The cabby had been almost correct in his information about the fever in Limehouse. It was not the respiratory disease of typhus, but the intestinal typhoid, which raged through the tenements and rookeries, carried from one inadequate and overflowing midden to the next.

Hester Latterly had been a nurse serving with Florence Nightingale in the Scutari hospital in the Crimea and on the battlefield. She was more than used to disease, cold, filth and the sight of suffering. She could not count the deaths she had seen from injury or fever. But still the plight of the poor and the sick in Limehouse touched her, until the only way she could bear it and shut out the nightmares was to work with her close friend and Monk's patroness, Lady Callandra Daviot, and Dr. Kristian Beck to do all she could, both to relieve the distress in whatever small way was possible and to fight for some alleviation of the conditions which made these diseases endemic.

On the day that Monk was searching the streets for someone who had seen Angus Stonefield, Hester was on her hands and knees scrubbing the floor of a warehouse which Enid Ravensbrook, another woman of wealth and compassion, had obtained, at least temporarily, so that it might be used as a fever hospital after the order of the military hospital in Scutari. Hester had a feeling that the water she was using was as full of infection as any of the patients, but she had added plenty of vinegar and hoped it might serve the purpose. Dr. Beck had also obtained half a dozen open braziers in which they were going to burn tobacco leaves, a practice much followed in the navy to fumigate between decks and help to fight against yellow fever.

Callandra had purchased several bottles of gin, which were firmly locked in the medicine cabinet and which could be used to clean pans, cups and any instruments. Since they had no others who were nurses by trade, there was a diminished chance of it being drunk.

Hester had just finished the last yard of floor and stood up, easing her back from its stiffness by bending back and forth a few times, when Callandra came in. She was a broad-hipped woman well into middle-age. Her hair was habitually untidy, but today it had exceeded even its usual wildness. It poked and looped in every direction, several of its pins threatening to fall out completely. Even in her youth she could not have been thought beautiful, but there was such intelligence and humor in her face it had a unique charm.

“Finished?” she asked cheerfully. “Excellent. I'm afraid we're going to need every foot of space we can find. And, of course, blankets.” She surveyed the room for a moment, then proceeded to pace the floor out carefully, measuring precisely how many people might lie on it without touching each other. “I would like to get pallets,” she went on, her back to Hester. “And pans or buckets of some type. Typhoid is such a beastly disease. So much waste to dispose of, and heaven only knows how we are going to do that.” She was now at the far end of the space and almost inaudible to Hester. She turned and started to pace the width. “There isn't a midden or a cesspit within miles of here that isn't overflowing already.”

“Has Dr. Beck spoken to the local council of authority yet?” Hester asked, picking up her bucket and going over to the window to tip it out. There were no drains, and the water was full of vinegar anyway, so it would be more likely to improve the gutters than harm them.

Callandra reached the far side and lost count. She had loved Kristian Beck since before the wretched business at the Royal Free Hospital the previous summer. Hester was aware of it, but it was something they never discussed.

It was too delicate, and too painful. The depth of Kristian's feeling in return only added to the poignancy of the situation. Callandra was a widow, but Kristian's wife was still alive. She had long ceased to care for him, if indeed she ever had in the manner he longed for, but she clung to her rights and all the status and the comfort they afforded. To Callandra he could give nothing but an intense friendship, humor, warmth, admiration, and shared passions for causes in which they both believed with ardor and dedication.

Even the mention of his name could still jar her concentration, so vulnerable was she even now. She turned and began to pace back, beginning to count the width again.

Hester looked out of the window to make sure no one was passing beneath, then emptied the bucket.

“I think we could get about ninety people in here,” Callandra announced.

Then her face pinched. “I wish to God I could think that was all we should need. We have forty-seven cases already, not counting seventeen dead and another thirteen too ill to move. I'll be surprised if they live the night.” Her voice rose. “I feel so helpless! It's like fighting the incoming tide with a mop and bucket!”

The door opened behind Hester and a striking-looking woman came in, a bottle of gin under one arm and another in each hand. It was Enid Ravensbrook.

“I suppose it's better than nothing,” she said with a tight smile. “I've sent Mary out to get some clean straw. She can try the ostler at the end of the lane. His mother's one of the victims. He'll do what he can.” She set the gin down on the floor. “I don't know what to do about the well. I've pumped the water, but it smells like next-door's pigsty.”

“Probably with good reason,” Hester said, tightening her lips. “There's a well in Phoebe Street that smells all right, but it'll be an awful nuisance to carry water over. And we're desperately short of buckets.”

“We'll have to borrow them,” Enid said resolutely. “If every family spared us one, we'd quickly have sufficient for all purposes.”

“They haven't got them,” Hester pointed out, setting her bucket, scrubbing brush and cloth away tidily. “Most families around here have only one pan between them anyway.”

“One pan for what?” Enid pressed. “Perhaps they can use their night bucket for scrubbing the floor as well?”

“One pan for everything,” Hester explained. “The same one for scrubbing the floor, for bathing the baby, for waste at night, and for cooking in.” “Oh God!” Enid stood still, then blushed, robbed of speech for an instant. She took a deep breath. “I'm sorry. I suppose I'm still very ignorant. I'll go out and buy some.” She turned on her heel and was about to leave when she almost bumped into Kristian Beck coming in. His face was set in anger, his cheeks burned with color which had nothing to do with the cold outside, and his beautiful mouth was set in a tight line. There was no need to ask if he had met with success or failure with the local authority.

Callandra was the first to speak. “Nothing?” she said softly, no criticism in her voice.

“Nothing,” he conceded. Even in the single word there was a trace of some European accent, very slight, only an extra preciseness which marked English as not his mother tongue. His voice was rich and very deep, and at the moment expressive of his utter contempt. “They have a hundred prevarications, but they all amount to the same thing. They don't care enough!”

“What excuses?” Enid demanded. “What could there possibly be? People are dying, scores of people, and it could be hundreds before it's over. It's monstrous!”

Hester had spent nearly two years as an army nurse. She was used to the workings of the institutional mind. No local authority could be worse than military command, or in her opinion more stubborn or totally fossilized in its thinking. Callandra's late husband had been an army surgeon; she too was familiar with ritual and the almost insuperable force of precedent.

“Money,” Kristian said with disgust. He looked up and down at the length of the now-scrubbed warehouse with satisfaction. It was cold and bare, but it was clean. “To build proper drains would add at least a penny to the rates, and none of them want that,” he added.