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16
Of the thirteen cases between 30 and 60 years of age, all had been vaccinated
in infancy, none had been re-vaccinated. Two have since died.
Of three cases above 60 years of age, all had been vaccinated in infancy, none
had been re-vaccinated, two have died.
The total number of cases is thirty-seven, of whom eight have died.
I at once communicated with the Medical Superintendent of the Infirmary and
obtained a list of people who had come in contact with the patients, as well as others
connected with the Infirmary who may have been exposed to the disease.
I found that persons from sixty-eight houses in the Borough visited patients
in D 12 ward during the time that the Small Pox patient was lying there.
The inmates of these houses have been visited daily ; one case was discovered
as the result of such visits on February 25th.
There were visitors from forty-five houses resident outside the Borough. I have
communicated these addresses to the various Medical Officers of Health of the
districts as well as to the London County Council.
There were about sixty patients in the ward. The home addresses of these
patients are visited daily.
Sixty-five patients who were discharged from the Infirmary since February 5th
have been visited daily and examined. Mrs. Eugenie D. was one of them.
There are also sixty-five officers working in the Infirmary who are not residents.
These premises are also visited daily.
There are thirty-five school children absent from the three schools which have
become infected. I have also visited these, and kept them under observation.
There is a history of a number of other persons who visited the Infirmary from
the Workhouse ; I have no control over these.
I have been in frequent communication with the Local Government Board on
the matter, and I have seen Dr. Sweeting on several occasions. I have also received
assistance from Sir Shirley Murphy and his two assistants, Drs. Hamer and Wanklyn,
especially in tracing the contacts. In fact, practically all my inspectors, the thirteen
Sanitary Inspectors of the London County Council (who worked under my direction),
Drs. Hamer and Wanklyn and myself visited all the known contacts on Saturday
last. The County Council Inspectors were especially engaged in tracing and examining
the contacts living outside our Borough.
The work of tracing contacts has been a very arduous one. A large number of
the contacts had either given false addresses or had moved. It is essential that they