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taken ill on July 20th, the rash appearing on the 22nd. The disease was of
a mild character, and he had been out "every day since the onset. On the
22nd, he went to see his doctor. The doctor afterwards admitted that K.
had a rash when he saw him on the 22nd, and his temperature was above the
normal; the doctor thought the rash was that of Chicken Pox- The doctor
saw him again on the 25th, '26th, and 30th. Fortunately, on each occasion
there was no other patient in the waiting room. I caused him to be removed
to the Small Pox Hospital immediately, and all steps were taken to disinfect
the premises and ascertain the names of persons who had been in contact
with him. The latter were kept under observation until the incubation period
had expired.
It seems that on July 12th L. called at a barber's shop to have
his hair cut, but the barber refused to do so on account of the rash on his
face and on his scalp. The barber's premises are situate next door to the shop in
Cobb Street, where it is known the first person who was notified called on
July 10th (A. of St. Pancras). It is possible that A. called on July 12th
as well, as he was in the habit of buying articles at this shop two or three
times a week. It is not known whether G.S.B. (case No. 4) called at the shop
in Crispin Street. It is quite possible that he did. B. died. He worked
near by and he was in the habit of going out at lunch time and may have
possibly called for a cup of tea, or tobacco.
As far as I was able to discover, Mrs. G. (case No. 2), had no connection
with L. except that she walked throuth Houndsditch on going to, and returning
from business, and L. was often in Houndsditch. L. went to the London
Hospital in a tram-car on July 4th, but he is positive he was the only passenger.
The contacts were kept under daily observation and the proprietors ot
the factory next door to the shop in Crispin Street promised to let me know
whenever any of their employees were away through illness. In this, it was
hoped that further cases from this source would be immediately discovered,
and steps taken to prevent the spreading of the disease. L. and K.
were in the streets when in a most infectious condition-
On August 8th, a doctor reported a suspicious illness at Dunstan Houses,
Stepney Green—Aaron L., aged 7. His mother, Mrs. L.,was taken ill on July
22nd, and a rash appeared on July 28th. The patient kept a fancy goods stall on
the Mile End Waste, and was in the habit of buying goods at the shop in Cobb
Street (mentioned above), as well as at shops in Houndsditch. She was attended
by a doctor on July 22nd, 23rd and 24th, but the disease was not correctly
diagnosed. She attended the London Jewish Hospital on July 26th and 31st,
when the rash was thought to be that of Chicken Pox. On August 5th,
the son, A.L., aged 7, was taken ill, the rash appearing on August 8th- Both