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but did not seek medical advice till November 18th,
when they visited University College Hospital, travelling
by rail from Clapham Junction to Waterloo, and thence
by omnibus. At the hospital the disease was at once
recognised, and the patients promptly removed to the Small-pox
Hospital. On visiting their home, 1 ascertained that
Nos. 8 and 9 were also suffering from Small-pox. No. 9 had
been ill since October 28th, but as the attack was very mild,
a doctor had not been called in. She had undoubtedly infected
Nos. 6, 7 and 8, but the source of infection in her own case
was not quite clear. Her father, however, had been working
in a street near Clare Market, whence several cases had been
removed, and it is possible that he had brought home some
infected article.
Group III. No. 10 was a young man employed in a
pawnbroker's shop, and was possibly infected at his place of
work, although this could not be definitely proved. This
patient infected Cases 18, 19, 20, 21 and 30.
Group IV. Nos. 12 and 13 were removed to hospital on
December 1st, the eruption having appeared on that day.
Upon enquiry, I ascertained that an old man, H. P., had died
three doors lower- down the street on November 15th, after
an illness of thirty hours. On November 16th his widow
removed to the house in which Nos. 12 and 13 were living,
her bedding, &c., being carried by T. C. (No. 23), who was
taken ill a fortnight later, his rash appearing on December 2nd.
The cause of H. P.'s death was given as "serous apoplexy,"
but after discussing his case with his medical attendant, after
the above cases had occurred, I have no doubt he died of
Small-pox.
No. 23 infected Nos. 31, 32, 39, 40, 41, 44, 46, and,
probably, Nos. 42 and 43.
No. 46 infected Nos. 52, 53, 54, 64, 68, 82, 83 and 84.
No. 82 infected No. 87, and No. 87 infected No. 94.
No. 42 infected No. 71.
No. 43 infected Nos. 51, 55, 56 and 60.