The last considerable prevalence of contagious fever in England and Scotland was in 1869 and 1870. It was relapsing fever, mixed with some typhus, and it was restricted almost to a few large towns, including London, Liverpool, Manchester, Leeds, Bradford, Glasgow, and Edinburgh[399]. It was first seen in London in 1868 among Polish Jews. It was heard of as late as 1872 at Newcastle. It was observed during this epidemic in Liverpool, Bradford and Edinburgh that the subjects of the relapsing fever were not suffering from want[400]. The same observation has been made in some foreign countries. Still, on the great scale and in a broad view, relapsing fever has been _typhus famelicus_ or famine-fever, occurring in association with other maladies due to want, and especially in the circumstances which have been discussed fully in the chapter on fevers in Ireland. Relative prevalence of Typhus and Enteric Fevers since 1869. It was not until the year 1869, or about the time when typhus fever ceased to be epidemic or common, that the deaths from typhus fever, simple continued fever and enteric fever began to be tabulated separately in the Registrar-General’s reports. The following tables show for England and Wales and for London a steady decline of the deaths from typhus and simple continued fever since the end of the epidemic period 1869-71, which was the last epidemic of typhus and relapsing fever in this country hitherto. The deaths from enteric fever, it will be seen, remained somewhat steady (in a growing population) for about ten years after the separation, and then began to decline. _Continued-fever Deaths in England and Wales, 1869-91._ Simple or Year Typhus Ill-defined Enteric 1869 4281 5310 8659 1870 3297 5254 8731 1871 2754 4248 8461 1872 1864 3352 8741 1873 1638 3081 8793 1874 1762 3089 8861 1875 1499 2599 8913 1876 1192 1974 7550 1877 1104 1923 6879 1878 906 1776 7652 1879 533 1472 5860 1880 530 1490 6710 1881 552 1159 5529 1882 940 1016 6036 1883 877 963 6068 1884 328 768 6380 1885 318 662 4765 1886 245 505 5061 1887 211 502 5165 1888 168 436 4848 1889 140 413 4971 1890 160 361 6146 1891 148 325 5075 _Continued-fever Deaths in London, 1869-91._ Simple or Year Typhus Ill-defined Enteric