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

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Kensington 1893

The annual report on the health, sanitary condition, &c., &c., of the Parish of St. Mary Abbotts, Kensington for the year 1893

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October 23rd, was found to be suffering from small-pox, and was removed
to hospital forthwith. This girl also had been one of Maud K.'s visitors.
Case 6.—Francis P., aged 40, a painter in regular Work, of No. 4x2,
Portobello Road (first floor) had ailed and stayed at home Monday and
Tuesday, October 16th and 17th. On Wednesday, 18th, spots appeared
on his face. Neverthelesss he went to his work, as usual, continuing
thereat until mid-day Monday, October 23rd. I saw him on the afternoon
of that day, recognized small-pox, and he was removed to hospital the 24th.
Case 7.—Emma W., aged 25, married, of No, 416, Portobello Road
(first floor) sister to Caroline H. (Case 5) ailed sometime before the middle
of October. Shortly afterwards a few spots appeared in different parts ol
the body, for which she consulted her doctor who did not recognize
small-pox and therefore did not notify the case. When I saw this person,
on Monday, October 23rd, she was convalescent; I formed the opinion,
nevertheless, from the history, and from what remained of the rash, that
she had had small-pox but was no longer infective. This view was
endorsed by the District Medical Officer, and its accuracy was proved by
the occurrence of the following case :—
Case 8.—Joseph W., aged 35, employed at Gas Works, husband of
Emma W. (Case 7) fell ill soon after I saw him on Monday, October 23rd.
He was seen on the 30th by the doctor who had attended his wife,
notified as having small-pox, and was removed to hospital on Tuesday, 31st.
Case 9.—Jane L., aged 21, married (doubtful if vaccinated—no scars),
of 34, Treverton Street, who had been confined September 20th, visited
her mother from time to time, at James K.'s house, No. 412, Portobello
Road, whilst James K. and his daughter Maud were lying ill of small-pox.
She fell ill with small-pox, the rash appearing on or about Wednesday,
25th. She was seen by the District Medical Officer on the 28th, and
removed to hospital on Monday, 30th. The infant of five weeks hiving
been at once vaccinated, was removed with the mother, and did not contract
the disease.
Case 10.—Martha L., aged 2, daughter of Jane L. (Case 9) was sent
to her grandmother, at No. 412, Portobello Road, after her mother's
removal to hospital. She sickened with small-pox almost immediately,
having probably contracted the disease at the same house. The case was
notified, and the patient was removed to hospital 011 Saturday, November
4th. This child was successfully vaccinated on November 1st, not having
been previously vaccinated. The vaccination, though too late to save her
from the disease, mitigated the severity of the attack.
For convenience, I subjoin, in tabular form, a list of
the 65 cases reported during the currency of the endemic.