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vehicles, and the importance of the question whether such a
means of spreading disease should not be prevented.
1800.—No vehicle has yet been provided for the
conveyance of persons affected with infectious diseases. The
street cabs are therefore still in use in this district, and must
thus endanger the public health and tend to the spread of
disease.
1867.—The only vehicle in this district for the conveyance
of persons labouring under contagious disease is the
property of the Board of Guardians of the Lewisham Union.
Such a conveyance should be available at all times, in order
to prevent the infection of the public cabs and railway carriages,
which are at times used for such purposes.
1871.—A carriage has been purchased by the Board for
the removal of patients labouring under infectious diseases.
Vaccination.
Vaccination.—I cannot too strongly urge the great
importance of vaccination, and of re-vaccination.
1863.—In seven cases of small pox which have occurred
within the last twelvemonths, I have clearly traced the
infection to the house of the laundress.
1863. Four cases of small pox have occurred in one
house, in West Kent Park, but the disease is not prevalent,
and no deaths are registered from this cause.
The presence, however, of the disease in other localities
has had the effect of stimulating a large number of persons
in the district to be vaccinated. A desire thus should be
encouraged amongst others, as the presence of a number of
unvaccinated persons in the district is certain to favour the
spread of small pox.
In case of small pox occurring, what remains to be done
is to afford means for the conveyance, reception, and treatment
of persons suffering from this disease.
This number of persons who have taken this disease in
this district has been minute, but it is to be remembered
that the danger in each case of allowing the patient to remain