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79
and do not get typhoid, during the same period under
review, must be remembered.
6 cases were connected with a small local outbreak in a
Court (Cosham Place), consisting of 10 inhabited houses,
containing at the time 20 adults and 20 children. The 6
cases were all children, and the first to be notified with
Typhoid was Florence S. (aged 6½ years), living at No. 6,
followed in 14 days by her sister, Fanny S. (aged 4 years),
and in 21 days by 4 other children—3 living at No. 4, viz.:
Alice D. (aged 8 years), Alfred D. (aged 10 years) and
Charles D. (aged 2½ years), and 1 at No. 10, viz.: Caroline
G. (aged 5 years). The cases were notified between Nov
ember 9th, 1910, and December 4th, 1910. In each of the
three infected houses (4, 6 and 10), there were 2 adults
living, and 5, 3 and 5 children respectively. On enquiry,
there was a history of doubtful illness (reported as Influenza)
in a female adult at No. 8 about 5 weeks prior to
the children sickening with Typhoid, and it may be that this
was the cause of the outbreak originally. The female
adult at No. 8 refused to have a sample of blood examined
for the Widal (Typhoid) reaction.
All the patients were removed to Hospital, and
the usual precautionary measures (disinfection, etc.) taken.
No drainage or other sanitary defects were found sufficient
to account for the outbreak, whilst the investigations into
the milk and water supplies proved negative.
44 samples of blood were examined at the Bacteriological
Laboratory during 1910 (see p. 206) for the Widal reaction
of Typhoid, and in 20 cases (i.e., 45.5 per cent.) a reaction
was obtained.
In so far as Typhoid Fever is regarded as a sanitary index
of a district, the statistics for Lambeth Borough during 1910
are, in that respect, of a most satisfactory character.
In London, during 1910, there were registered 185 deaths
(uncorrected) out of a total of 1283 cases of Typhoid notified
(uncorrected), giving an uncorrected case-mortality of 14.4
per cent.