children
in the house.
Case 9.—E. R., aged 2½ years, of New City Road. Patient
is one of four children (girls) who all appear to be
healthy. She has had no previous illness, but there
is a fall down five stairs about a month before present
attack, which began on August 25th, with indefinite
symptoms. On August 27th she refused food, and
complained of sore throat, for which she received
medical treatment. On August 28th she could not
stand, and was very fretful and restless, but did not
complain of pain. She had no vomiting, nasal, or
other discharge. On August 31st another medical
man was consulted, who advised removal to hospital,
and she was admitted into St. Mary's Hospital, Plaistow,
on September 1st, the mother being informed
that the child had meningitis. The notification of
acute Polio-myelitis was received from the Hospital
Authorities on October 25th, and in view of the length
of time that had elapsed since the admission of the
child to hospital, it was considered impracticable to