EPIDEMIOLOGY SECTION

1941 BMJ (Clinical Research Edition)  
Enteric fever and dysentery, which in recent weeks have been on the increase in England and Wales and in Scotland, have declined inboth countries during the week under review. Cerebrospinal fever has increased slightly and, in England and Wales, diphtheria and whooping-cough to a greater extent. Acute poliomyelitis,-which tends to appear in June, is less than one-half as frequent as in the corresponding week of 1940. Cerebrospinal Fever For the second week in succession the incidence of
more » ... ncidence of cerebrospinal fever has exceeded that of the corresponding period of last year; it is present in over two-thirds of the administrative areas of England and Wales, but only in five were more than 9 cases notified-namely, Lancaster 34 (Blackpool 2, Liverpool 11, Manchester 2, Rochdale 2, Nelson M.B. 3, Whistoi ). In Scotland fifteen counties or burghs were affected, chiefly, Glasgow 15, Edinburgh 7, and Ayr county 5. Dysentery and Enteric Fever Dysentery appeared in England and Wales in eighteen areas and enteric fever in twenty-six, as aga'inst twenty-one and twenty-five respectively in the previous week. The former wvas fairly widely distributed in Lancaster. The paratyphoid fever epidemic in Birmingham and surrounding district, referred to in these columns last week, continues. In Lancaster the' 32 dysentery cases notified occurred in each. More than one-half the cases of enteric fever notified in the whole country belong to the Birmingham outbreak-namely, Warwick 43 (Birmingham 24, Coventry 5, Solihull U.D. 11, Sutton Coldfield M.B. 2, Meriden R.D. 1); \Vorcester 11, all in Bewdley M.B.; Stafford 6 (Smethwick 3, Stoke-on-Trent,' Aldridge U.D., and Lichfield M.B. 1 each). The only other counties affected to any extent were Leicestershire 12 (Leicester 8, Barrow-upon-Soar R.
doi:10.1136/bmj.2.4201.73 fatcat:s4v6wgoqwzfoblfk5luoi5il4i