London's Pulse: Medical Officer of Health reports 1848-1972
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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
City of London 1915
[Report of the Medical Officer of Health for Port of London]
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SMALL-POX. T
| Name. | Age. | Sex. | Date of Illness. | Date of Rasli. | Date of Infection. |
|---|---|---|---|---|---|
| C. L. | M. | 28th January | 14th January. | ||
| M. L. | 13 | F. | 11th 14th February | No rash | |
| Mr. L. | 40 | M. | 12th-14th | No rash | |
| P. L. | 8 | M. | 8th „ | 11th February | 28th January. |
| G. C. | M. | 10th „ | 12th | 29th „ | |
| M. L. | 4 | F. | 11th „ | 13 th | 30th „ |
| R. H. | 38 | M. | 11th | 13th | 30th „ |
| M. L. | 6 | M. | 11th | 14th | 31st „ |
| C. L. | 1 2 | M. | 12th | 15th | 1st February. |
It is seen from the calculated dates of infection—14 days after appearance of the
rash, that each case was infected before the illness of C. L. was brought to the notice
of the ship's surgeon and before segregation of the party of 10 was arranged for. The
2nd saloon accommodation formed the segregation quarters. C. C. was the 2nd saloon
barman, and R. H. a quartermaster, who had made friends with the children, so that
both of these men had been particularly exposed to infection.
T
| Name. | Age. | Sex. | Vaccination. | Nature of case. | |
|---|---|---|---|---|---|
| Primary. | Secondary. | ||||
| C. L. | M. | No ne. | Severe confluent. | ||
| M. L. | 13 | F. | ½ sq. in. | Sine eruptione. | |
| Mr. L. | 40 | M. | 1/8sq. in. | 1/8 sq. in. | Sine eruptione. |
| P. L. | 8 | M. | No ne. | Confluent. | |
| C. C. | 20 | M. | 2 sq. ins. | Mild, discrete, abortive. | |
| M. L. | 4 | F. | No ne. | Discrete. | |
| R.H. | 38 | M. | sq. in. | Severe confluent. | |
| M. L. | 6 | M. | No ne. | Severe confluent (died). | |
| C. L. | 1 2 | M. | No ne. | Hemorrhagica Pustulosa (died). | |
The vagaries of the disease as regards vaccination or want of it, are shown in the
case of M. L., aged four, who though of the same blood as the other unvaccinated
children and infected with the same strain of virus, presented a comparatively mild
attack. The case of R. H., who had to some extent outworn his immunity from Smallpox,
but in whose case I would have from the first given a prognosis of certain and
early death save for his childhood vaccination, has been further noted below. Otherwise
the epidemic assumed a character in accord with the protective effects of vaccination.
It will be noticed that of the party of ten persons the five unvaccinated took Small-pox
and two of these died ; of the five vaccinated, two only took Small-pox, the cases of
Variola Sine Eruptione.