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33
dition as regards vaccination compiled, and the manager requested
to give information as to any employee absent through illness.
The patient was then at work, but had evidently been infected
for many days. The manager did not connect his absence on
September 11th from a "strained back" with Small-pox, and
although the laundry had been visited daily since September 10th,
the fact that the patient was ill was not known to me until the 14th.
The Public Vaccinator has not called at the laundry either
before or since the patient was removed, as only one of the staft
has agreed to be vaccinated on this occasion; a considerable
number of the staff, however, have been vaccinated fairly recently,
thus the five employees living in Walthamstow who are considered
likely to have come into contact with the patient at his
work have all been vaccinated between 1914 and 1917, and this is
the case with a large number of the employees.
The Hackney case was notified on September 14th, and
removed to Hospital, on the same day the home contacts
were vaccinated by the Public Vaccinator at the Hut and at a
house in an adjoining street. Also on the same day the contacts
at No. 8 Hut, after being vaccinated, were -removed to the
Isolation Shelter, and disinfection of the Hut and contents and the
neighbouring house was carried out. Hut No. 8, after disinfection,
was thoroughly washed down and cleansed, the occupants
returning on September 17th.

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