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few cases arose when the number of unvaccinated contacts was
large. In both these institutions, however, a close supervision
could be exerted, and the clinical inspections enabled any incipient
case to be dealt with immediately.
On the 13th a case occurred in Coniston Road. This was a
woman and no history of any contact with a previous case could
be elicited, though there was probably some relation to the
Municipal Lodging House cases. On the 16th a case occurred in
Old Town in a male who had recently stayed at the Lodging House
and who was under supervision as a contact. By the use of the
method of daily supervision of contacts, 3 cases were found in a
family in Albion Street on the 21st; one of these worked in
the Public Laundry, and a case in Leighton Street East on
the 24th. A further case arose in Priory Road the next day, in
a girl aged 13 years who attended Rectory Manor School and whose
sister worked at the same laundry as the Albion Street case.
Examination of the children at this school by a Medical Officer
did not unearth any other cases in the school. On the 1st April,
as was expected, 3 more cases arose in the family in Old Town.
None had been recently vaccinated. Another case arose in Priory
Road (different house) on April 2nd. This case was said to attend
the same Mission as the Old Town case but no definite contact
was elicited. On April 4th a case was seen at an address in London
Road. This was a young lady working in a popular photographer's
in Church Street and no history of contact could be discovered,
though the inference that there was some relationship between the
previous cases in the Pitlake area was strong in view of the situation
and the nature of her work. The diagnosis in this case was
difficult and she was removed for observation to the Borough Hospital
on 4th April, being placed in a cubicle ward and all precautions
being taken in view of the possibilities. The diagnosis was ultimately
decided as Small Pox and she was removed to Clandon on
8th April, 1931.
Two further cases arose on April 7th in Leighton Street East
in unvaccinated children of the same family as the primary case,
and a school contact of one of these children living in Onslow Road,
was removed on 9th April. On April 11th I was asked by the
doctor concerned to see a lady in Park Lane who had visited one
of the cases removed from Old Town, the day before her removal.
This lady had been vaccinated two days later. She exhibited 3
very slight rash. I did not consider her a true case, but removed
her to the Borough Hospital for observation. The subsequent
history of this case seemed to prove that the condition was that
of Vaccinia.