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hospital at Darenth. The distance from Gore Farm Hospital
and the hospital ships is so considerable that it is difficult
to assume that these cases have been air borne from these
source3. A more likely cause is the fact that the ambulances
containing transfer small-pox patients have to pass
in near proximity to the new small-pox hospital where
these men were employed. He had been vaccinated in
infancy, but never re-vaccinated.
No. 56.—Case cf R— C—, age 10, a scholar, residing at the Grove.
He was first taken ill on March 23rd. A rash appeared
on March 24th. The case was diagnosed as variola by the
patient's private medical attendant on March 29th, and
removed the some day by the. Metropolitan Asylums Board
to Rotherhithe. He had resided at the house for some
years. There had been no previous case of illness lately
at the house, and I was unable to obtain any evidence as
to the source of infection. The patient had never been
vaccinated. It is interesting to note that there was a
five days' interval between the appearance of the rash and
the case being diagnosed. It is in accordance with my
experience that under such circumstances the disease is
very likely to be caught by other persons in the some house,
whereas when cases are removed within the first day or
two of the appearance of the rash, almost invariably no
second case occurs. In this instance two other cases, it
will be seen, were removed from the house on April 8th.
No. 57.—Case of T— H—, age 44, a labourer, employed by a
builder at Marvlebone. He was first taken ill on March
26th. A rash appeared on March 29th. The case was
diagnosed by the patient's private medical attendant on
March 29th, and removed the some day by the Metropolitan
Asylums Board to Rotherhithe. He had resided at the
house for some months. No previous case of illness had
lately occurred at the house, and I was unable to obtain
any evidence as to the source of infestion. The patient
had been vaccinated in infancy, but never re-vaccinated;
No. 58.—Case of S— E—, age 41, a married woman, no occupation,
residing in the Grove. She was first taken ill on
April 8th, when it was noticed by the Public Vaccinator
who called to examine her arm, which he had vaccinated,
that she had a rash. The case was diagnosed by him as
variola on the some day, and she was at once removed by
the Metropolitan Asylums Board to Rotherhithe. She
had resided at the house for some years. The son of this