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children. Mrs. B. was vaccinated in infancy. She was notified as
suffering from smallpox on the 27th February, and was removed
to hospital on that day.
Case 3.—Arthur B., son of the last case, age 20 years, single,
a tinsmith, and living with his parents at 101, Chapman Road.
He was vaccinated in infancy. He was notified on the 27th February,
and was removed to hospital on that day.
History of the Cases.
Mrs. L. (Case 1) fell ill on the 22nd February, the characteristic
rash appearing on the 24th February. On the 25th she was seen
by Dr. Turtle, who notified her on that date as suffering from smallpox,
and she was immediately removed to hospital. On enquiry
I learnt that Mrs. L. had been discharged from Whipp's Cross
Infirmary on the 11th February, where she had been under treatment
for two weeks. She had, prior to admission to that institution,
lived at Leyton, and whilst she was in the Infirmary her family
had moved into Hackney to 39, Berkshire Road. The same evening
after the removal of Mrs. L., I visited 39, Berkshire Road, and saw
all the occupants. These all appeared in good health. I was informed
that Mrs. L. had a sister living at 101, Chapman Road, and another
sister at 100, Chapman Road, this latter having charge of two of
her children.
On enquiry of Mrs. L.'s sister at 101, Chapman Road, on
February 27th, whom I found in good health, I was informed that
a Mrs. B., occupying another part of this house, was ill. I requested
permission to see her. This was granted, and she informed me she
had seen her doctor that morning at his surgery as she was feeling
ill, and he had sent her home, advising her to go to bed, as she was
suffering from a severe cold, which would turn to pneumonia if
the did not follow his advice. I found she was really suffering from
mallpox, it being probably the first day of the characteristic
eruption of that disease. I notified the case (Case 2), and had her
immediately removed to hospital. Whilst pursuing these enquiries
I 2