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40
The deaths from enteric fever numbered 14, which is equal to
an annual mortality rate of 17.2 per cent. attacked, and .06 per 1,000
living persons.
The mortality rate of enteric fever for London for the same
period is .06 per 1,000 living persons.
During the year 13 specimens of blood from persons suspected1
to be suffering from enteric or typhoid fever were examined; of
these 4 gave the reaction known as " Widal's." In the remainder
the examination results were negative.
I give below details of certain groups of secondary cases of
typhoid fever which appear to me to have arisen from personal
infection while nursed at home.
Group 1.—Geo. V. H., aged 19 years, of 189, W. Eoad, fell
ill on the 19th March with enteric fever, and was removed to
hospital on the 30th March. During this time he was nursed at
home. Percy H., aged 15 years, brother of the above and living in
the same house, fell ill with enteric fever on 2nd April, and was
removed to the fever hospital on the 9th April. Percy not only
lived in the same house as George, but slept in the same room and
shared the same bed.
Group 2,—W. P., aged 34 years, of 5, C. Eoad, is said to
have fallen ill with enteric fever on the 19th September, and was
removed to the fever hospital on the 22nd September. At the
same address a child of the above, age 2 years, died on the 20th
September, from diarrhoea and vomiting. Mr. P. was by occupation
a cellarman, and occupied with his wife and two children a tenement
of two rooms.
Group 3.—Thomas G., age 39 years, 14, C. Street, fell ill
with enteric fever on or about the 27th August, and was removed
to hospital on the 17th September. He was treated at home during
this interval. On the 11th October W. G., son of the above, aged
10 years, was found to be suffering from enteric fever and removed