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neighbourhood and giving list and addresses of cases and requesting
report thereon, I have to observe that five case have occurred in this
sub-district, viz.:—Three at Mr. Andrea's, Frankfort House, Clapham
Common; one at Miss Scriven's, Graham Lodge, Clapham Common;
and one at Mr. B. Field's, Clapham Common, the history of which is
as follows :—
With respect to the three cases, all children, aged 12, 6 and 4
years, at "Frankfort House," two of them on June 16, apparently quite
well, went for a time to Bell House, whilst the third proceeded to
Switzerland with her parents. On June 23, just a week after leaving,
the two at Bell House and the third on her way to Switzerland were
attacked with Typhoid Kever.
The case at Miss Scriven's, Graham Lodge, was that of a servant
aged 23 years. Miss Scriven did not know the exact date when the
disease made its appearance but thought about four weeks back, which
would exactly correspond with the occurrence of the disease in the
above cases.
The third case, that at Mr. B. Field's, was a young lady aged 13
years and who fell ill on June 22, one day before the others.
It is a curious fact that the above five cases should have manifested
themselves within twenty-four hours of each other and would point to
the probability that each must have been exposed to the fever poison
at or about the same time.
In conjunction with Mr. Richards, Inspector of Nuisances, I have
made a most minute and careful inspection of the Houses and
surroundings in which these cases occurred with the following results.
Frankfort House.—The closets are of the most approved kind,
the overflow pipes from the cisterns and bath emptying into the open
air. The sinks are trapped by patent traps. The House is drained
into the main sewer by a 9-inch pipe. The main sewer itself being
clean and free from deposit.
Graham Lodge.—The Sanitary condition of this house was found
in the same satisfactory state as the above ; it is drained into the
main sewer, which is clean and had two inches of sewage passing along it.
Mr. B. Field's.—The Sanitary fittings to this house are all of
approved principle, but the overflow pipes from the cisterns and waste
pipes and from the bath room are all built in the walls, which prevented
our tracing them completely; a defect was found in traps to
butler's and kitchen sinks which are being repaired. It is drained into
the Main Sewer.
The occupants were questioned as the occurrence of any
objectionable smells in the houses, and there was not a single complaint,
and neither did we observe any ourselves.
There is a pump at Miss Scriven's, the water being filtered before
used for drinking. A sample has been submitted to Dr. Muter for
analysis,