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July 5, 1924


JAMA. 1924;83(1):50-51. doi:10.1001/jama.1924.02660010054022

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Epidemic Encephalitis  In view of the increase in the prevalence of epidemic (lethargic) encephalitis, a further memorandum on this disease has been issued by the ministry of health. Attention is directed to the value of local inquiry as to the presence of mild, abortive or unrecognized cases (whether contacts with known cases or not), in order to obtain all available facts bearing on the epidemiology of the disease. During the first seven weeks of the second quarter of 1924, the number of cases notified in England and Wales was 1,715, as compared with 753 in the first quarter; 1,025 in 1923; 454 in 1922; 1,470 in 1921; 914 in 1920, and 538 in 1919. The spring and winter months show the highest prevalence, and a similar seasonal distribution prevails on the continent. In the severest cases, the patients lie in bed like a log or resemble a waxen image in

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