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other cases followed, mostly in the same house. Of these
subsequent ones, some were removed, some were not. In
one instance no small-pox broke out in the house, but a
case occurred next door. In another the mother of the
patient who lived in the same house with him, and his
niece, who lived next door, were both attacked.
"Of the total number of cases notified to us eighteen
proved fatal.
"Up to the end of January, 1893, about eighteen
cases had been notified, all occurring in the eastern portion
of the parish, six of which appeared to have been due to
infection from patients previously attacked in the same
house.
"On the 23rd January we received notification of
small-pox, in regard to six children, occurring in a family
living in King's Road. It appeared that one of the girls
had been ailing since the 12th, but was not sufficiently ill
to cause her parents to seek medical aid, and she had subsequently
returned to school. From the information I was
able to procure there seems to be no doubt that she had
suffered from small-pox, and that she had not only infected
five of her sisters, but also several school-fellows by
returning to school still in an infectious condition. These
in their turn became fresh centres of infection, for no
isolation was put into force, it not being known that they
were suffering from any infectious disease. In all, no less
than nineteen cases can be directly or indirectly put down
to this child returning to school while still infected.
Indeed, it seemed necessary to us that the school should be
visited daily, and an enquiry made of the teachers as