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four marks, two had each two marks, one had no marks, and in
the others there was no evidence as to the existence and
number of marks. In two cases no information was obtained
as to vaccination and two were stated not to have been
vaccinated.
All the patients were over 10 years of age except the unvaccinated
infant and one boy of seven years. One
unvaccmated case was 10. One was 13 years old, two 19, and
the remainder over 20. None had been revaccinated, thus not
a single one of the cases had been vaccinated within 7 years
previously to infection and only one within ten years.
27. With three exceptions the infection did not spread to
other persons in the same house ; the exceptions were :—
(1) The boy of seven who had not been re-vaccinated owing
to the Local Government Board regulations for public
vaccinators ; (2) A woman who refused re-vaccination; (3) A
baby who was vaccinated six days after infection and had a
very slight attack.
All the cases were removed to the Asylums Board Hospitals
within a few hours of the notification being received.
28. The following were the sources of infection of the 21
cases of Small-pox as far as known; in four the infection
probably was contracted in Bast Ham; in two in Erith; one
from Grays, Essex; one in Whitechapel; one in a railway
train; and one from disinfecting infected rooms (a man who
had neglected, after warning, to get revaccinated); and three
from previous cases in the district.
29. The remainder of the history of the present epidemic
will come into my report for the current year, but I may add
here that the principal lesson that the epidemic has taught is