REPORT  ^^/- 

ON  THE 

CHOLERA  PATIENTS 

ADMITTED  INTO  THE  HOSPITAL 
DUEING  THE  TEAR  1854. 

By  S.  W.  SIBLEY,  Registrar. 


fLonTiott : 


FEINTED  BY  JAMES  TRUSCOTT,  NELSON  SQUAEE. 


1855. 


Prof  Hel<iL>(c^,-gif}-" 


A  PAPER  has  already  been  circulated  among  the  Go- 
vernors, stating  briefly  the  great  demands  which  were 
made  upon  the  Hospital  for  admission  for  cholera  patients 
during  the  alarming  outbreak  of  that  epidemic  in  Golden 
Square,  and  other  neighbourhoods  of  the  Hospital,  in  the 
autumn  of  1854 ;  and  giving  an  account  also  of  the  mea- 
sures which  were  deemed  necessary  for  the  purpose  of 
meeting  those  demands  in  the  most  effectual  manner,  and 
so  carrying  out  the  great  and  benevolent  objects  aimed  at 
in  the  establishment  and  hberal  support  of  this  and  other 
kindred  institutions. 

The  Weekly  Board,  acting  in  compliance  with  a  sug- 
gestion from  the  Medical  Committee,  have  decided  also 
on  circulating  amongst  the  Governors,  and,  to  some  ex- 
tent, the  public  at  large,  the  following  Report  of  the 
Registrar  of  the  Hospital.  It  will  be  found  to  con- 
tain many  useful  facts  relating  to  cholera,  derived  from 
the  experience  of  so  many  cases  of  the  disease  occurring 
at  the  same  time,  with  the  same  causes  probably  in  ope- 
ration, and  under  pretty  nearly,  if  not  precisely,  the  same 
conditions  in  all  respects.  More  especially  will  it  be 
found  interesting  in  regard  to  the  efficacy  of  the  different 
modes  of  treatment  recommended  in  the  late  and  the  two 
former  epidemics. 

The  general  experience  as  to  the  inefficiency  of  any 
mode  of  treatment  in  the  worst  cases,  and,  on  the  con- 
trary, its  almost  certain  power  of  arresting  the  disease  in 
its  early  stage,  are  fully  borne  out  in  this  Report. 

A  2 


4 


It  is  to  be  regretted  that  but  few  post  mortem  ex- 
aminatious  could  be  made,  and  that  no  chemical  or  other 
observations  of  the  blood,  and  of  the  excretions,  were 
carried  out.  But  it  was  found  that  neither  of  these 
important  inquiries  co\dd  be  efficiently  conducted,  in  con- 
sequence chiefly  of  the  crowded  state  of  the  dead-house, 
and  post  mortem  examination  rooms,  and  the  exertions  of 
the  whole  medical  staff,  and  of  the  small  number  of  pupils 
then  in  London,  being  exclusively  directed  to  the  alle- 
viation of  the  sufferings  of  the  living. 

But,  with  regard  to  the  facts  dwelt  upon  in  the  Report, 
the  "Weekly  Board  are  of  opinion  that  the  publication  of 
them  may  be  of  general  interest,  and  more  especially 
so  to  the  Governors  and  Supporters  of  the  Middlesex 
Hospital. 

The  tables  in  the  Appendix  will  be  found  to  contain 
much  valuable  information,  and  reflect  much  credit  on  the 
Registrar. 

MICHAEL  SMITH, 
Chairman. 

Middlesex  Hospital,  January,  1855. 


E  E  P  0  E  T. 


The  number  of  cases  of  cliolera,  and  of  the  more  severe 
forms  of  diarrhoea  admitted  into  the  hospital  during  the 
present  year,  is — 

Males  143 

Females  135 

Total  -  -  -  -  278 
The  present  Eeport  wiU  be  confined  to  a  consideration 
of  the  cases  of  cholera,  and  under  this  head  are  included 
only  those  cases  which  passed  into  a  state  of  complete  or 
incomplete  coUapse.  In  drawing  the  distinction  between 
cholera  and  choleraic  diarrhoea,  the  rules  laid  down  by  the 
Medical  Council  of  the  General  Board  of  Health  have 
been  commonly  followed.  When,  however,  a  question  has 
arisen  as  to  whether  a  case  should  be  recorded  as  cholera, 
or  as  choleraic  diarrhoea,  it  has  been  settled  by  a  consider- 
ation of  the  general  symptoms  of  the  case,  rather  than  by 
the  presence  or  absence  of  any  one  individual  symptom. 
According  to  this  view,  the  number  of  cases  of  cholera 
was, — 

