London's Pulse: Medical Officer of Health reports 1848-1972

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St James's 1871

[Report of the Medical Officer of Health for St James's, Westminster]

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43
history of the epidemic in our Parish, as cases are
still occurring (July, 1872). We had 63 cases in
1870 and three deaths; in the present year 67
cases and nine deaths.
The very favourable returns which I have laid
before you, compared with the rest of London, may
I think be mainly attributable to the activity you
have displayed in carrying out the recommendations
I made early in the year, (the 1.6th of February.)
"The great means of arresting Small Pox are
these 1 Vaccination: 2. Isolation: 3. Disinfection."
" With regard to the first, Vaccination, I would
urge upon you, whether assisted by surrounding
Parishes or not, the adoption of a system of house
to house visitation, so that all unvaccinated children
or persons should be at once vaccinated. I also
think it desirable that all persons who have been
vaccinated seven years should be re-vaccinated."
"With regard to Isolation, I urge upon you, at any
expense, to provide the means of removing cases of
Small Pox to properly constructed hospitals. You
cannot compel all people to go to these refuges, but
you should have them ready so that there can be no
reasonable excuse for delay."
"With regard to disinfecting, I have now urged
upon you for the last two months the necessity of
providing a disinfecting apparatus, that should at
once be efficient and capacious enough to disinfect
the clothing and bedding of infected families. At

The following table gives an analysis of the causes of Small Pox and their results in 1871:

Number of cases230
Reported as vaccinated210
Unvaccinated15
Doubtful5
Re-vaccinated3
Total Deaths33
Deaths of unvaccinated8
Deaths of vaccinated25