Since the work of Fraenkel1 in 1893, killed preparations of the typhoid bacillus have been injected subcutaneously as a means of treatment in typhoid fever. Little interest was at first awakened by the suggestive results of Fraenkel except in a discussion of the specificity of his treatment (Rumpf,2 Kraus and Buswell,3 Presser.4) In 1902 Petruschy5 used a combination of vaccine and immune serum in typhoid, and in 1908 Pescarolo and Quadrone6 advocated the use of a living, avirulent typhoid culture. Following the interest in vaccine therapy awakened by Wright, increasingly frequent reports on the possible value of typhoid vaccines in typhoid fever have appeared. In 1912 Callison7 summarized the results obtained by numerous authors, chiefly English and American, in 747 cases, and in 1915 Krumbhaar
and Richardson8 could collect over 1,800 cases reported on by forty authors. It is known that many