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30
During the illness the occupants of the house -a small one.
two rooms downstairs and two upstairs—had been in contact with
the patient but did not contract the disease, whereas, as before
mentioned, a neighbour who had assisted in nursing the patient and
another who laid the body out after death contracted the disease.
The following is the vaccination history in connection with this
case. >
Father— vaccinated in infancy, revaccinated when in the
navy. Remained well.
Mother—vaccinated in infancy, had mild small-pox when 13
years of age; no "pitting" or other evidence. Remained well.
Twins, aged 6 years. Both successfully vaccinated in
infancy, well marked cicatrices on the arms. Remained well.
Patient, aged 3 years 11 months, never successfully vaccinated,
died of virulent small-pox.
Other people who had been in contact with patient.
E.H., aged 27, vaccinated in infancy—never re-vaccinated;
began to be ill with small-pox 11 days after the death of the child.
Had the disease mildly. Recovered.
J.C., aged 55, vaccinated in infancy—never revaccinated ;
began to be ill 12 days after laying out the body. Rather severe
attack but no pitting. Recovered.
The parents of the child referred to could give no explanation
of the origin of this case, as they assured me neither they nor the
child had been out of Richmond for many weeks, and that the
child, beyond going to school, in the same street, had not been out
of their charge. Upon further investigation it was found the child
had resumed school duties for 10 days before his fatal attack,
having been at home for some weeks previously. Case B. reported
on page 33, resided higher up in the same street; the children of
this household and the child in question attended the same school,
and, it is reported, played together, but otherwise the families were
strangers to each other.