The record, as kindly furnished me by Dr. C. W. Adams, the attending physician, is as follows: C. B., aged 6 years, taken sick with typhoid fever August 28, 1885; sick twenty-eight days. Highest temperature first week, 104 2-5°; second week, 106 2-5°; third week, 106°. Highest pulse, 160 to 170. Largest number of stools in one day, 9, on the fifteenth day.

Mrs. B., aged 32, taken with typhoid fever September 23, sick thirty-seven days. Highest temperature first week, 104°; second week, 106°; third week, 107°; fourth week, 105°; fifth week, 104°. Severe diarrhea all the time. At the time of the highest temperature the pulse could not be counted. Complications: bronchitis from twenty-second to thirty-second day; oedema for three weeks.

Plate 4 shows the buildings just in the rear of No. 3. Across the lot, at the point marked 1, fecal matter crowded out on to the surface of the ground, and stood in fermented pools. At the point marked 2 is another surface privy in the same condition. At the point marked 3 a sink-spout is seen, which discharges on the surface of the ground, and for a circle of fifteen feet the soil is thoroughly saturated, the water standing in large puddles, exposed to the sunlight. It is directly opposite the door in the L, which opens into the kitchen and dining-room of the house in the foreground.

Plates 5 and 6 represent three houses in which there were four cases of typhoid fever. The locality is at the corner of Winnipesaukee and Franklin streets. Plates 5 and 6 must be studied

together, as they represent the same locality. Particular attention is called to Plate 6, the house marked A. B and C are privies ; the light shading seen between the privies, C and B, represents

water, running or standing on the surface of the ground, coming down through or under the road, and out, as shown in the plate, spreading out on the surface of the ground opposite a house shown on opposite side of street. This water comes directly through the privy marked C in Plate 6, and flows past and over the sink-drains and overflowing cesspools from the main house, A, Plate 6, in which live three large families. Fecal matter can be seen as it is carried down on the surface of the ground by the force of the water into the yards of the houses on each side; the land being low and the soil heavy the stagnant water stands for weeks fermenting in the heat and sunlight.

In adjacent houses, the privies are in the rear and on the surface; no vaults, and back of these, on the elevated land which is shown on the plate, there are numerous springs which boil up and run down the hill through privies into the street, and a great portion of the time water stands in the back yards of these houses. In a majority of these houses the well is in the cellar. At the point marked g on the plan, there were four cases of typhoid fever. The sanitary conditions are shown in Plate 7.

The distance from the well to the nearest sink-spout trough is from 8 to 10 feet; to the farthest trough, 12 to 14 feet; there is an open gutter from the termini of the troughs for about 25 feet.

In Plate 6, house A, the well is in the cellar, and it is a common occurrence for the tenants to hear the surface water as it comes down the hill and runs into the well. In this house it has been a difficult matter to keep tenants, on account of the sickness in the families. It has been the abiding place of diphtheria or some other zymotic trouble all the time.

Following is an analysis of the water taken from well in house 2, Plate 5, where occurred two cases of typhoid fever. During the time of the sickness, the sink-spout was stopped up and gave the family a great deal of trouble, on account of the water flowing into the cellar. The well is what might be termed a "surface well," as they told me it was not uncommon to pump it dry during an ordinary washing. The well is in the back part of the cellar, in close proximity to the low ground, which is not visible in the plate. The following analysis was made by the same expert, together with the opinion of the water taken from the well the April following:

Odor

Color

Total solids, grains per gallon

Ignition of residue.

Combustible matter.

Hardness, equivalent to grains of CaCO

Alkalinity, equivalent to grains of CaCO,.
Chlorine, grains per gallon

Ammonia, parts per million:
Free ammonia

Albuminoid ammonia

The custom in this locality is to dig the well in the cellar, put the privy somewhere in the rear on the surface of the ground, within easy filtering distance of the well, and run the sink-spout into a barrel sunk into the ground, where it is left to fill up and become a source of infection.

The following is an analysis of water taken from house marked A, in Plate 6:—

Combustible and volatile matter

Hardness, equivalent to grains of CaCO3
Alkalinity, equivalent to grains of CaCO,.
Chlorine, grains per gallon

Ammonia, parts per million :—

0.012

0.054

Considerable.

None.

Trace.

None.

Slight.

Infusoria and bacteria.

OPINION,

The water is bad microscopically; it will become bad chemically as the season advances. In this locality there is not the least attention paid to sanitary laws, cleanliness, or regard for the feelings of their neighbors. In the warm season of the year gases are continually rising from innumerable sources of decomposition, infecting the atmosphere with microscopic germs of disease, and causing this to be one of the most unsanitary localities imaginable. There is not a month in the year when there is not a greater or less number of zymotic diseases present. It is very thickly settled, there being in many houses two, three, and sometimes four families. I have had occasion to attend quite a number of surgi