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15
tion. All the patients, attendants, and orderlies in "H"
Ward, together with the ward cleaner, porters, laundry
hands, etc., engaged at the Hospital were vaccinated or
re-vaccinated. None of the contacts developed Smallpox.
Particular attention was paid to the Common Lodging
House at which Case No. 2 was found, and I visited the
premises at night on May 17th, 1928, in company with the
Public Vaccinator. I examined the lodgers (45) and vaccination
was offered in each case. Only nine -of the contacts
agreed to be vaccinated, and the remaining 36 refused. Of
this latter number, 17 had been vaccinated in infancy, but
the remainder had been vaccinated several times, either
during the late war or more recently. The inmates of this
lodging house and the lodgers in the one other Common
Lodging House in the borough have been kept under daily
observation. No one has been admitted to the premises
at which Case No. 2 resided, and it is satisfactory to record
that only three men have left since the cases were notified.
The bedding used by Case No. 2 was destroyed. No further
cases arose at the lodging house, and it is probable that the
man (Case No. 2) was admitted to the hospital before the
infectious period occurred and, similarly, was not infectious
when discharged.
With regard to the suspected case a list of contacts was
prepared immediately, and notifications sent to the Medical
Officers of Health concerned. The girl in question was
employed in a laundry and I communicated with the proprietor
on the morning of the girl's removal to hospital.
I informed him of the case and suggested, as a matter of
precaution, that the girl's fellow employees should be
advised to be vaccinated or re-vaccinated. Sixty-one girls
were found to have been in contact with the suspected case,
and of this number forty-four were vaccinated or revaccinated.
The remainder had been vaccinated in infancy
or later, but were not re-vaccinated. The total number of
contacts in connection with the outbreak amounted to 212.
Approximately 700 vaccinations and re-vaccinations
have been carried out by the Public Vaccinator in the
Borough between May 15th and June 13th, and 133 by the
Medical Superintendent of the Kingston & District Hospital.
Remarks.
The six cases at the Kingston & District Hospital were
confined to "H'' Ward and, as no further cases have been
notified from the Hospital, it would appear that the outbreak