View report page

21
The particulars of the two fatal cases are as follows :—
1. Male, 10 years, certified cause of death :
1 (a) Encephalo Myelitis.
(b) Smallpox
(Not vaccinated). P.M.
2. Female, 8 months, certified cause of death :
1 (a) Broncho-Pneumonia.
(b) Smallpox.
(Vaccinated after infection). P.M.
The condition as to vaccination of the 759 cases was as follows:—
Unvaccinated 653
Vaccinated after infection 11
Vaccinated more than 10 years previously 94
Vaccinated less than 10 years previously 1
(Pt. 8 years of age, vaccinated in infancy—one small scar.)
It was explained in the previous report that the work of contact surveillance had
begun to assume such proportions by the end of 1929 as to be difficult to deal with
by the regular sanitary and clerical staff.
During the year now under consideration the number of contacts under surveillance
was approximately 9,260. The work falling upon the Sanitary Inspectors
became so heavy that their routine duties could not be carried out satisfactorily, and
a temporary stall was accordingly appointed as follows :—
Mr. Barlow Commenced duty 2nd April, 1930.
„ Parkinson ,, ,, 10th April, 1930.
Miss Littlejohn (Nurse) „ „ 14th January, 1930.
,, O'Keefe (Nurse) „ „ 20th January, 1930.
„ Sumpner (Nura) ,, „ 10th March, 1930.
Mrs Campbell (Nurse) ,, „ 27th January, 1930.
In addition to the above named, temporary clerical assistance was required to
With correspondence relating to smallpox cases.
With the aid of this staff administrative measures were taken as laid down in
Ministry of Health Memorandum No. 71a/Med. It was not possible, however, to
persuade more than a small proportion of those who had been exposed to infection
to be Vaccinated.
It was Found that many persons who had been exposed to infection were
thrown temporarily or permanently out of work as an indirect result of these administrative
measures, and for this reason, among others, the Council at their meeting on
21st October requested the Minister of Health to approve the following administrative
procedure so long as smallpox retained its mild character:-
"Diagnosis.- The Medical Officer of Health or his Assistants to see any suspected
case when requested by a medical practitioner to do so, and to endeavour to see as
many as possible of all notified cases. (It is not always practicable for the Medical