The following cases of typhoid fever have occurred recently in Bethlem Hospital. The first was an isolated case, occurring in the summer of 1885, in a female patient who had been eleven weeks in the hospital, the source of infection not being clear, although at that time drainage-defects undoubtedly existed. The other cases occurred in the autumn of 1886; they all arose within a few days of one another; the patients were all females, and at the time of attack were in the same ward on the ground floor. All apparently originated from a local drainage-defect, and one attendant suffered at the same time. The origin of the disease in food or water-supply would appear to be negatived by its limitation to one ward, in which there was undoubtedly an escape of sewer gas, possibly emanating from an old cesspit infected by the evacuations from the first case, although there was an interval of more than a year between that case and the next. The epidemic has led to a thorough overhaul of the drainage of the hospital, and practically the relaying of a great part of it.
Email your librarian or administrator to recommend adding this journal to your organisation's collection.