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The death-rate in each period since 1868 in relation to the mean death-rate of the period 1869-1909
is shown in diagram XVI.
The actual cases of typhus which are known to have occurred in London are the following:—
February A.V., male aged 29, living in Christian-street, Whitechapel, sickened on the 24th
February and removed to hospital on the 27th A.V. was an actor at music halls,
and had lived for four months at the above address. The source of his infection could
not be ascertained.
June E.H., female, aged 29; died at Guy's hospital, on the 27th June. Her illness was suspected
to be typhus. Her son, W.H., aged 9, was removed to the fever hospital
on the 28th June. His malady was undoubtedly typhus. Both had been
living in Marine-street, Bermondsey, for four years. The source of their infection
could not be ascertained.
July A third case, E.B., a woman aged 28, occurred later in this house. She began to be
ill on the 15th July and was removed the same day to the fever hospital.
August P.C., a male aged 52, a tailor, sickened with typhus on the 16th August, and was removed
to the fever hospital on the 23rd August. He had been living for a considerable
time in a somewhat overcrowded house in Underwood-street, Whitechapel, when he
was taken ill.
Enteric Fever.
The number of cases of enteric fever notified in the Administrative County of London during
1909 (52 weeks) was 1,043, compared with 1,357 in the year 1908 (53 weeks). The deaths from
this disease numbered 146 in 1909 (52 weeks), compared with 225 in 1908 (53 weeks).
The case-rates and death-rates per 1,000 persons living and the case-mortality per cent. in 1909
and proceding periods were as follows:-

The death-rate in each year since 1868 in relation to the mean death-rate of the period 1869-1909
is shown in diagram XVII. The death-rate in 1909 was the lowest on record.
The notified cases in each week of 1909 may be compared with the average weekly notifications
of the period 1890-1909 on reference to diagram XVIII.
The distribution of the cases of enteric fever throughout the year was somewhat exceptional, the
usual autumnal increase being absent, as will be seen by reference to diagram XVIII. Owing to this
fact the incidence in the early part of the year appears unduly prominent in the diagram, but it should
be noted that this is relative only, the curve for the early part of the year being merely the normal
continuation of the curve of the preceding year. This will be better seen on reference to diagram XIX.,
which shows the monthly case-rate and case-mortality in each of the years 1891-1909 in relation to the
mean of the whole period. This diagram shows that, except for the absence of the autumnal increase
already noted, the behaviour of enteric fever in 1909 was not conspicuously different from the normal.
The following table shows the enteric fever cases, deaths, case-rates and death-rates for the year
1909, and the case-rates and death-rates for the period 1904-8 in the several sanitary districts—

1 See footnote (2), page 6.
Continued on next page.
2 The Infectious Disease (Notification) Act came into force in 1889.