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38
five distinct outbreaks, which at the time threatened to be serious,
occurred. I mention these in order to show the measures that were
taken to stop the spread of the disease :—
Outbreak 1.—On the 7th November a man fell ill with malignant
Small-pox which was thought to be Erysipelas. The house in
which the man lived was a large tenemented one holding 12 families.
The whole household was transferred to the Council's Reception
House and re-vaccinated. Of the 30 residents in the tenemented
house 7 persons were removed with the disease to the hospital. The
house was cleansed and disinfected from top to bottom and no one
else in the street took the complaint.
Outbreak 2.—In the latter part of November the disease
appeared at 67, Union Street, a common lodging-house accommodating
84 women. The disease, in spite of careful disinfection of
the rooms and frequent inspections made by our own officers and
those of the London County Council, continued to spread until on
December 10th the whole house was infected. On that date I
vaccinated the entire population with the result that, excepting a
woman who had the disease in the incubating stage when vaccinated,
and another who was found to have the disease, whilst seeking
admission in the week ending February 8th, no one else became
infected, nor has the disease appeared in the lodging-house since.
Outbreak 3.—In the early part of February, 7 cases occurred
at 57, Webber Row, and houses adjoining. The disease continued
to spread until I had a house to house inspection made when some
50 unprotected persons were vaccinated, with the result that no other
case occurred.
Outbreak 4.—In the months of March and April an increasing
number of cases were being notified in connection with St. Olave's
Chambers until at the end of April every part of this common lodginghouse
appeared to be infected. In the early part of May I vaccinated,
with the consent of the Council who allowed me to give to each
person 2/- as a compensation for probable loss of work, 500 residents.
This had the effect of completely arresting the disease in this locality.
Outbreak 5.—This occurred in the latter part of April at 131,
Great Suffolk Street. Revaccination in this case completely cleared
the lodging-house of the disease.
With regard to the remainder of the cases which were scattered
over every part of the Borough, the disease iu nearly every case was
confined to the house in which it first appeared.