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36
In Wornington Road there had been nine Kensington cases,
viz., two on the East side, one each at No. 152 and No. 130;
and seven on the West side, viz., two at No. 175 and one each
at Nos. 173, 171, 169, 149, and 141. There was one case at
No. 3, Queen Anne's Terrace, and one case at No. 34,
Treverton Street, the latter belonging to the No. 412, Portobello
Road group. All of the above cases were shown on the
plan. The remaining cases, six in number, in as many houses,
occurred at Nos. 23 and 36, Bosworth Road, Nos. 134 and
161, Southam Street, No. 23, Bomore Road and No. 27 Chesterton
Road. The last mentioned patient sickened at Ealing,
six days after leaving the parish. All of these cases, forty in
number, (except secondary cases in the same houses) had
become infected before the death of James K., and the
removal to hospital of Maud K. (cases 2 and 1) a fact that
may be taken as an indication of the large share this family
had in the spread of the disease Some of the cases were
very mild, and the "sufferers" were able to go about, and
did so, the most flagrant instances being those of Francis P.,
and the children Angelina and Frances B. (cases 6, 41, and 42).
Many of the later cases (41 to 65) dealt with in my twelfth
report (dated December 11th) were more scattered, several
fresh streets having become invaded. The last of these
cases was notified in the week ended on December 9th.
Between that date and the end of the year four other cases
were notified, but it is doubtful whether either of them had
any connection with the Portobello Road outbreak.
Inability to Diagnose Small-Pox.—One of the
commonest causes of the spread of small-pox is the inability
of many medical practitioners to recognise the malady which
they are rarely (and may never have been) called upon to
treat, and which is sometimes so singularly modified by
vaccination as to almost lose the characteristics of disease
after a very brief interval from the date of invasion, Some