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hospital and recovered. It appears that the infection
was contracted at Gravesend, where other cases had
occurred.
Four contacts with Small-pox were reported, and
were kept under close observation. None of the contacts
developed Small-pox. Three of these persons had
been in contact with the disease on an incoming vessel,
and one by association with a case of Small-pox in
another metropolitan borough.
TYPHOID FEVER.
Four cases were notified. In no case was it
possible to ascertain the source of infection.
TYPHUS FEVER.
Only one case of this disease was notified. The
patient was a Polish Jew, aged 30, a cabinet maker by
trade. On September 25th he complained of loss of
appetite and pain in the front of the chest, followed by
shivering, sweating and headache. On the 26th he
was admitted to the London Hospital. He died on
the 28th.
Clinical Features.—Temperature 104° or more.
Respirations increased, but no dyspnoea or cyanosis.
Soft systolic murmur over cardiac region. Spleen
palpable. No rash. Blood culture sterile. Lost consciousness
and died comatose.
Post-mortem Findings.—About a dozen bright red
patechiæ were seen on the skin of the right hypochondrium,
and a few just above the left anterior superior