Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
[Report of the Medical Officer of Health for Woolwich]
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2. Locality.—Of the total of 245 cases, 70 occurred in
Woolwich parish, 169 in Plumstead, and 6 in Eltham.
3. Source of Infection.—Of the first 10 cases occurring in
the Borough, 4 probably contracted the infection in East Ham,
2 in Erith, 1 in Hackney and 1 travelling to Deptford
Altogether in 20 cases the infection was traced with some
probability to other districts, viz.:- 5 to Erith, 4 to East Ham,
2 to Dartford, 2 to Whitechapel, 2 to Edmonton, and 1 each
to Hackney, Gray's, Bexley, Stepney, and Islington.
In addition, 10 of the patients were employed at one of the
Asylums Boards Small-pox Hospitals, most of these being
workmen engaged in building the new temporary Hospital at
Long Beach.
Six probably were infected while travelling.
Of those who probably caught the infection in the Borough,
10 were persons who had been in contact with previous cases,
but whose existence or contact was either concealed or not
declared: of 43 others affected and known to have been in
contact with previous cases in the Borough:—
19 refused re-vaccination.
4 were vaccinated too late (i.e., after three days had
elapsed from infection).
20 caught the infection from cases which were not
notified until the secondary cases had occurred. The
cause of non-notification of the primary case was in
6 cases the exceeding mildness of the primary disease,
2 cases the primary disease considered to be influenza,
8 ,, ,, „ chicken-pox,
2 ,, ,, ,, acne,
3 ,, „ ,, confinement
and puerperal hœmorrhage.