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definitely and conclusively to infected ice-creams, water,
milk, shell-fish, or watercress. There was a history in 10
cases of shell-fish (oysters, mussels, or periwinkles), having
been eaten by the patients notified 1 to 3 weeks previous to
the disease developing, though, in this connection, the
number of persons who eat shell-fish, and do not get typhoid,
during the same period under review, must be remembered.
39 samples of blood were examined at the Bacteriological
Laboratory during 1908 (see p. 171) for the Widal Reaction
of Typhoid, and in 11 cases (i.e., 28.2 per cent.) such reaction
was obtained.
In so far as Typhoid Fever is regarded as a sanitary index
of a district, the statistics for Lambeth Borough during 1908
are, in that respect, of a most satisfactory character.
In London, during 1908, there were registered 243 deaths
(uncorrected) out of a total of 1357 cases of Typhoid notified,
giving an uncorrected case-mortality of 17.9 per cent.
CONTINUED AND TYPHUS FEVERS.
During 1908, three cases of Continued Fever were notified
in the Borough of Lambeth, but no death was registered,, as
compared with yearly averages for 10 years (1891-1900) in
the Parish of Lambeth of 25.7 and 2.2 respectively. Two of
the cases were removed to Hospital.*
In London, 13 cases were notified and 2 deaths registered
from Continued Fever during 1908, giving a case-mortality
of 15.4 per cent. (uncorrected).
No case of Typhus was notified during 1908 in Lambeth
Borough. Four cases of Typhus were notified in London (no
deaths).
*Of the 2 cases of Continued Fever removed to Hospital,
one proved at Hospital not to be suffering from that disease.