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248
cases of enteric fever among the relations of Mrs. S.
residing in Kensington ; Mrs. W. (already mentioned),
residing in Paddington, contracted the disease and died ;
and two other fatal cases occurring in the Parish at
the commencement of August, were suspected to have
been infected from the same source. The direct transference
of infection from patient to patient appeared to
be chiefly operative in this outbreak.
II.—On May 11th, A. S., m. 34 years, was reported
ill with diphtheria. It was found that his daughter
(J. S., 4 years) had died on the 10th, the history
clearly indicating unrecognised diphtheria. On 12th
a son (F. S., aged 1 year) was certified ill with the
same disease. Swabs taken from the throats of the
two other members of the family, viz. : J. S. (f. 27
years) and J. H. S. (m. 3 years) yielded cultures of
the bacillus of diphtheria. The former patient
remained quite well, but the latter sickened and was
removed to hospital on the 17th. There were no
other cases in the house or neighbourhood. No source
could be located for the infection of the first (fatal)
case.
III.—On August 8th, A. N. (m. 4 years) was notified
ill with diphtheria. The boy's father being
anxious to go to the country and take his daughter
with him, called at the Vestry Hall to get the consent
of the Sanitary Authority. Consent was declined
except on proof that the throats of the persons