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21
I visited the patient in the hospital and found that the rash
and many of the symptoms were typical of typhus, but there were
one or two symptoms of this disease apparently absent. The most
noticeable deviation was in the mental condition of the patient
which with the exception of one day, was bright and clear. She
recovered, but this did not take place as it generally does by
crisis, i.e., the sudden falling of the temperature and an improvement
of the symptoms about the fifteenth day of the disease, but by a
gradual falling of the temperature and return of appetite.
The usual precautions were taken, viz., prompt isolation,
disinfection and subsequent observation of the " contacts " for
three weeks.
Diphtheria.
There were 245 cases of diphtheria notified in 1913, of which
164 occurred in Bermondsey, 68 in Rotherhithe, and 13 in St.
Olave. This is an increase on 1912, for which the figures were :—
Borough, 211 ; Bermondsey, 137 ; Rotherhithe, 65 ; and St. Olave,
9. From the following table it will be seen that an increase has
taken place throughout London.