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Case No. 1 was first brought to my notice on May 16th,
1928, when I visited the Hospital during the afternoon of
that day, in response to a request from the Medical Superintendent.
I examined the patient and diagnosed the case
as one of Smallpox of moderate severity, this being confirmed
later by the Acting County Medical Officer of Health
for Surrey, who saw the patient, with me, between 5 and
6 p.m. on the same day. As will be seen in the tabulated
statement of cases, this man fell ill on May 12th, and the
rash appeared on the following day. He had been admitted
to the Kingston and District Hospital from Teddington on
April 6th, 1928, suffering from retention of the urine and
enlarged prostate. "H" Ward was visited on the following
days, and Cases Xos. 3, 4, 5, 6 and 7, all of whom
had not complained of illness, but were each found to have
a very mild rash on the face, forearms and legs, were
diagnosed as cases of Smallpox on May 17th, 18th and
19th. Cases Nos. 6 and 7 were admitted to the Kingston
and District Hospital on May 4th, 1928, and May 14th, 1928.
respectively, but Cases Nos. 3, 4 and 5 had been in-patients
for very considerable periods.
Case No. 2.
This case arose in connection with a visit to contacts
recently discharged from "H" Ward of the Kingston and
District Hospital. The man was admitted to the Hospital
on April 20th, 1928, and on his discharge on May 12th he
returned to a Common Lodging House in Kingston, where
he resided for about a month prior to his admission to the
Hospital. I visited the Common Lodging House on the
morning of May 17th and found clinical evidence that the
man had had a mild attack of Smallpox. Inquiries elicited
the fact that he felt ill on April 20th, was admitted to the
Kingston and District Hospital the same day, and had a
rash on April 22nd.
It appears that the rash was noticed but thought to be
due to Iodide which was contained in the medicine he was
taking.
Suspected Case No. 1.
On May 19th I was called to see an unvaccinated girl
aged 15 years at the surgery of a local medical practitioner.
The girl had a rash on her face, and after consulting with
the Acting County Medical Officer of Health, who saw the