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20
My experience of this epidemic bears out what has been
already taught that there are only two essential factors necessary
to produce an outbreak of Small-pox; these are the existence
of 1 or more centres of infection and the presence of a
susceptible population, i.e., one unprotected by vaccination or
previous Small-pox. Sanitary conditions, bodily health and
strength, conditions of mind such as fear, have little or
nothing to do with susceptibility to infection, though no doubt
they affect the tendency to recovery or death. In this,
Small-pox resembles Measles and Whooping Cough and
differs from Diphtheria and Enteric Fever.
18. Conclusion. In conclusion, I have to acknowledge the
devotion of the whole sanitary staff by which alone it was
possible to control the epidemic, and to thank especially Dr.
Thomas for his able assistance both in dealing with the
epidemic and preparing this report.
Dr. Thomas was appointed for 6 weeks at a salary to assist
me in dealing with the outbreak, but for 4 months since the
expiration of his office he has worked voluntarily on 2 or 3
days a week, without remuneration.