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mid-day on Sunday, March 11th. He was all right until dinner time, but was taken
ill soon afterwards. He went up-stairs to lay down on the bed, and slept until teatime.
When he woke he was very ill. He was attended at home, but on the 25th
March, he was admitted to the Infirmary, when his temperature was 102.5°, and
rales and rhonchi were heard in both lungs. There seems to have been no signs of
disease in the abdomen. His bowels were quite regular and there was no diarrhoea.
On March 27th, the right-lower lobe was solid. On April 3rd, his chest was quite
clear. He was discharged on April 15th. The diagnosis was Pneumonia.
On April 5th, A. M. W., aged 21, wife of J. F. W., was taken ill, and took to
her bed on April 8th. On April 9th, she was admitted to the Mile End Infirmary.
On admission, her temperature was 102.6°. She had a rash on her right arm, with
scattered spots elsewhere. There were no signs of disease in her lungs, heart, or
abdomen. Her tongue was furred, and her urine was albuminous. On April 12th,
she was dull mentally, her legs were drawn up, and she vomited. After April 12th,
her condition improved. She was at the Infirmary on May 19th, but was about to
be discharged. Her temperature chart was very suggestive of Enteric Fever. In
the Assistant Medical Officer's opinion she suffered from Enteric Fever, but the case
was not notified as the diagnosis was doubtful.
On April 11th, J. B., aged 47, the father of A. W., was taken ill, and was
admitted to the Mile End Infirmary on April 16th. He is a painter by trade. On
admission his temperature was 103°, and he complained of pains all over his
stomach, but there was no vomiting. He had flea bites on his legs. His blood was
examined on April 17th, and gave a negative widal's reaction, but was positive on
April 24th. There was no tenderness or rigidity over the abdomen, and the spleen
was not palpably enlarged. He became gradually worse, and, on April 27th, the
pulse was very weak, and the patient was delirious. He died on April 29th, and on
the same day the case was notified to be suffering from Enteric Fever by the
Medical Superintendent of the Infirmary. The temperature chart was not available,
at the time I made my inquiries.
F. M. B., aged 7, was taken ill on May 4th, and notified to be suffering from
Enteric Fever on May 7th. She was removed to the South Eastern Fever Hospital
on the same day. She was notified by Dr. Manning of that Hospital to be suffering
from Typhus Fever on May 19th.
M. B., aged 17, was notified on May 16th (the certificate being dated May 15th)
to be suffering from Typhoid Fever. She had been removed to the Fever Hospital
late the previous evening (May 14th). She had been ill since May 11th. On May
17th Dr. Manning reported that she was suffering from Typhus Fever and not
Enteric Fever.
Oh May 27th Dr. Bryett, the Medical Officer of Health for Shoreditch,
telephoned to me that K. B. (daughter-in-law of J. B.) was in the Metropolitan