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19
SMALL-VOX.
Case No. 12.—A. B. S., m., 39. Date of onset uncertain, probably 13th November; rash out
late on 16th November; to hospital 17th November. Patient a cabinet
maker, working in Westminster; vaccinated in infancy only.
Nothing is known of the origin of this case.
Case No. 13.—G. L., m., 16. Onset probably 23rd December; rash out 26th December; to
hospital 27th December. Patient a barman; vaccinated in infancy only.
Symptoms severe.
Case No. 14.—J. H., f., 21. Onset probably 23rd December; rash out 26th December; to
hospital 27th December. Housemaid; vaccinated in infancy only.
Symptoms slight.
These two cases were from the same establishment. The origin of the infection has not been
traced. The whole household, with the exception of three persons (two being the patients), had
been revaccinated in the preceding October or November. The patients were from the same
district of Norfolk, and associated with each other a good deal. Their movements when out could
not be accounted for.
Case No. 15.—W. H. M., m., 45. Onset 24th December; rash out 27th December; to
hospital 28th December. Patient an omnibus conductor; vaccination
history not known.
Patient felt too ill to work on 24th December, but did one journey on 25th. The origin of the
case has not been traced, but his occupation involved his exposure to chance infection. This
case terminated fatally in January of this year.
Up to the close of the year the efforts of the Department have been very successful in
preventing the occurrence of secondary cases—that is, in limiting the incidence of the disease to the
first case in each household. There was really only one secondary case, viz., that of L. L.
(Case No. 11), as the group comprising Cases Nos. 7, 8, and 9 was due to an unrecognized primary
case which never came under the cognizance of the Department.
In addition to the cases actually recorded in the Borough, information was received of five
cases, having associations more or less close with the residents of the Borough.
(a) Case reported from Wendover, Bucks, on 11th February.
Patient a lady, E. M., left Paris 22nd January; stayed in Paddington 23rd to 28th; then to
Wendover.
(b) Case reported from Wandsworth, on 29th June.
Mrs. B., a lady of independent means, came to this Borough at the beginning of May. Shortly
after her arrival she went to stay with friends at Streatham, and while there her host (Mr. W., just
home from Paris) died, the certified cause of death being "acute nephritis," but the disease was
almost certainly hsomorrhagic small-pox. Mrs. B. came back to Paddington on 15th June, and,
feeling ill, left for Coventry on the 21st. She was transferred to the small-pox hospital of that City
on the 25th of the same month.
(c) Case reported from Kensington, 13th September.
At the end of August and beginning of September 4 cases occurred in a family named C-,
residing in North Kensington. Inquiry led to the discovery that one member of the family, a lad,
C. C., had been ailing during the second week of August. Although laid up for a day or two he
did not see any medical man. He was at that time employed at an eating house off Regent Street.
The boy's face and body being always more or less " spotty " from acne, no particular attention was
paid to the "spots" which came out when he was ill. He subsequently took a place at an eating
house in this Borough, but did not give rise to any cases here.
(d) Case reported through Asylums Board, 12th November.
F. Gr., m., 11 years, was removed to South-Western Fever Hospital from Paddington on 25th
October, and transferred to the "Ships" on 11th November, ill with small-pox. There had been a