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"The Vaccination Officer and Public Vaccinator were immediately
communicated with, and the tenant Landlady, together with her three
children, were at once re-vaccinated, and the children excluded from
School.
"A visitor to the house, a resident in West Ham, who was present in
the house, was also re-vaccinated, and two other visitors from a house in
Sussex Street, Poplar, were re-vaccinated.
"The elder daughter of the landlady was employed in a City factory.
"The Medical Officers of Health for the City of London, and the
Boroughs of Shoreditch and West Ham, were immediately communicated
with by telephone and letter respecting the case and the contacts residing
or employed in their respective districts.
" The firm where the elder girl was employed, upon being communicated
with by the Medical Officer for the City, stated they would not
permit her to return to work for a fortnight and probably longer as work
was slack.
" As soon as possible all the inmates of the house were bathed at the
Council's Shelter and their clothes disinfected ; the patient's room with
contents was disinfected and the walls of the room stripped and limewashed.
"The washing on the premises, received from a person outside the
Borough, was taken away and disinfected at the Council's Station.
"The houses in Naval Row and Sussex Street were visited by the
Sanitary Inspectors for sixteen days after the removal of the patient to
enquire whether all the inmates where in good health. Happily no further
cases have occurred.
"The house appeared to be a resort of seamen, the landlady stated
she took in seamen lodgers, but gave the Medical Officer no coherent
statement. The Public Health Department of the London County
Council was immediately communicated with as it was stated the premises
were not registered as a seamen's lodging-house.
"The landlady stated she was without means, and was therefore
referred by the Medical Officer of Health to the Poplar Board of Guardians.
"The Medical Officer of Health states that there is no enactment
which empowers the isolation of contacts, and maintenance of contacts .
by the Council, but the Local Government Board has stated that whenever
maintenance by the Council is carried out upon the recommendation
of the Medical Officer of Health such a procedure must be at once fully
reported to the Local Government Board and reasons given why the
Medical Officer of Health has recommended maintenance. For reasons