CARRIAGE OF DISEASE 
135 
typhoid fever, a man had an attack of femoral osteo¬ 
myelitis, caused by B. typhosus. After operation the 
patient was discharged, but some time afterwards a 
sinus formed, the purulent discharge from which con¬ 
tained typhoid bacilli. The patient’s wife had not been 
in contact with any other case, but frequently removed 
and burned the dressings. After a time she fell sick 
with typhoid fever, and died. 
“In a letter to the writer, under date of April 3, 1907, 
in response to a request for information concerning a 
woman described in the press as a ‘typhoid factory’ and 
held under detention by the Department of Health of 
the city of New York, Dr. Walter Bensel says: ‘The 
woman of whom you write has given a history of a 
probable mild attack of typhoid fever about six years 
ago. Since that time there have been undoubtedly 
twenty-eight cases of typhoid fever in the families in 
which she worked. The number of cases occurring 
in a family within a few weeks of her advent varied 
from one or two up to six out of seven members. The 
evidence seemed so strong that she was a carrier of 
typhoid fever that she was removed to Reception Hos¬ 
pital by force. Examinations of her feces and urine 
were made, and the typhoid bacilli found in her feces 
confirmed positively our suspicions with regard to the 
possibility of her conveying typhoid fever.’ ” 
Maj. J. C. Morgan and Capt. D. Harvey, Royal 
Army Medical Corps (1909), give an account of inves¬ 
tigations which they had made on the viability of the 
typhoid bacillus as excreted under natural conditions 