Males  131 

Females  110 

Total  -       -       -       -  281 

The  first  patient  admitted  into  the  hospital  with  cholera, 
during  the  present  year  (1854),  was  on  July  25th,  and  the 

A  3 


6 


last  on  Nov.  14tli,  The  epidemic,  therefore,  as  regards  the 
Middlesex  Hospital,  was  confined  to  a  period  of  113  days. 

The  following  table  exhibits  the  number  of  admissions 
and  deaths  from  cholera  each  week  during  tlie  persistence 
of  the  epidemic  : — 


Males. 

Females. 

Total. 

Admit- 
ted. 

Died. 

Admit- 
ted. 

Sled. 

Admit- 
ted. 

Died. 

In  the  week  ending  July  29... 
„              Aug.  5... 

„  12... 
„  19... 
„  26... 
„              Sept.  2... 
»                 ))  9... 

„  16... 
»                ))  23... 

„  30... 
Oct.  7... 
„  14... 
„  21... 
On  Nov.  14... 

2 
2 

3 

i 

48 
36 
11 
10 
5 
2 
1 

i 

1 

"i 

35 
17 
6 
4 
3 

2 

2 
1 

3 
29 
39 
19 
7 
3 
2 
1 
1 
1 

1 
1 
1 

"2 
18 
22 
6 

2 

i 
1 

4 
4 
4 

'4 
77 
75 
30 
17 
8 
4 
2 
1 
1 

1 
2 
2 

"3 
53 
39 
12 
4 
6 

i 
1 

Total  

121 

68 

110 

55 

231 

123 

From  this  table  it  wiU  be  seen  that  an  immense  majority 
of  the  cases  was  admitted  in  the  weeks  ending  Sept.  2nd 
and  Sept.  9th ;  that  before  September  there  had  been 
only  18  admissions ;  and  that  during  the  fii'st  four  days  of 
that  month,  120  were  admitted. 

During  the  months  of  July  and  August,  the  patients 
were  brought  from  various  localities  in  the  neighbourhood 
of  the  Hospital,  without  a  seeming  preponderance  in  any 
one  district;  and  they  may  be  considered  as  scattered 
cases  of  the  epidemic,  owing  theii-  origin  probably  to  some 
confined  and  special  local  conditions,  rather  than  to  any 
more  general  agency  affecting  the  neighbourhood. 

Of  the  cases  admitted  during  the  first  week  or  ten  days 


7 


of  September,  however,  nearly  all  came  from  the  district 
of  Golden  Square ;  and  it  is  singular  that  out  of  the 
large  number  of  patients  received  from  that  locality,  none 
had  been  attacked  with  cholera  prior  to  the  evening  of 
August  3 1  st.  It  is  also  to  be  observed,  that  in  no  case 
admitted  had  the  diarrhoea  been  observed  prior  to  Au- 
gust 30th. 

After  the  first  week  in  September,  the  cases  from  the 
neighbourhood,  of  which  Golden  Square  may  be  said  to 
be  the  centre,  became  less  numerous;  but  about  that 
time  considerable  numbers  began  to  be  admitted  from  the 
neighbom'hood  of  Upper  B-athbone  Place.  So  far  as  can 
be  judged  from  the  records  of  the  Hospital,  the  outbreak 
in  the  latter  place  appeared  to  be  contemporaneous  with 
the  decline  of  that  in  Golden  Square.  The  outbreak  in 
Rathbone  Place  lasted  with  some  violence  for  a  few  days, 
and  after  it  had  subsided,  the  cases  received  at  the  hos- 
pital came,  as  in  the  months  of  July  and  August,  from 
different  localities  in  about  equal  numbers. 

In  the  following  Report  such  facts  in  the  causation, 
pathology,  and  treatment  of  cholera  will  be  noticed,  as 
may  be  illustrated  by  the  cases. 

