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week. The Inspectors made daily visits, and if anyone
appeared ill, or kept to his bed, the Inspector immediately
called my attention to the fact, and I called to examine him.
In this way I discovered cases where no doctor had been called
in to the patient. All the people in the house were urged to
be at once vaccinated, and the rooms were fumigated. The
paper was stripped from the walls, and the clothing, &c., was
disinfected by steam. In some cases the bedding was in
such a filthy condition that it was burnt.
In 29 houses all the persons in the house not protected by
vaccination were immediately re-vaccinated, and not in a single
instance did a second case occur. In 2 houses where re-vaccination
was not performed for 6 and 9 days respectively
after exposure to the disease, second cases occurred. In
33 houses the people absolutely refused to be re-vaccinated,
and in 24 of these second and third cases occurred. In 9
houses only there was no recurrence. I consider that when a
case of Small Pox has occurred, it ought to be compulsory
on the rest of the family to be at once vaccinated.
I give below full particulars of all the cases. Where it is
not stated that the patient died, he recovered. Where no
second case is quoted, it may be taken for granted that no
other case occurred in that house.
17, Batty Gardens.—Annie Delinsky, aged 16, was taken
ill on January 20th and removed to the Small Pox Hospital
on January 23rd. She was vaccinated in infancy only. The
other people in the house were immediately re-vaccinated.
25, Heneage Street.—John Cohen, aged 3, was taken ill
on June 6th, and removed to the Hospital on June 10th. He
was not vaccinated. This family consisted of the parents and
another child in addition to the patient. They were immediately
vaccinated. The room they lived in was illegally occupied,
as it was an underground one, and was overcrowded as well.
It was also used as a work-room as well as a living-room and
bedroom. Certain articles of underclothing were being manufactured
at the time, and I distinctly informed the father,