In this letter, dated 2 October 1882, F.N. thanks William Rathbone for the papers which he sent to her concerning the Bangor epidemic. She comments on the situation and notes that the mortality rate is one death to seventeen and a half cases, whereas, with enteric fever it is about one in six. She concludes that it is not an enteric fever epidemic but a fever epidemic, part of which has passed into enteric fever. She blames the outbreak on 'local causes' such as are often found in 'badly cared for towns' and notes specifically the 'neglect of the most ordinary precautions' which led, 'possibly from some climatic season' to the outbreak of the fever. She goes on to criticise the 'state of administration' in the city and blames the replacement of the old Board of Health by decentralized jurisdictions. She goes on to describe her usual remedy to deal with such fever, of removing the people and thoroughly cleaning the house.