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20
Small-pox Cases, 1911.
1. W. G. Landed at Tilbury May 6th, steward on the s.s. "Derbyshire," from
which vessel some cases of Small-pox were removed to London.
This man's name NOT included in list of contacts forwarded to
Medical Officer of Health. Rash about May 20th. Is said not
to have left house until June 5th, afterwards walked about freely.
No visitors. No doctor in attendance.
2. Miss G. Rash June 10th or 11th. Diagnosed by medical attendant as Chicken-
pox. Did not leave house for five or six days. Afterwards
no isolation.
3. Miss D.G. Rash June 25th. Medical Officer of Health called in consultation ;
found Small-pox. FIRST KNOWN CASE.
4. Mrs. T. Died June 26th. Death registered as due to Peritonitis. Spots
June 9th. Washing sent to laundry in Union Street; managed
by husband throughout illness. Husband and doctor at first
denied eruption. Both afterwards acknowledged that the woman
"was covered with scabs when she died." No doubt this case
infected cases 5 to 12.
5. E. J. Rash appeared about June 29th. Manageress of laundry.
6. A. 0. „ „ „ July 2nd. Engineer at laundry.
7. M. D. „ „ „ July 4th.
8. A.L. „ „ „ July 4th.
9. M. McD. „ „ „ July 6th.
Workers at laundry, Union Street.
Discovered by Medical Officer of
Health when he visited the
premises.
10. A. C. Maid at Mrs. T's. Rash appeared about July 4th or 5th. Discovered
by Medical Officer of Health.
11. Mrs. W. Sister-in-law of Mrs. T. Rash appeared about July 6th. Visited
T's June 21st and 23rd.
12. E. A. Lived next door to Mrs. T. Rash appeared about July 6th. Knew
the T's. Mr. T. slept with him on day of wife's death. Had
made enquiries at house. Discovered by Medical Officer of
Health.
13. T. W. Lived at 5, St. Mary's Street, five doors away from Mrs. T. No
known contact. Rash appeared about July 5th. Source of
infection not accurately determined.
The connection between the first three cases and the remainder has not been traced,
but since the G. family and Mrs. T. lived about 50 yards apart (though not in the same
street), and since cases 1 and 2 were never isolated, properly speaking, and after a short
period mixed promiscuously with other people, and no other cases were known in the
Borough or vicinity, it is only reasonable to suppose that these cases are associated,
though the exact association is not clear.
The cases on the s.s. "Derbyshire "and" Omrah" afford striking illustrations
of the manner in which the infection of Small-pox may be introduced to this country
by a person either suffering from Small-pox, which is either not recognised or who is