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The fourth case, E.G., age 32, lived at 18, Little Drummond Street, a few doors
away. He was uncle to the B. family and lived in close connection with them.
He fell ill about the 17th October, and was admitted to hospital 14 days later.
The fifth case, J.H., male, 41, lived in separate rooms at 9, Drummond Crescent.
He fell ill on 19th October, was admitted to hospital on 4th November, and died
of perforation of a typhoid ulcer, confirmed pott mortem, on 16th November.
He was the only fatal case.
The sixth case, A.G.B., age 17, sister of first case, became ill on 21st October, and
was admitted to hospital 7 days later.
The seventh case, L.H., female, 9 (daughter of fifth case, J.H.), became slightly ill
about 27th October. She was admitted to hospital on 4th November, owing to
a positive Widal reaction and in hospital had an intermittent temperature only.
All these cases gave positive Widal results with B. typhosus. The cause of
this outbreak was not discovered, and no food was incriminated. There was
no special prevalence of the disease in other parts of the borough at the time.
Four nurses at the North Infirmary developed typhoid fever on the 3rd and
11th (two cases) of November and the 2nd December respectively. They all
worked in the same ward, in which a patient with Pott's disease had had fever
and diarrhœa during October, whose blood was found on 20th November to
agglutinate typhoid bacilli freely. He was regarded as the probable cause of
the outbreak and removed to the fever hospital. He had been in the ward
for 18 months, and no source for his infection was traced.
Another localised outbreak of typhoid fever took place at 9, Maple Street.
A woman aged 29 was removed to hospital with typhoid fever on 11th April,
and her three children, M. 7, F. 2, and F. 5, on 23rd April, 24th April, and
5th June respectively, in each case after a few days' illness. No cause for the
outbreak was traced.
Of the other 13 cases one was a nurse who probably caught her infection
from military cases. No source was traced for the other 12. Two of them
had eaten oysters shortly before the onset of the illness, and several (including
these two) quite probably contracted the infection outside of St. Pancras.
Each case was in a separate house.