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34
were regarded as suffering from enteric fever. The Marylebone patient was removed
to the Middlesex Hospital.
November.—On the 10th Nov. a woman was removed from the St. Giles Infirmary to the
South Eastern Hospital, the case being notified as typhus. Her illness was found,
however, to be enteric fever.
On the 14th Nov. a male inmate of the Kensington Infirmary was certified to
be suffering from typhus. The patient was a hawker by trade, his age was 17 ; he
began to be ill on Nov. 5th, and was taken to the infirmary on Nov. 10th. He had
lived in Notting-hill for three years, but had only been in the house where he was
taken ill for one week. No source of infection could be traced.
December.—On Dec. 15th a case of typhus was notified from the same street in Rotherhithe
from which came the two cases referred to above as having occurred in October. The
patient, a boy aged 12, had only been resident in the street for a few days, but he had
lived for some time in the neighbourhood. The boy had never been quite well since
an attack of measles a few months previously. No source of infection could be traced
as the cause of his attack of illness in December. He was not removed to hospital.
On Dec. 22nd a young man, aged 20, was removed from Limehouse to the
Homerton Hospital, certified to be suffering from typhus. The patient died on Dec.
28th, and his death was certified to have been due to leucocythtemia.
On Dec. 27th a girl, aged 9, living in Bermondsey, was certified to be suffering
from typhus. The case, however, was subsequently regarded as one of enteric fever.
The total number of cases notified as typhus was 21, 13 of these appear to have been notified in
error; of the remaining 8, 3 were removed to one or other of the hospitals of the Metropolitan
Asylums Board, where the diagnosis was confirmed. There were, moreover, 3 cases diagnosed as
typhus after admission to the South Eastern Hospital which were not originally notified as cases of
that disease.

The year 1894, compared with the year 1893, is therefore characterised by a slightly lower
death rate, case rate, and case mortality.
The death rate from enteric fever in each year since 1868, in relation to the mean of the period
1869-94, is shown in diagram XV.
The following table shows that in 1891, males in London suffered more heavily both in respect
of cases and deaths than females, and that this is manifested at almost all age periods. The case
mortality of males was also greater than that of females, a difference which is manifested at the majority
of age periods.

* See footnote (†), page 7. † see footnote (*), page 23.