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15
she complained of not feeling well when she woke up in the morning. I saw her a
10 a.m. on that date; she then assured me that she was feeling quite well, and she
had no appearance of being ill. At 11 p.m. the same date, I saw her again at the
hospital, to which she went in the evening, where she informed me that she felt very
ill about 2 p.m. On examination a scarlatinaform prodromal eruption was present
and the true eruption of the disease was beginning to appear on the backs of the wrists
The history of the case, signs and symptoms were sufficient to warrant a diagnosis
of smallpox, and she was certified and removed to the smallpox hospital, the removal
being effected within 24 hours of the first symptoms becoming manifest. Unlike
the previous case this patient had comparatively small opportunity for spreading
infection, and no subsequent cases occurred in Shoreditch. Both cases turned
out to be smart attacks, but the patients made good recoveries.
Seven cases of smallpox were certified in the Metropolis during the year.
VACCINATION.
The last official figures as to vaccination are those published with the report
of the Medical Officer of the Local Government Board for 1909-10 and relate to the
year 1908. Of the births registered during that year in 51.5 per cent, vaccination
was successfully performed and 34.5 per cent, were not finally accounted for, the
latter figure including postponed cases. Altogether 39.2 per cent, of the children
whose births were registered in 1908 were unvaccinated at the end of the year. The
last figure includes those exempted by conscientious objection certificates, which
numbered 169 or 4.7 per cent, of the births registered as compared with 2.1 per cent,
in 1907, 0.7 in 1906, 0.8 in 1905, 0.5 in 1904, 0.6 in 1903 and 0.3 in 1902.
In the following table are contained the percentages of children born not finally
accounted for as regards vaccination, including postponed cases, each year from 189C

The above figures show that during 1908 there was a definite set back as regards
vaccination in the Borough.