Typhoid fever is an acute infectious disease. It is rare in infancy. After the fifth year it is more common. It is caused by drinking infected water or milk. It is not a serious disease in childhood, rarely being fatal. Symptoms.--It may begin suddenly or it may come on slowly. If suddenly, the child develops what appears to be an attack of indigestion, has fever, vomiting, and is prostrated. In cases developing slowly the child complains of being tired, has a headache, nausea, and fever. Vomiting is the suggestive and important symptom. Diarrhea is usually present. Constipation, however, may accompany the entire illness. Children may not complain of an excess of gas as do adults. The abdomen is tender. The typhoid eruption is rarely seen in children. They lose flesh steadily and then strength diminishes rapidly. Headache and delirium at night are quite common, and the child is dull and indifferent, and often in a state of semi-stupor. In order to tell definitely whether the child has typhoid, it is necessary to make a blood examination. There are so many intestinal conditions in children that simulate typhoid, that a blood examination is imperative. Treatment.--The patient should remain in bed during the time fever is present and for a few days after. A fluid diet, preferably milk, is the most suitable means of nourishing the child. It may be diluted or given plain according to the age of the patient. Water is essential and should be given freely. The discharges of the patient should be thoroughly disinfected in a solution of carbolic acid, 1-20. All clothing and bed linen should be boiled for two hours. If the fever remains high cold sponging is advisable. The attending physician should instruct regarding this feature, as some children do not stand cold applications well. The average duration of the disease is about six weeks. How to Keep From Getting and Spreading Typhoid Fever.--Typhoid fever is a communicable disease, but, if certain precautions are taken, its contraction and spread can almost certainly be prevented. The disease is caused by a specific germ known as the typhoid bacillus. These germs are found in the excreta (stools and urine) of persons ill with typhoid fever. Failure to properly disinfect these excreta and carelessness in the care of persons ill with typhoid fever lead to the transmission of the disease from the sick to the well by the infection of water, milk or food with the typhoid bacillus or by direct contact. The disease is contracted by taking into the mouth in some form the discharges from some previous case. There is no other way. It is, therefore, a disease of filth and someone is at fault somewhere for every case of typhoid fever that occurs. Bad sanitary conditions, such as lack of drainage, open cess-pools, sewer gas, decaying vegetable matter, etc., may favor the contraction of the disease, but cannot cause it unless the specific germ, the typhoid bacillus, is present.