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27
Sanitary Report. 1893.
had to be isolated in his own home under great
difficulties. No actual proof of origin could be found,
but he was a member of the Salvation Army and had
been attending their meetings at Notting Hill. The
second case, an unvaccinated child, was found to have
been visited, contrary to express instructions, by
people from the first case; it proved fatal. The child
could not be removed to Highgate, their rule being
not to receive cases under seven years of age. Two
other cases occurred in the same locality. There
was, a little later, small pox in another part of the
district with a distinct origin. This was due to the
fact of a young man living in Islington being sent to
his mother's house in Willesden, because of illness
which soon proved to be small pox; a lodger in the
same house took it. There were other cases, the
origin of which I was unable to trace. The second
outbreak was in November, all the patients living in
the southern boundary of the parish. There had been
several cases of small pox in the Metropolis adjoining.
The otdy death was the unvaccinated child above
mentioned; the other cases, as far as I have been able
to ascertain, were not of a severe character, and had
all been vaccinated in early life but not since. As
each case occurred I strongly advised all the other
inmates of the house to be vaccinated, and second cases
only occurred in those instances where persons refused
to be done. In several cases the vaccination marks
covered a good-sized area, and the cases were very
slight.
Many of the cases were removed to the Highgate
Small Pox Hospital, but the expense attending it—
seven shillings a day for each patient—and the rule
not to admit any patient under seven years of age,
made it imperative for the Board to provide accommodation
of their own, which was done in the spring
in tents, and subsequently by an iron building on the