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43
ated. Her mother, Case No. 4, refused re-vaccination, and
subsequently developed small-pox. Case No. 3 was probably
infected outside the Borough. No further cases occurred in
the family.
Case No. 5, a female. 24 years, was vaccinated in infancy.
The infection was probably contracted outside the Borough.
The other members of the family were re-vaccinated, and no
further cases occurred.
Case No. 6, a female, 17 years, unvaccinated, contracted
the disease in an institution outside the Borough. The other
members of the familv were vaccinated, and no further cases
occurred.
Case No. 7, a female, 23 years, unvaccinated, was removed
to Hospital from her place of business outside the Borough.
The rest of the family refused vaccination, and her mother and
a sister subsequently developed the disease.
I am of the opinion that immediate vaccination of all
persons who have been in contact with the case is essential,
and it is to be regretted that this cannot be enforced.
Scarlet Fever.
During the year, 843 cases of Scarlet Fever were notified,
compared with 522 in the previous year. The patients removed
to Hospital numbered 740. There were 5 deaths from this
disease.