View report page

78
into consideration, I shall, when smallpox again breaks out, expect
to find a greater proportion of cases occurring in the Fulham
than in the Hammersmith parish. I do not however expect to
find that there will be anything like the same difference as heretofore.
These 327 cases occurred in 231 houses, in 158 streets.
In 113 streets the outbreak was confined to 1 house in each
street. 85 cases occurred singly in different houses in different
streets. In 45 streets there was more than 1 house infected in
each street. Thus in 1 street there were 10 houses infected; in
1 street 6 houses; in 1 street 5 houses; in 1 street 4 houses; in
11 streets 3 houses in each street; and in 30 streets 2 houses in
each street. In 182 houses there was only 1 case in each house.
In 49 houses there was more than 1 case in each house. Thus
in 1 house there were 8 cases; in 1 house 7 cases; in 1 house 6
cases; in 1 house 5 cases; in 8 houses 4 cases in each house; in
11 houses 3 cases in each house; and in 26 houses 2 cases in each
house. Of the 327 persons attacked, 261 had been once vaccinated;
30 had never been vaccinated; in the remaining 36 cases,
no information as to vaccination was obtained. In no case was
any evidence obtained that the patient had been re-vaccinated.
The ages varied from 2 weeks to 73 years; the average age was
23.6 years. There were 46 deaths of parishioners of this district.
This would give a mortality rate of 14.0 per cent. It is calculated
upon the number of cases reported, and no allowance is made for
the concealed cases which probably equalled about 133. Taking
these into the calculation, the mortality rate would be about 10
per cent. Of the total cases reported, 277 were treated at hospitals
and properly isolated; 50 cases were treated at the residences
of the patients. 267 cases were removed by your Board; 1 case
by the Fulham Board of Guardians; 6 patients walked to the
hospital; 1 was removed by St. George's Hospital authorities;
and 1 by St. Thomas's Hospital authorities. These latter 2 patients
applied to the hospitals for medical advice, not knowing
the nature of their complaints. They were at once removed to
the Metropolitan Asylum Smallpox Hospital at Fulham. 227
cases were isolated at the Metropolitan Asylum Smallpox Hospital
at Fulham; 7 at the Metropolitan Asylum Smallpox
Hospital at Stockwell; 24 at the Cottage Hospital at the Fulham
Union Workhouse; and 19 at the Tent Hospital erected by your
Board at the end of Imperial Road in the parish of Fulham.
The per centage of cases removed to hospitals was 847 as compared
with a per centage of 90.2 in the year 1880. It is probable
that the per centage of concealed cases has greatly decreased,
for as has been before stated, there were only 6 deaths from the
disease registered as occurring in private dwelling houses. This