1) The author made a thorough study of one of the epidemics of typhus, which occurred in Aomori-Prefecture in 1918. In this epidemic there were 48 cases in eighteen families. In none of these cases was the origin of infection obscure. The infection occurred in only three ways: (a) by coming near the patient or visiting the patient's family, or (b) by approaching the corpse of a typhus case, or (c) by touching things or persons, which had formerly come in contact with the patient or the corpse. In other words there was not a single case of typhus, which had not some relation with a former case of typhus, directly or indirectly.
2) When a patient in a family is not isolated in proper time and manner and the house is not sufficiently disinfected it usually happens that most of the other members of the family are infected with typhus, not simultaneously, but one after another in a more or less long period of time.
3) The causative agent of typhus does not usually remain infectious, when separated for some time from the patient. But the author has strong evidence, that the disease may be transmitted to man by means of something or somebody, free from typhus, carrying the virus.
4) From a relatively, early stage of the disease, most of the patients show some signs of bronchitis and complain of cough.
5) Lice are abundantly present in the clothes of the patient. It is believed that while the patient is living, these lice do not so easily detach themselves from their host, but on the contrary, very rapidly leave, when the patient is dead, and attack another, healthy, person.
6) It is a very interesting fact that the time of incubation distinctly varies according to the mode of infection. Those who are infected by close contact with the patient, show an incubation period of 7 days on an average. Those infected by coming near the corpse of a typhus, case or by other indirect means, show a relatively long time of incubation, i. e. 17-18 days on an average. The author therefore considers, that the infection occurs in the former case very often by the socalled droplet infection and in the latter case mostly by means of the louse.
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