1838 4078 -- -- 1839 1819 -- -- 1840 1262 -- -- 1841 1151 -- -- 1842 1184 -- -- 1843 2094 -- -- 1844 1721 -- -- 1845 1324 -- -- 1846 1838 -- -- 1847 3297 -- -- 1848 3685 -- -- 1849 2564 155 138 1850 2032 130 137 1851 2374 68 234 1852 2183 204 140 1853 2617 408 212 1854 2816 337 228 1855 2410 342 217 1856 2717 1062 149 1857 2195 274 214 1858 1919 15 180 1859 1840 48 176 1860 1476 25 95 1861 1848 86 161 1862 3673 1827 220 1863 2871 1309 174 1864 3782 2493 253 1865 3217 1950 523 1866 2688 1760 582 1867 2184 1396 380 1868 2468 1964 459 From this it will appear that every great annual rise in the London deaths from “fever,” since the last great typhus epidemic of 1847-48, has corresponded to a greatly increased admission, not of enteric cases, but of typhus cases into the London Fever Hospital. On the other hand, enteric fever has been at a somewhat steady or endemic level for a good many years. Even at that level it would have had a small share of the whole fever-mortality in the old London; in modern London, especially in its residential quarters, its rate has probably been higher than in former times; while in recent years, owing to the absolute decline of typhus, it has been by far the most common continued fever. If the conditions were the same in London as in Edinburgh, it was the very creation of residential streets and new quarters of the town that called forth typhoid fever; while the more the town was remodelled, the more were the _fomites_ of typhus destroyed. Thus it seems probable that the same progress in well-being among all classes, which has gradually brought typhus down almost to extinction (or apparently so for the present), has been attended with an increase of typhoid, an increase which has happily fallen within the last few years from its highest point.