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33
is that afforded by a successful primary vaccination, whilst
many persons acknowledge that their re-vaccination " did not
take." This negative result of the operation was admitted in 62,
yet it was not possible to say of the remainder that they had all
been successfully re-vaccinated. Again in 86 individuals the revaccination
had been done within so short a period of the onset
of small-pox as hardly to be regarded as of any influence. In
point of fact there were only seven persons, all of whom had
discrete or mild attacks (including one " inoculated,") whose revaccination
had been effected within from three months to 14
days of the attacks. In the remaining 35 the re-vaccination in
several dated back for many years.
13. Lastly, it is not unlikely that, had Gloucester been better
equipped for the emergency, had its sanitary organisation been
more on a level with what should be the rule in cities of its
importance, the epidemic might not have attained such proportions.
Nevertheless, it must in fairness be remembered that
the hospital accommodation for infectious diseases at the time of
this outbreak was not actually inferior to that recognised as
normally adequate for a place of its size (one bed per 1000 of the
population), although I am far from thinking that in this matter
sufficient provision is generally made. A permanent building,
with a resident medical and nursing staff, ought to exist in every
sanitary area. In this case the exceptionally sudden outburst of
the disease, which spread with the violence of measles among the
young, rendered nugatory all the efforts of the authorities to cope
with it, and these very efforts to attempt general isolation, when
the means for such a measure became inadequate, led, unfortunately
to conditions that tended to neutralise the effect of the
extended provision which eventually was made."
Factory and Wokshops Acts.
The workshops generally in the six Wards have been
inspected, and most of the sanitary arrangements were found
to be satisfactory.
Notice was received from H.M. Inspector of Factories as to
the occupation of a new workshop.—On inspection, the
premises were found to be in a cleanly condition. The w.c.
accommodation for females at the Steam Laundry in Vauxhallbridge-road
was found defective and has been remedied.
Underground Rooms.
Notices were served in eight cases of underground rooms
being illegally used as sleeping rooms
C