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66
the London County Council, was called in to examine number 33
above, and he considered this case was still infectious. The
patient was notified and removed.
If these four cases be due to the father visiting the institute
off the East India Dock Road, then 24 patients (15 inside and
9 outside the Borough) contracted the complaint from the first
case removed from the institute.
(35) April 17th. Female, aged 15 months, unvaccinated until
after infection, Augusta Street. Daughter of patient removed
from same house on 5th April.
(36) April 20th. Male, aged 41 years, Upper North Street,
father of patient removed on 6th April from Eastward Street (a
relative of the Castor Street case). This Upper North Street
patient died from confluent small-pox. Vaccinated in infancy
only.
(37) April 21st. Male, aged 12 years, Eastward Street, unvaccinated
until after infection. Second case in house.
(38) April 21st. Male, aged 2 years and 3 months, Eastward
Street, unvaccinated until after infection. Third case in house.
These two patients make thirteen cases (two outside the Borough
and 11 within) due to the first case in Castor Street.
(39) April 22nd. Female, 11 years, Tetley Street, unsuccessfully
vaccinated in infancy. No history as to infection.
(40) May 3rd. Male, 22 years, Tidey Street, well vaccinated
in infancy and stated to have been re-vaccinated at 9 years of
age. An exceedingly mild benign discrete attack. The disease
was of so mild a nature it was difficult to diagnose. Together with
Dr. S. Bingham, the London County Council expert, I examined
the patient.
The patient was a carman engaged in delivering coals and stated