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93
On April 11th a case occurred in Albion Street next door to
the cases removed on March 21st. This patient had been ill a
week before advice was sought. On April 14th a school contact of
the case in Onslow Road was found at Wentworth Road. On April
23rd I was requested by the lady who had nursed the case in
London Road to call and see her. I did so and found her to be
suffering from the complaint. This person lived in Ashling Road,
Addiscombe. On April 22nd three cases were found in a house
in Pawson's Road through the agency of the following up plan and
the co-operation of the medical practitioner concerned, and the
next clay 3 more cases were removed from the same family.
Another case arose in Onslow Road on the 22nd in a member of
the same family as the case removed on April 9th. On April 24th
two children in the Leighton Street East family who had recently
been vaccinated, developed spots. The vaccination had taken. I
had them removed for observation to the Borough Hospital. One
of these children was the next day removed to Clandon as the rash
had increased but I am not of the opinion that these children had
Small Pox, but rather the modification thereof, known as Vaccinia.
On April 24th I was asked by the district Medical Officer to see
a case in Foss Avenue. This I diagnosed as Small Pox and had
her removed the same day. This patient was in a cubicle ward
at the Borough Hospital at the time when the ca-se from London
Road was admitted. She was then suffering from Erysipelas and
was discharged the morning after the admission of the latter case.
Although it is not possible entirely to discountenance the chance
of infection of this case whilst in the Borough Hospital the following
facts are against it:—
(a) The block in question is a "cubicle" Block, each cubicle
being entirely cut off from its neighbour.
(b) This block is intended to be used and is so used, for the
isolation of various forms of infectious illness, including
Measles, Mumps, Chicken Pox, Sleeping Sickness,
Cerebro-Spinal Fever, etc.
(c) The staff is specially skilled in the maintenance of strict
quarantine measures.
(d) The suspicious Small Pox case had her own nurse who
did not leave the cubicle in which she was, except to go
off duty.
(e) The strongest point against the infection being contracted
at the Hospital is that the interval between the possible
contact and the onset of symptoms in the Foss Avenue