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26th, and none developed small-pox. Sixteen members of a
club met on February 25th, at the house from whence the
above patients were removed. All were communicated with on
the 27th and advised to be vaccinated. All remained well.
Case B.—A man, aged 22, lodging at Clapham Junction,
was taken ill on February 12th, sent for doctor who diagnosed
influenza. Was in bed until March 1st, when he came to Richmond.
Patient says he noticed some spots on his forehead
during the second week of illness one day when he got up and
looked in the glass, does not know how long they had been out,
but there were several, each about the size of a pill. They
faded in the course of the next day or two, but some spots he
had on his head wenton tosores. Information was received at the
Health Office from the Medical Officer of Health for Battersea
to the effect that a fellow lodger, who occupied the same bed
as above at the commencement of the illness, was removed to
hospital on February 27th, suffering from small-pox. Upon
examination of convalescent patient on March 7th, there was
no evidence of small-pox, but, from the history, there is every
probability that he had been suffering from modified small-pox
(he had been vaccinated in infancy),
The members of the household of Case B had all been
vaccinated in infancy and were re-vaccinated on March 7th.
They all showed evidence of the effect of the re-vaccination
with the exception of the suspected person, who did not re-act
at all. Rooms, bedding, clothing, &c., disinfected.
Mother aged 45, suspected person aged 22, children aged
14, 11, 10, 6 and 5. All remained well.
As the legal responsibility for notification rests with the
Medical Practitioner, the Medical Officer of Health did not consider
it advisable to interfere with this, but suggested that means
should be afforded to any Medical Practitioner desirous of obtaining
a second opinion, in the event of his having any case in which he