CALCUTTA AND THE SUBURBS.                          17

Simlah road there are two houses within fifty yards of one another into which the vaccinators
have been unable to effect an entrance. The rest of the neighbourhood has been thoroughly
vaccinated, and there has not been a single case of small-pox near it. In the one house
small-pox broke out in the last week in February, and in the other one a month later. At the
first point it ran through eight children, ranging up to 14 years of age, in the other five children,
the eldest of whom was nearly eighteen. In the first house a marked instance of how vaccin-
ation protects was brought very closely home to those whose family was being ravaged by the
disease. The only child that escaped was one which had been caught last year and vaccinated.
This local outbreak was simply allowed to burn itself out, and we had full confidence in
the absolute safety which years of hard work had secured to those around.

Sequelæ of
small-pox.

7. Sequelce of small-pox.—One of the tests made use of by my predecessors to display the
ravages made by small-pox in Calcutta consisted in showing in a tabular form the mischief
done to the eyes of those who had been attacked with the disease and who were forced to apply
to the Eye Infirmary for relief.

Exactly thirty years ago such a document was published by Dr. Duncan Stewart.
I subjoin precisely similar tables for the corresponding period of 1874 as those prepared
by Dr. Duncan Stewart in 1844.

Return of out-patients who have attended at the Eye Infirmary on account of disease of the eyes
following small-pox from 26th February to 13th June
1844.

DISEASES—

Number of cases.

Ulcer of the cornea ... ... ... ... ... ...

21

Obstruction of the nasal duct ... ... ... ... ...

2

Chronic ophthalmia ... ... ... ... ... ...

10

Slough of the cornea ... ... ... ... ... ...

17

Interstitial abscess of the cornea ... ... ... ... ...

4

Opacity of the cornea... ... ... ... ... ...

8

Prolapsus iridis ... ... ... ... ... ...

3

Pus in the anterior chamber ... ... ... ... ...

1

Total ...

66

Return of house-patients who have been admitted into the Eye Infirmary on account of disease of the
                              eyes following small-pox.

DISEASES—

Number of cases.

Prolapsus iridis ... ... ... ... ... ...

1

Slough of the cornea ... ... ... ... ... ...

2

Interstitial abscess of the cornea ... ... ... ... ...

2

Ulcer of the cornea ... ... ... ... ... ...

1

Total ...

6

CALCUTTA,                                                                             C. C. EGERTON,

The 13th June 1844.                                                         Surgeon to the Eye Infirmary.

Return of out-patients who have attended at the Eye Infirmary on account of disease of the eyes
following small-pox from
26th February to 13th June 1874.

DISEASES—

Number of cases.

Ulcer of the cornea ... ... ... ... ... ...

1*

Obstruction of the nasal duct ... ... ... ... ... ...

...

Chronic ophthalmia ... ... ... ... ... ...

...

Slough of the cornea ... ... ... ... ... ...

1

Interstitial abscess of the cornea ... ... ... ... ...

...

Opacity of the cornea... ... ... ... ... ...

...

Prolapsus iridis ... ... ... ... ... ...

...

Pus in the anterior chamber ... ... ... ... ...

...

Total ...

2

* One other case of sloughing cornea was seen by me, but the child had small-pox at Midnapore and not in Calcutta.

                                                                                                    c