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medical inspection (together with re.vaccination of " con.
tacts.") The staffs at the Workhouses and Infirmary were
all re.vaccinated as required.
6. In four instances Common Lodging Houses in Lambeth
Borough were infected, and in each case, by prompt isola.
tion of the patient, followed by the disinfection of the inr
fected bedroom (or cubicle) and the bedding, etc., the
disease was arrested and its extension prevented. The in.
spected common lodging.house was in each case visited
daily for a period of 16 days after removal of the patient
and disinfection, and any case of illness amongst the in.
mates at once investigated medically. No closing of a
common lodging.house nor compulsory keeping indoors
of the inmates have been rendered necessary, daily en.
quiries on the premises being found to be all sufficient.
The different Workhouses were advised whenever a com.
mon lodging.house became infected. Rowton House, in
Vauxhall, was carefully watched during the outbreak, and
in only 4 instances became infected (in each case the in.
fection being limited to the notified infected person). The
usual precautions were also taken in these cases, and in
this connection it may be mentioned that the Manager
courteously assisted at all times the Borough Officials. The
comparative freedom of the Vauxhall Rowton House com.
pared with other Rowton Houses in other Boroughs is
cause for congratulation, more especially remembering the
numbers of inmates and the natures of their occupations
taking them all over London.
7. Tenemented blocks were infected on 20 separate occasions,
but in no single instance did the disease spread from the
particular tenements infected to neighbouring tenements.
The usual precautions were taken.
8. 4 shops, 3 dining.rooms, and 6 public.houses were infected
during the epidemic, but in no single instance did the
disease spread. The usual precautions were taken, and in
no case was the business interfered with.
9. Infected clothes and carpets appear to have caused the
disease in Lambeth Borough in 3 instances—in 2 from
outside districts (wearing apparel and carpets), and in 1
in Lambeth through the medium of washing underclothing
infected from a case of Smallpox. Bearing in mind the
actual danger that exists of Smallpox spreading through
the sorting or washing of infected clothes, careful en.
quiries have been made in each notified case of Smallpox