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 



