Poliomyelitis in relation to the spread of infection by schools / by Frederick E. Batten.
- Batten, Frederick Eustace.
- Date:
- 1911
Licence: Public Domain Mark
Credit: Poliomyelitis in relation to the spread of infection by schools / by Frederick E. Batten. Source: Wellcome Collection.
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![Poliomyelitis in Relation to the Spread of Infection by Schools.* By FREDERICK CE “BAT EN: MeDi; Physician to the Hospital for Sick Children, Great Ormond Street, and to Out-Patients’ National Hospital for the Paralysed and Epileptic, Cueen: S Square. It is my intention to put before you to-day the euidenee which has been accumulated during the past few years which goes to prove that poliomyelitis is sometimes spread from schools. In this country we have not yet had the large epidemics, such as have occurred in Northern Europe and America, but during the past two vears greater attention has been paid to the occurrence of the disease, and small epidemics have been noted in various portions of the country, notably in Carlisle, Maryport, Barrow-on-Furness, Bude, Plymouth, Falmouth, Dorset, Huntingdon, Westmorland, and other places. So far as England is concerned, there is no evidence as yet that the disease has been spread from a school, but this is not so with regard to Sweden, where the disease has been most widespread. Before dealing with the school infection I would like to put before you what is now recognised as the clinical picture of poliomyelitis, and what is known of the virus which pro- duces this disease. THE CLINICAL ASPECT. Poliomyelitis must be regarded as a disease which may affect any portion of the nervous system—commonly it affects the spinal cord and gives rise to a flaccid paralysis of one or ne limbs, which is commonly recognised under the title ‘infantile Desliolay because it usually affects young children. There is a type in which one or more of the cranial nerves may be affected, either alone or in association with paralysis of the limbs. Again, there is the type in which the paralysis starting in the lower limbs gradually ascends, affects the arms and eventually involves the respiratory centre. Then, again, there is a cerebral type of the disease, which gives rise to hemiplegia—acute mental defect, and to the symptoms of * A paperread before the Medical Officers of Schools Association, November 8th, 1911],](https://iiif.wellcomecollection.org/image/b33472129_0003.jp2/full/800%2C/0/default.jpg)


