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received, the hospital being full. Of the 250 deaths 99 occurred
amongst the vaccinated, 58 amonst the "doubtful," and 93
amongst the unvaccinated cases, the mortality per cent. being 7.3,
31, and 44.2 in the three classes respectively. Among the
discharges were 499 convalescent cases transferred to Deptford
en route for the Convalescent Camp at Darenth. The scheme of
drafting convalescents to Darenth came into operation May 14th,
with complete relief of pressure, no cases being refused after it
came into working order. "Of what great practical use this plan
was is shown by the consideration that in spite of the constant
drafting of convalescent patients to Darenth at the average rate of
35 a week, the numbers in the hospital remained above 250 until
July 6th, and that no pressure was felt in June, although no less
than 327 cases of Small-pox were admitted during that month."
April, May, and June constituted the period of maximum
activity as regards admissions. In April 296 cases were
received from 21 Parishes and Unions and 355 cases were refused
admission for want of room, as before stated. The maximum
number was reached on April 26th (309). Kensington contributed
the largest number of cases (275), Islington coming next
(259) with, moreover, the largest number of deaths (43).
Pancras sent 100 and Holborn 168: but these and other
contributory parishes sent patients to other hospitals; Holborn, for
instance, sent some 178 patients to other hospitals making a total
of 346, whilst Islington and Pancras, had also tent hospitals of their
own. Fulham sent in 247 patients, and Chelsea 176: thus the
cases from the "Borough of Chelsea" were 698, or 36 per cent. on
total admissions. There was an almost complete immunity from
death amongst the well-vaccinated cases: of 120 vaccinated children
under 10 only one died, although the vaccination was imperfect in
117. The majority of the vaccinated were attacked between 15
and 20, at an age, therefore, when the influence of primary vaccination
had worn out: successful re-vaccination would have saved
the sufferers from attack.
At the same age, 15—20, the attacks were most numerous amongst
the unvaccinated also, but whereas, the mortality was very low
amongst the vaccinated it was very high amongst the unvaccinated:
the total mortality in the unvaccinated was six times that of the
vaccinated. Of 14 unvaccinated infants under one year 7 died,