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60
6'3°/0 below the annual average for the last 8 years. The
Typhoid incidence is gradually decreasing, due to improved
sanitation, and a better condition of drainage.
Nine cases were introduced into Lanbeth from outside,
and in no single instance could a satisfactory causal relationship
be made out between a typhoid attack and a previous
ingestion of infected shellfish. In three instances the
disease was contracted from person to person during
nursing—a means of contagion not always sufficiently
acknowledged, but none the less certain.
CONTINUED AND TYPHUS FEVERS.
During 1898, 13 cases were notified in Lambeth, but no
deaths registered, from Continued Fever, as compared with
55 cases notified and 9 deaths registered (i.e., 16-4% uncorrected
case mortality) in London; whilst there were no
cases of Typhus notified, and no deaths from this disease
registered, either in 1898 or 1897 in Lambeth, though the
cases notified in London in 1898 were 17, and there were
four deaths registered, making a case mortality of 23 5%
Typhus and Continued Fever are generally bracketted
with Typhoid under the heading " Fever.1'
Typhus is a disease to be found in overcrowded and
insanitary districts, and its absence in Lambeth is a matter
for congratulation, and a guarantee that great improvements
have taken place, and are still taking place, in
regard to such overcrowding and insanitation. Much, however,
still remains to be done.