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59
knowingly, associates with other persons without having his person
and clothes cleansed and disinfected to the satisfaction of the
Sanitary Authority, shall be liable to a fine not exceeding ,£20."
—[For, 26; Against, 16.)
9. "That, in the opinion of this Conference, Borough Councils
should be allowed to make provision for contacts for whom, they
may have no accommodation available in Their shelters."—[Unani.
mous.]
In connection with Resolution 1, an amendment suggesting that
the administration of the Vaccination Acts should be vested in a
Central Authority, so as to secure uniform and consistent action,
was lost by 26 to 16, and the resolution, as originally proposed,
was afterwards put and carried nemine contradicente.
Origins of the Smallpox Cases.
Each case of Smallpox, as it arose, was carefully investigated,
and traced, where possible, to its source. It is interesting to note
the following particulars as to sources of infection: —
1. Smallpox was introduced into the Borough from outside
sources on 154 separate and distinct occasions, viz. : —
Work.places outside 88, "contacts" with outside cases of
Smallpox 48, tramps 9, Smallpox Hospitals (Long Reach)
7, infected articles (wearing apparel and carpets) 2. The
outside sources are the City and other Metropolitan
Boroughs (Stepney, Southwark, Holborn, City of Westminster,
Wandsworth, Marylebone, St. Pancras, Battersea,
Greenwich, and Camberwell), St. Albans, Raynes Park,
Erith, Swanscombe, Maidstone, Chingford, Dartford,
Tottenham, Hertford, Hendon, and Hoxton.
2. Smallpox was spread within the Borough itself on 202
separate and distinct occasions, viz.:—Work.places in
Lambeth 27, "contacts" with notified Lambeth cases of
Smallpox 108, modified Smallpox unrecognised and treated
for some other disease 66, infected laundry 1.
3. In 49 cases (i.e., 12.1 per cent.), the sources of contagium
could not be satisfactorily traced.
Arising out of the above, the following remarks call for atten.
tion : —
1. The Metropolitan Asylums Board (as the Hospital Authority
for London) has done much good work in connection with
the removal to, and treatment in, Hospitals of notified