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8
A Local Government Board Inspector came down to enquire
into the cases of Small Pox, and the efficacy with which
vaccination was carried out. He consulted with the vaccination
officer and myself, and impressed on the former the
necessity of using all means to secure vaccination of friends
and neighbours of those attacked with Small Pox.
4. With one exception all the cases were removed to the
Small Pox ships. Besides the usual measures of disinfection,
the rooms where the cases occurred were stripped, re-papered,
and lime whited at the Vestry's expense. In most cases the
other inmates of the houses were re-vaccinated. All the
inmates of the workhouse and infirmary were re-vaccinated.
In one case the friends refused vaccination; the sister went
to the Hospital Ship to see the first patient and caught the
disease. In no other case was there any spread of the disease
locally, except in the workhouse. Two cases died, one of
whom was unvaccinated.
Scarlet Fever.
5. There were 323 cases notified, compared with 61, 584,
527, and 480 in the four years preceding. This shows a steady
decline since the outbreak of 1892; 194 went to Hospital;
this is nearly two-thirds of the whole; more would have gone
but for the fact that owing to prevalence of the disease in other
parts of London the Hospitals in the autumn were overful.
There were 10 deaths, 4 at home, and 6 at Hospital, giving a
death-rate of 3.0 both at home and in Hospital. The deathrate
has declined each year in the past two years, and the
Hospital rate which in 1893 was twice as high as the rate at
home, has become the same as at home.