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64
The patients were sent to Hospital on the following days relative
to the appearance of their rashes:—two days before, 1; on actual
day, 2; two days after, 4; three days after, 3.
The number of contacts notified by outside authorities was 107
as compared with 134 in 1931.
A total of 265 visits were made by the Medical Staff and 830 by
the Sanitary Staff in connection with Smallpox.
HOSPITAL TREATMENT OF SMALLPOX.
Twelve cases of Smallpox were admitted to your Smallpox
Hospital (10 from Walthamstow and 2 from Leyton) and seven
observation cases. All observation cases were vaccinated either
immediately before or after admission, and two cases, after showing
evidence of the successful vaccination, were nursed with definite
cases of Smallpox in the general ward without any ill effect.
The average stay in Hospital was 18.3 for actual cases, 9.6
for observation cases and 15.1 for all cases.
No case caused any real anxiety. The worst case clinically—
the case which had been admitted to Hospital during the prodromal
illness and two days before the appearance of the eruption—had a
temperature of 103.2° on admission. A profuse eruption appeared
subsequently and over 400 pustules were counted. In spite of the
intensity of the rash the patient only required detention for 29 days.
During the year your Council received enquiries from two
other Authorities as to the reception of cases of Smallpox from their
Areas. These Authorities, however, continued their arrangements
with the Orsett Joint Hospital Board. Later, however, an agreement
was reached with the Corporation of Leyton for 6 beds to be
retained for the use of Smallpox patients from their area at a
retaining fee of £100 per annum and a maintenance charge of £6
per patient per week.
The Hospital was closed from the 15th March to the 27th May
and again from 16th June till 11th July, when it was re-opened
for the admission of a Leyton case, and again from the 3rd August
till the 2nd December when it was again re-opened for the admission
of a Leyton case which was discharged on 23rd December.
As in previous years the Hospital was staffed and maintained
from your Council's Infectious Disease Hospital and acknowledgment
must again be made to the Matron and Nursing Staff for the
continued efficiency displayed.