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they had come from an infected house in Westminster on 1st November, where
5 other cases had occurred; 4 relatives of this family living in M — Mews
became infected and were removed to hospital.
J— L —, a greengrocer working in these Mews and residing at S — Street,
contracted the disease; this patient was the link that illustrated how the
disease may be spread from one family to another, although total strangers to
each other.
S— L—, sister of the above J— L—, was removed from the same address
as her brother.
D — L—, an unvaccinated child, and nephew of J— L—, who had been
staying with its grandparents and uncle, became infected and was returned to
its parents at 24, C— Grove before the rash appeared, and its father became
infected ; a sister-in-law of the last patient living at the next house, 22, C —
Grove, became infected, and also persons named D— G -, father and son,
living on the first floor in the same house. After these last two patients had
been removed to hospital the wife, E— G —, and an infant three weeks old
left this address and went to live at B — H— Yard, where the baby died of
small-pox and the mother was removed to hospital.
R— G—, a sister-in-law of the last patient, residing at E— Street, became
infected, so did also C— M—, residing at A— Street, who is also a sister-inlaw
of E— G— and nursed her during her confinement at 22, C— Grove.
M — L—, who also visited the latter premises, was removed from Islington.
22, C— Grove became again infected when A— G—, brother of the first
patient, D — G —, was removed to hospital. The last patient in this group
was a child 13 months old, un vaccinated, daughter of the above C— M— and
niece of D— G—, of 22, C— Grove.
Not any of these patients would be revaccinated or allow their children to
undergo the operation.
The infection lasted over a period from 1st November, 1901, to 20th March,
1902, and comprised 24 cases, 7 of which were males, 10 females, and 7
children under ten.
(5) The R— S— Public House Group.—F — B— of E— Road was removed
to hospital on November 1st He was a customer at the above public house,
from where 3 cases were subsequently removed.
Twelve other cases were traced as having taken the infection directly or indirectly
from this house.
Six males, 8 females, and 2 children became infected in this group. The
infection extended over a period from November 1st to December 28th, 1901.
(6) The Smallpox Hotpital Group.—Owing to the want of accommodation
during the recent small-pox epidemic, the Metropolitan Asylums Board decided
to build additional hospitals at Long Reach, Darenth. The work was let out
to various contractors whose employees were the means of carrying the infection
to various parts of London and the Suburbs.
The first case traceable to this source occurred in St. Pancras on January 29th,
1902, and the last on May 7th.