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The following cases are not without interest:
Case 44.—Thomas H., aged 10 months, of 417, Portobello Road, Was
taken charge of during the day by Mrs. P., at No. 416, in the same street.
Mrs. P.'s daughter (case 15) was attacked with small-pox, and removed to
hospital November 4th. From her, Thomas H. caught the disease, and
was removed from his own home November 20th.
Case 45.—Agnes T., aged 32, of 82, Wornington Road, had a child
taken ill with scarlet fever. The child was treated at home. Anxious to
preserve the other children, she sent them to her mother at 21, Southam
Street, in Paddington parish. Here, one of the children contracted
small-pox. Desirous of seeing the child before removal to hospital, the
mother ran round, kissed the little one, and so contracted the disease.
She was removed to hospital November 21st.
The following case illustrates a danger to which working
people may, unwittingly, be exposed.
Case 62.—Henry T., aged 41, of 42 Southam Street, had been working
at his trade of a painter, at a house in Kensal Road (Paddington) whence
four cases of small-pox had been removed to hospital in November. He
there contracted the disease and was removed to hospital, December 7th.
vaccination.— The condition of the several patients
as regards vaccination is shown in the list of cases at page 30.
Many of the sufferers (27 out of 65) had never been vaccinated;
30 had been vaccinated; the state as to vaccination in 8 cases
was doubtful: one patient only had been re-vaccinated. The
deaths were five in number, and all of them occurred amongst
the unvaccinated cases; unless it be assumed that, contrary to
his own assertion, James K (case 2) had been vaccinated in
infancy.
Precautionary Measures Adopted.—Every possible
precaution was adopted with the object of stamping-out the
disease. Thus, in view of the gravity of the outbreak I had felt
it my duty at the outset to communicate with every medical
practitioner at North Kensington, suggesting care in isolation
of any febrile case presenting symptoms premonitory of smallpox—to
be followed by immediate application to the Asylums
Board for removal of any patient in whom the disease should