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The first case was that of a sailor staying at the Home for
Asiatics in the West India Dock Road. He was probably not
vaccinated. Of the remaining six, five had been vaccinated in
infancy, and, as their ages show, had passed more or less beyond
the limit of protection afforded by the primary vaccination.
The remaining case was that of an unvaccinated person. The
cases occurring at 91, Maroon Street on the 25th June were,
no doubt, due to infection from the case that occurred in the
same house on 12th June. The origin of the remaining cases I
was unable to trace. All the patients were removed without
delay to the Hospital Ship, the Vaccination Officer in each case
communicated with, and the usual precautions taken against the
spread of the disease.
scarlatina.—The corrected number of deaths was 14,
the annual average number for the last ten years being 23.6.
Three hundred and forty-five cases were notified, of which 229
were removed to Hospital. One hundred and ninety-seven
occurred in Limehouse, 74 in Ratcliff, 68 in Shadwell and
Wapping, and six in the East London Hospital for Children.
The disease appears to have been of a mild type, the mortality
being but 4 per cent. of the seizures.
Diphtheria.—The corrected number of deaths was 35,
the annual average for the last ten years being 29.4. Two
hundred and sixty-five cases were notified, of which 157 were
removed to Hospital. One hundred and sixty-four occurred in
Limehouse, 51 in Ratcliff, 47 in Shadwell and Wapping, and
three in the East London Hospital for Children. Of the seizures
13 per cent. terminated fatally. This is a low percentage, and
is probably due to the improved treatment by serum.