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attempt such preventive measures as disinfection or
exclusion of children from school.
It is now known what (if any) steps were taken to verify
the diagnosis in any of the cases, 4—9.
Case 10.—T. T., aged 1 year 11 months, of Malmesburv
Terrace. Had a fall downstairs about middle of June.
Bled at the mouth, but did not seem much hurt, and
soon recovered. On October 29th was seized with convulsions;
had eight fits between 3.30 and 11.30 p.m.
Right side of mouth drawn, and apparently lost use
of right side, but the use gradually returned till at
the end of a fortnight he could walk a little, and
could use the arm, though it continued weak. On
November 20th he entirely lost the use of the arm,
accompanied by tenderness and pain. Was taken to
Poplar Hospital and there advised to seek treatment
at the London Hospital. On November 24th convulsions
again recurred, with increased pain on right
side and (?) swelling of the forearm. On November
27th he was admitted as an in-patient to the London
Hospital, and notified from that Institution as suffering
from acute Polio-myelitis on December 2nd.
T. T. was a bottle-fed baby, and had twice had attacks
of bronchitis. The family history is good: Father
and mother well, no history of fits, tuberculosis, or
nervous disease in family; the only other child (a
girl of 5 months) is a fine child. The family occupy
three rooms, the father being a casual labourer. When
last visited partial paralysis of right side still
remained.
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