London's Pulse: Medical Officer of Health reports 1848-1972

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Wandsworth 1903

[Report of the Medical Officer of Health for Wandsworth, Metropolitan Borough]

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36 Report of the Medical Officer of Health.
(5). Female, aged 4, unvaccinated in
fancy.
(6). Female, aged 2, unvaccinated in
fancy.
(7). Female, aged 1, vaccinated.
DOWNSTAIRS—(1). Male, aged 33, vaccinated in infancy.
and re-vaccinated several times in
adult life.
(2). Female, aged 32, had Small-pox when
8 years of age.
(3). Male, aged 6, vaccinated in infancy.
(4). Female, aged 4, vaccinated in infancy.
(5). Female, aged 1¼, vaccinated.
On Tuesday, the 8th December, owing to information
received from a medical practitioner in Lambeth, I visited
the premises with Dr. Atkinson, and examined M. W. and
A. W. We found both suffering from an illness resembling
Small-pox. In the case of M. W. only a few spots were
visible and these were very indefinite. The eruption in
A. W. was like Small-pox, but in view of the history of the
previous case we did not consider it justifiable, without
further examination, to notify the cases as Small-pox. The
first symptoms in the case of the father were stated to have
arisen on the 26th November, and in the case of the child
on the 28th November. The other children were advised
to be vaccinated, but the parents would not consent. I
took the opportunity of examining M. W., the case notified
on the 2nd November, and found that the scars left were
very distinct and pitted, more like those left by Small-pox
than by Chicken-pox eruption.
The cases were kept under observation and confined to
the room, the medical attendant promising to report to me
if any further development occurred.
On the 23rd December I was informed by him that the
two remaining unvaccinated children, W. and A., were suffering
from Confluent Small-pox. They were at once removed
to hospital, the whole house, bedding and personal
clothing disinfected, and the rooms were afterwards
thoroughly cleansed.