A History of Epidemics in Britain, Volume 2 (of 2) by Charles Creighton

CHAPTER IX.

536 words  |  Chapter 79

ASIATIC CHOLERA. The Indian or Asiatic cholera, which first showed itself on British soil in one or more houses on the Quay of Sunderland in the month of October, 1831, was a “new disease” in a more real sense than anything in this country since the sweating sickness of 1485. The English profession had been hearing a good deal about it for some years before it reached our shores. The outbreak in Lower Bengal in 1817, from which the modern history of cholera dates, had been the subject of reports and essays by Anglo-Indian physicians and surgeons; an extensive prevalence of it in the Madras Presidency shortly after, as well as in Mauritius in 1819 and 1829, had been observed by other medical men in the service of the East India Company or of the British army or navy. Many who had seen cholera in India, and some who had written upon it, returned to England in due course, so that the formidable new pestilence of the East began to be heard of in medical circles at home. Various essays upon it issued from the English press between 1821 and 1830[1475]; and in 1825 it appeared for the first time, and at considerable length, in the pages of an English systematic treatise, the new edition of Dr Mason Good’s ‘Study of Medicine.’ Previous to 1829, Asiatic cholera had obtained no footing in Europe. The first great movement westwards from India through Central Asia, which was continuous with the memorable eruption in Bengal after the rains of 1817, had reached to Astrakhan, at the mouths of the Volga, and had there caused the deaths of some 144 persons in September, 1823. Another progress westwards from India, after an interval of six years, reached the soil of European Russia in the Government of Orenburg in August 1829, the mortality in the whole province during the autumn and winter (to February, 1830) amounting to about one thousand. A much more severe epidemic of it arose in the summer of 1830 in the town and province of Astrakhan (supposed to have been introduced by an infected brig from Baku), which spread with enormous rapidity, destroying in the course of a month some four thousand in Astrakhan itself and upwards of twenty thousand in other parts of the province[1476]. Thus established in the basin of the Volga, Asiatic cholera overran the whole of Russia. Before the spring of 1831 it had entered Hungary and Poland, and in the end of May had reached Danzig and other German ports on the Baltic and North Seas. Lord Heytesbury, the British Ambassador at St Petersburg, had sent home a despatch upon it early in 1831; in April, the Admiralty issued orders for a strict quarantine of all arrivals from Russia at British ports, which were afterwards extended to arrivals from all ports abroad invaded or threatened by cholera. On 20 June a royal proclamation ordering various precautions was issued, and next day a Board of Health was gazetted, composed of leading physicians in London and of the medical heads of departments, with Sir Henry Halford as president. Local Boards of Health were formed voluntarily in many parts of the country during the summer of

