NEUROLOGIC ASPECTS OF THE EPIDEMIC OF ENCEPHALITIS IN ST. LOUIS

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Abstract
In July 1933 about 13 cases of encephalitis of an unusual type occurred in St. Louis, ushering in an epidemic. In August, 527 cases were reported; in September, 444, and in October, 58. Cases were first seen in St. Louis County, and later the disease spread into the city. The total number of cases reported was 1,097. The clinical picture was unlike that presented in other types of encephalitis in this country in that (1) the seasonal incidence, namely, its occurrence in the hot summer months, distinguished it from typical epidemic encephalitis, which occurs during the winter, (2) the illness caused a marked constitutional reaction but ran a shorter course and (3) while the general population was affected, the incidence in persons over 40 years of age was greater. In retrospect, typical cases of encephalitis had been seen in the community many months previously. Two will be cited. Case 1.

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