During the second period from September 30 to October 5 the ward contained an average of 55.3 patients, being very overcrowded; 40 new cases of pneumonia were admitted of whom 24 died, a mortality of 60 per cent. Cultures taken at autopsy showed that 6 died of pneumococcus pneumonia, 14 with hemolytic streptococcus infection. As in Ward 2, patients admitted to this ward were in no way selected and were probably, as experience has shown, in large part pneumococcus pneumonias at time of admission. The widespread dissemination of hemolytic streptococcus and its fatal effect following the introduction of the organism on September 29 and 30 is only too evident. TABLE XXI SECONDARY INFECTION WITH PNEUMOCOCCUS TYPE II ═════════════╤═════════╤═════════╤══════════════╤══════════════════════ NAME │ BED │ADMITTED │PNEUMOCOCCUSIN│ SECONDARY INFECTION │OCCUPIED │ │ SPUTUM ON │ │ │ │ ADMISSION │ ─────────────┼─────────┼─────────┼──────────────┼─────────┬──────────── „ │ „ │ „ │ „ │ DATE │PNEUMOCOCCUS │ │ │ │ │ AT AUTOPSY ─────────────┼─────────┼─────────┼──────────────┼─────────┼──────────── Pvt. Wolfe │No. 6 │Sept. 17 │IV │Sept. 23 │II[51] Pvt. Pullam │No. 5 │Sept. 9 │IV │Sept. 24 │II Pvt. Swain │No. 3 │Sept. 16 │II │ │ ─────────────┴─────────┴─────────┴──────────────┴─────────┴──────────── Secondary Infection with Pneumococcus in Pneumonia