Chapters

1. Chapter 1 2. CHAPTER I. 3. CHAPTER II. 4. CHAPTER III. 5. CHAPTER IV. 6. CHAPTER V. 7. CHAPTER VI. 8. CHAPTER VII. 9. CHAPTER VIII. 10. CHAPTER IX. 11. CHAPTER I. 12. 1670. From 1673 to 1676, the constitution was a comatose fever, which 13. 1675. In 1678 the “intermittent” constitution returned, having been absent 14. 1709. The following shows the rise of the price of the quarter of wheat in 15. 600. The infection was virulent during the winter, when Portsmouth was 16. 1754. This outbreak was only one of a series; but as it attacked a 17. 1755. He had the weekly bills of mortality before him, and he makes 18. chapter II.) are not without value, as showing that the “putrid” or 19. 87. It passed as one of the healthiest cities in the kingdom, being far 20. 1795. This epidemic must have been somewhat special to Ashton, for it 21. 1828. It was a somewhat close repetition of the epidemic of 1817-19, 22. 619. In all England, the last quarter of 1846 was also most unhealthy, its 23. 1882. The registration district had only 95 deaths from enteric fever 24. CHAPTER II. 25. 1655. There were twenty-seven victuallers or other ships riding in Dundalk 26. 1818. It was in great part typhus, but towards the end of the epidemic, 27. 1835. It will appear from the following (by Geary) that it was largely an 28. 1849. After the subsidence of the great epidemic of relapsing and typhus 29. CHAPTER III. 30. 1782. It is possible that our own recent experience of a succession of 31. 1551. There were certainly two seasons of these agues, 1557 and 1558, the 32. 1675. The prevailing intermittent fevers, he says, gave place to a new 33. 1686. Sydenham records nothing beyond that date, having shortly after 34. 1775. The latter, however, was a summer epidemic, and was naturally less 35. 1762. On the other hand the epidemics of autumn, winter or spring in 1729, 36. 1782. In the London bills the weekly deaths rose in March, to an average 37. 3. After being general, did it occur for some time in single 38. 5. If so, is it likely that clothes or fomites conveyed it in any 39. 1837. The London bills of mortality compiled by the Parish Clerks’ Company 40. 1733. There is nothing to note between Boyle and Arbuthnot; for Willis 41. 1647. First catarrh mentioned in American annals, in the same year 42. 1655. Influenza in America, in the same year with violent earthquakes 43. 1675. Influenza in Europe while Etna was still in a state of 44. 1688. Influenza in Europe in the same year with an eruption of 45. 1693. Influenza in Europe in the same year with an eruption in Iceland 46. 1688. The greatest of them all, that of Smyrna, on the 10th of July, was a 47. CHAPTER IV. 48. 2. If the patient be sprung from a stock in which smallpox is wont to 49. 3. If the attack fall in the flower of life, when the spirits are 50. 4. If the patient be harassed by fever, or by sorrow, love or any 51. 5. If the patient be given to spirituous liquors, vehement exercise or 52. 6. If the attack come upon women during certain states of health 53. 8. If the heating regimen had been carried to excess, or other 54. 9. If the patient had met a chill at the outset, checking the 55. 11. If the attack happen during a variolous epidemic constitution of 56. 14. If the patient be apprehensive as to the result. 57. 1. Whether the distemper given by inoculation be an effectual security to 58. 2. Whether the hazard of inoculation be considerably less than that of the 59. 1200. In 1754 Middleton had done 800 inoculations, with one death. The 60. 1725. Forty-three died, “mostly of the smallpox.” 61. 1766. The annals kept by Sims of Tyrone overlap those of Rutty by a few 62. introduction of vaccination are still every year inoculated with the 63. introduction into the system;” and this he had been doing in the name of 64. CHAPTER V. 65. 1763. Before the date of the Infirmary Book, Watson records an 66. 1766. May to July. Many entries in the book; Watson says: 67. 1768. Great epidemic, May to July; one hundred and twelve in the 68. 1773. Nov. and Dec. Great epidemic: maximum of 130 cases of measles in 69. 1774. May. A slight outbreak (8 cases at one time). 70. 1783. March and April. Great epidemic: maximum number of cases in the 71. 1786. March and April. Maximum on April 5th--measles 47, recovering 72. 1802. 8 had measles, one died. 73. CHAPTER VI. 74. CHAPTER VII. 75. 1802. It ceased in summer, but returned at intervals during the years 76. introduction of the eruption of scarlatina into his description”--as if 77. CHAPTER VIII. 78. 1665. As Sydenham and Willis have left good accounts of the London 79. CHAPTER IX. 80. 1831. Two medical men were at the same time commissioned by the Government 81. 1832. But in June there was a revival, and thereafter a steady increase to 82. 1533. During the same time Gateshead with a population of 26,000, had 433 83. 1306. As in 1832, the infection appeared to die out in the late spring and 84. 849. The Irish papers in the second period are by T. W. Grimshaw, _Dub. 85. 1710. Engl. transl. of the latter, Lond. 1737. 86. 72. The contention of the inspector was that the water-supply had been 87. 113. Sir W. Cecil writing from Westminster to Sir T. Smith on 29th 88. 437. Heberden’s paper was read at the College, Aug. 11, 1767. 89. 1775. October weekly average 323 births 345 deaths 90. 1852. This has been reprinted and brought down to date by Dr Symes 91. 117. This writer’s object is to show that Liverpool escaped most of the 92. 1783. The influenza also began to appear again; and those who had coughs 93. 1786. In the middle of this season the influenza returned, and colds and 94. 1791. Influenza very bad, especially in London. 95. 1808. If it were possible, from authentic documents to compare the history 96. 142. In one of his cases Willis was at first uncertain as to the 97. 141. In those cases there was no inoculation by puncture or otherwise. 98. 1776. _An Introduction to the Plan of the Inoculation Dispensary._ 1778. 99. 5136. Price, _Revers. Payments_. 4th ed. I. 353. 100. 1799. In a subsequent letter (_Med. Phys. Journ._ V., Dec. 1800), he thus 101. 1809. The _Edin. Med. and Surg. Journal_ (VI. 231), in a long review of 102. 25. Read 1 July, 1794. 103. 1689. Engl. Transl. by Cockburn, 1693, p. 39.

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