240 TYPHOID FEVER. MALTA FEVER 



typhoid. The inoculations were made in October 

 1899. The following table shows the subsequent 

 freedom from typhoid of the nursing staff : — 



Year. 



Number of 

 Typhoid Patients. 



Cases among 

 Nursing Staff. 



1895 



229 



3 



1896 



238 



3 



1897 



302 



4 



1898 



426 



8 



To end of September 1899 



163 



5 



From October 1899 to March 1900 



146 



0 



2. Lady smith, South Africa. The Lancet, 14th 

 July 1900, contains a short note by Professor 

 Wright, on the distribution of typhoid among the 

 officers and men of the military garrison, during 

 the siege of Ladysmith. The figures are as 

 follows : — 





Number. 



No. of 

 Cases. 



Proportion 

 of Cases. 



No. of 

 Deaths. 



Proportion 

 of Deaths. 



Case- 

 mortality. 



Not inoculated 

 Inoculated 



10,529 

 1,705 



I489 



35 



I in 7.07 

 1 in 48.7 



329 



8 



I in 32 

 1 in 213 



I in 4.52 

 1 in 4.4 



The wide difference between the two groups, as 

 regards the incidence of the disease, is well marked ; 

 but the case mortality is practically the same in 

 each group. (The statistics of the General 

 Hospital, Ladysmith, also tell in favour of the 

 preventive treatment : see Surgeon- Major West- 

 cott's letter, British Medical Journal, 20th July 

 1 90 1, in answer to Dr Melville's letter, British 

 Medical Journal, 20th April 1901.) 



