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(40) George D., aged 23 years, vaccinated in infancy, sickened on
October 17th, 1903, at 102, Lambeth Road, and was removed to Hospital on
October 21st, 1903. George D. left Cardiff on October 7th, 1903, and must,
therefore, have contracted the disease before leaving, though no case
of Smallpox could be traced by the Medical Officer of Cardiff as having
occurred there at that time.
(41) Claude N., aged 17 years, vaccinated in infancy, was removed to
Hospital from the Lambeth Infirmary on October 22nd, 1903, having sickened
on October 18th, 1903. The source of Claude N.'s infection could not be
traced definitely though he appears to have been tramping about amongst
Metropolitan Common Lodging Houses during the previous 3 weeks, and
may have contracted the disease in that way.
(42) Celeste R., aged 20 years, unvaccinated, sickened on October 20th
1903 at 55, Lambeth Palace Road, and was removed to Hospital on October
26th, 1903. The source of infection was probably the Italian Quarter, Soho,
where Smallpox had broken out previously.
(43) Charles W., of 33, Methley Street, aged 42 years, vaccinated in
infancy, sickened October 24th, 1903, and was removed to Hospital on
October 27th, 1903. The source of contagion could not be ???raced.
(44-46) Robert M., aged 35 years, vaccination doubtful, was removed
from St. Thomas' Hospital on December 7th, 1903, having sickened
on December 4th, 1903. He had previously (3 weeks) stayed at 55, Tyers
Street and at a Coffee House (68, Vauxhall Walk), but the source of his
contagion could not be traced. A fellow worker (William A.), aged
24 years, unvaccinated, sickened at 87, Tyers Street, Vauxhall, on December
14th, 1903, and was removed to Hospital on December 19th, 1903, so that, in
all probability, the source of contagion was the same in both cases (at their
work). Julia C., aged 48 years (vaccinated in infancy), was the keeper of
the Coffee House (68, Vauxhall Walk), and sickened December 23rd, 1903,
being removed to Hospital on December 23rd, 1903. He caught the disease
from Robert M., who stayed at 68, Vauxhall Walk on December 4th to 7th,
1903.
(47) An outbreak of Smallpox in connection with the out-patient department
of Westminster Hospital gave rise to several cases throughout London.
One case was notified in Lambeth Borough, at 25, China Walk (Mary M., aged
34 years, vaccinated in infancy). Mary M. sickened December 18th, 1903,
and was removed to Hospital on December 22nd, 1903, after having infected
her newly-born baby (Ada M.), aged 10 weeks, unvaccinated, who sickened
December 31st, 1903, and was removed to Hospital on January 3rd, 1904, after
having herself infected her own father (Henry M., aged 33 years, vaccinated
in infancy), who kissed his daughter on January 3rd, 1904 (the date of her
removal to Hospital), and sickened on January 16th, 1904 (i.e., 13 days
afterwards), being himself removed to Hospital on January 21st, 1904.
[N.B.—These 2 last-mentioned cases (Ada M. and Henry M.) are not
included in the 1903 statistics.]
Taking the 72 total cases of Smallpox, the sources of infection may be
grouped as follows:—Rowton House (unrecognistd cases and contacts) 25;
contacts with previous Lambeth cases 29; outside (non-Lambeth) contacts 8;
unrecognised cases 6; unknown 4.
The large number of Lambeth contacts is explainable by 3 small outbreaks
(local), due to unrecognised cases, such cases being often answerable tor the
spread of Smallpox not only in Lambeth but elsewhere. Indeed the disease
may take on, at times, such a modified form as to be either unattended
medically, or (if attended) erroneously diaguosed.