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9
severe attack, and was removed to the hospital ;
the two children had the disease in a very mild
form, and bearing in mind the demands on the
hospital, I considered it best to keep them at
home.
On May 7th, another case at 37 Springfield
Road was notified. It was that of a boy 6 years
old, who had frequently been in contact with the
Penfold family. He had a severe attack, and was
taken to the hospital. According to the mother's
statement the boy was vaccinated when three
months old, but only two punctures were made,
one of which did not take at all, and the other
very slightly.
Regarding the cause of the outbreak in these
houses in Springfield Road, I came to the conclusion
that all nine cases got infected, either
directly or indirectly, from one source. A woman
living at 31 Springfield Road, the next house to
that of the Penfold family, died on April 19th,
after a short illness, and the cause of the death
was certified "acute Hoemorrhagic Pupura."
Mrs. Penfold, her nearest neighbour, visited her
constantly during her illness, and acted, to a
certain extent, as her nurse. After the woman's
death, certain articles of clothing were moved into
Penfold's house. It came also to my knowledge
that Mrs. Chalkley, the person living opposite, laid
the dead body out, and she was also attacked with
small pox a few days after Mrs. Penfold. I have
no doubt that the woman who died was suffering
from a form of small pox in which the only manifestation
of the disease is the formation of
Hoemorrhagic spots. Such cases do not resemble
those of ordinary small pox, and it is only during
an epidemic that we can positively determine them
to be due to small pox poison. These cases