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

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Richmond upon Thames 1902

[Report of the Medical Officer of Health for Richmond]

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Case 1 was that of a "casual" who had been three days in
the Workhouse before the disease developed. He was at once
removed to Dockwell Hospital and precautionary measures taken in
connection with those who had been in contact.
Case 2 was that of a young lady employed in London, who,
not feeling well, came to her home, and the case being somewhat
obscure the nature of the illness was not diagnosed for some days.
She had never been vaccinated.
Cases 3, 4 & 5, were the sisters and brother of No. 2 who
had been in contact with her during her illness. They had never
been vaccinated, but upon discovery of the nature of the illness, this
operation was performed five days after the sister began to be ill.
Their attacks were mild and, as will be seen by the table, they were
liberated from hospital much sooner than their sister.
Case No. 6 was that of a "casual" at the Workhouse who
developed the disease three days after arrival at the Workhouse.
Case No. 7 was that of a gentleman engaged in business in
London where he probably contracted the disease.
Case No. 8 was that of a neighbour of case No. 11 who
assisted in nursing the patient.
Case No. 9 was a neighbour who laid out the body of No. 11
after death.
Case No. 10 was a visitor who came from Canterbury where
she had contracted the disease, arriving in the Borough before it
had developed.
Case No. 11 was that of a child who died before the nature
of the illness was apparent. The age of the child was 3 years 11
months, and he had never been successfully vaccinated. He fell ill
on June 5th, and died on the 9th. The medical practitioner who
had been in attendance described the symptoms of the case to the
Medical Officer of Health, who, upon investigation came to the
conclusion that the case had been one of virulent small-pox. Precautionary
measures were taken and advice given as to vaccination
but, unfortunately, the two neighbours, who had been in contact,
did not follow this advice.