London's Pulse: Medical Officer of Health reports 1848-1972

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Lambeth 1903

Report on the vital and sanitary statistics of the Borough of Lambeth during the year 1903

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56
Up to the date of this Report being written (February, 1904), no further
case of Smallpox has been notified in Lambeth Borough since the case of
Henry M., who sickened January 16th, 1904, and was removed to Hospital
January 21st, 1904.
During the year, 18 suspicious cases of Smallpox were reported to the
Medical Officer for confirmation, and. of these, 4 were diagnosed as variola
(Smallpox) and removed at once to Hospital. The others were diagnosed as
follow:—Chicken-pox 4, Lichen Urticatus 1, Porriginous Eczema 6, Copaiba
Rash 1, Gouty Eczema 1, Diarrhœa 1.
"Contacts," or "Suspects."
In connection with the 72 Lambeth cases of Smallpox, a large number of
inside (Lambeth) "Contacts," or "Suspects," were under observation, each
"Contact" being watched for 16 days from the date of contact—a total of
769, of which 129 were under 10 years of age and 640 were 10 years of age
and over, including the inmates of Rowton House (350 lodgers and 40
officers), who were under constant observation during the outbreak (a period
of 8 weeks from May 18th to July 10th).

The vaccination-states of all these "Contacts" were registered, and the results may be tabulated as follows:—

Vaccination States.Number sickening with Smallpox.
769640 AdultsRe-vac. or had Smallpox 1702
Vaccinated, 46240
Unvaccinated, 84
129 ChildrenVaccinated, 831
Unvaccinated, 467

There were, in addition, 70 outside "Contacts," i.e., persons living in
Lambeth, who had been in contact with Smallpox outside the Borough, and
who had to be watched for a period of 16 days each. Their vaccinationstates
may be tabulated as f ollows:—
Number sickening
with Smallpox.
70
50 Adults
20 Children
Re-vaccinated, 10 0
Vaccinated, 40 0
Unvaccinated, 0 0
Vaccinated, 14 0
Unvaccinated, 6 0
Further, there were 2 Lambeth visitors to the "Ships," both adults and
both re-vaccinated, and neither sickened with Smallpox.

Taking all the "Contacts" together, inside and outside, the total numbers may be tabulated (with particulars as to their vaccination-states, etc.) as follows:—

All "Contacts"Vaccination States.Number sickening with Smallpox.
841692 AdultsRe-vac. or had Smallpox, 1822(1.1%)
Vaccinated, 50240 (8%)
Unvaccinated, 84 (50%)
149 ChildrenVaccinated, 971 (1.03%)
Unvaccinated, 527 (13.5% )