London's Pulse: Medical Officer of Health reports 1848-1972

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Lambeth 1899

Report on the vital and sanitary statistics of the Parish of Lambeth during the year 1899

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24
The experience gained recently in connection with the
above mentioned epidemics goes to show that the Widal
test for Typhoid is invaluable as an aid to diagnosis—several
of the cases having been discovered by this means.
Typhoid is stated to be a disease of adult life (rarely
affecting children or old people), but in the outbreaks mentioned
above, there have been 15 adults (8 males and 7
females) and 6 children under 12 years of age (3 males and
3 females), making 21 cases in all, and of the adults, 5 died,
the children escaping death. The ages of the adults vary
from 15 to 47.
Diagrammatically, the intT-relationships of the different
cases is well shown, taking into account the approximate
dates of sickening, as given in brackets, with the initials of
the patients:—