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22
The women who had worked at Earl's Court with the
first patient were all vaccinated and kept under observa
tion but none of them contracted the disease.
None of the refugees at Earl's Court showed any signs
pointing to a recent attack of the disease and no subsequent
case occurred among them. As there were
some 1800 refugees, many unvaccinated or imperfectly
vaccinated, living in close association at Earl's Court at
the time, it does not seem possible that anyone of them
could have been in an infectious condition without
spreading the disease, and it is probable that the charwoman
came in contact with some infected rag or
article of clothing which was destroyed as soon as
it left her hands.
It may be mentioned that a stewardess on one of the
boats plying between Flushing and Folkestone was
infected by smallpox about seven days before the woman
at Earl's Court, the rash appearing on January 24th.
Primary Vaccination.
The following table furnished by Mr. Davies, Vaccinator,
gives the returns for 1914 :—

There was a further increase in the numbers of unvaccinated
children, 21 per cent, being exempted by
statutory declaration of vaccination objection against.
20 per cent, in 1913, and 35 per cent, of those born in
1914 remain unvaccinated.