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hot certified to have had enteric fever in all probability had an attack of the disease,
but whether it was infected from the same source as the mother, or whether it was
infected by the mother it is impossible to say. Probably, owing to the intimate
relations between a mother and child of its age the infection was through the
mother. Cases (3) (4) and (5) were in all probability infected through case (2).
The following cases occurred in connection with Nos. 67, N Street and 42
A Street, premises which were sanitarily in a very fair condition.
(1.) Eobert S., aged 20, residing at No. 42, A Street, but working at
No. 67, N Street, a greengrocer's shop, was admitted into St.
Bartholomew's Hospital on July 8th, and certified to be suffering from
typhoid fever on July 19th. This patient was still in hospital on
September 23rd.
(2.) Minnie S., aged 38, mother of the above, residing at No. 67, N
Street, was taken ill about September 3rd, admitted into St. Bartholomew's
Hospital on September 6th, and certified to be suffering from
enteric fever on September 21st. She had been in the habit of visiting
her son in the hospital during his illness about once a week.
The following cases occurred at No. 68, W Terrace, a house in a very fair
sanitary condition.
(1.) Ludwig K., aged 28, cabinet maker, was first observed to be unwell
about the end of August. He became worse and finally took to his bed
and kept his bed for about six weeks. He began to get about again from
October 14th, but on October 28th was still weak and looked as if he
bad had a serious illness. The symptoms which were noticed by the
patient's wife or complained of by him were headache, loss of appetite,
feverishness which appears to have lasted a considerable time and
diarrhoea on two or three occasions. The history of his case was consistent
with his illness having been enteric fever.
(2.) Albert M., aged 20, a lodger at No. 68, W Terrace, was first
observed to be ailing about October 7th. He was certified to have
enteric fever on October 26th and was removed to the house of some
relatives in an adjoining Borough the following day. The patient
worked with case (1) as a cabinet maker.
(3.) Clara K., aged 26, wife of case (1) was noticeably ailing towards the
end of October, and was certified to be suffering from enteric fever on
November 8th. This patient waited upon her husband during his illness
and at the same time attended to her household duties, amongst other
things prepared the food for case (2) who probably was thus infected.
The following cases occurred at No, 7, Little Street, a house in fair sanitary
condition, consisting of four small rooms.