Age. — The  youngest  patient  admitted  was  sixteen  months 
old,  the  oldest  68  years.  The  following  table  exhibits  the 
number  of  patients  at  various  ages,  and  the  result : — 


Males. 

Females. 

Total. 

Kate  of 

Mortality 

Cases. 

Died. 

Cases. 

Died. 

Cases. 

Died. 

about 

5 

4 

6 

4 

11 

8 

73  per  ct. 

Over   5  and  under  15 

27 

8 

14 

4 

41 

12 

29  — 

—    15       —  30 

40 

18 

41 

18 

81 

36 

44  — 

—   30       —  45 

32 

25 

26 

12 

58 

37 

64  — 

—   45       —  60 

14 

10 

18 

12 

32 

22 

69  — 

—  60  

3 

3 

5 

5 

8 

8 

100  — 

Total  ... 

121 

68 

110 

55 

231 

123 

A  4 


8 


It  will  thus  be  seen  that  the  number  of  deaths  at  various 
ages  is  nearly  in  the  same  proportion  as  that  observed 
among  similar  numbers  representing  the  deaths  from 
cholera  in  England,  in  1849.  As  no  case  was  admitted 
under  sixteen  months  of  age,  and  the  cases  under  five 
years  were  only  eleven,  it  may  not  be  just  to  draw  any 
conclusion  with  regard  to  that  early  term  of  life ;  but  above 
that  age,  the  cases  were  spread  in  their  usual  proportion 
over  the  various  periods  of  life. 

The  table  indicates  the  extreme  rate  of  mortality  in 
children  under  five  (73  per  cent.),  and  in  persons  over  60 
(100  per  cent.),  whilst  the  extremely  small  mortality  (29 
per  cent.)  of  those  between  the  ages  of  five  and  fifteen 
stands  out  in  striking  contrast.  After  the  age  of  fifteen  a 
steady  increase  may  be  observed,  and  it  is  an  interesting 
fact  that  this  increase  takes  place  far  more  rapidly  in 
males  than  in  females.  This  is  the  more  remarkable  as 
the  Registrar  General  states  (speaking  of  coiirse  only  of 
fatal  cases) — "At  the  child-bearing  age  the  mortaUty  is 
rather  greater  among  women  than  among  men."  Assuming 
that  the  conclusions  drawn  from  the  cases  treated  in  the 
hospital  are  correct,  it  follows  that  women  are  attacked 
with  cholera  in  a  far  greater  proportion  than  men  between 
these  ages. 

If  we  compare  the  per  centage  of  mortality  at  diflFerent 
ages,  as  observed  in  this  hospital,  indicated  in  the  table 
marked  A,  below,  with  a  table  marked  B,  in  p.  9,  of  the 
deaths  from  cholera  in  England  in  1849  to  every  100  per- 


(A.) 


From .... 

1—5. 

6—15. 

15—20. 

30—45. 

45—60. 

Orcr  60. 

MortaUty 
per  cent.. 

73 

29 

44 

64 

69 

100 

9 


sons  living  of  each  age,  we  find  that  the  two  series  increase 
and  decrease  much  in  the  same  ratio ;  that  they  both  show  a 
progressive  diminution  from  infancy  till  the  minimum  is 
reached  between  the  ages  of  five  and  fifteen;  that  after 
that  age  the  rate  of  mortality  increases  together  in  a  some- 
what similar  proportion. 

Now  it  is  clear,  that  if  the  per  centage  of  mortality  at 
different  ages  increased  and  decreased  exactly  in  the  same 
ratio  with  a  similar  series  representing  the  deaths  to  each 
100  living,  then  the  proportion  of  those  attacked  with 
cholera  to  every  100  hving  at  every  age  must  be  equal. 

It  would  of  course  not  be  right  to  attempt  to  establish 
a  point  in  the  pathology  of  cholera  from  the  consideration 
of  so  smaU  a  number  of  cases  as  that  before  us;  but,  should 
further  investigation,  or  a  more  extensive  series  of  cases 
justify  the  conclusion  already  implied,  the  extraordinary 
result  Avould  be  arrived  at,  that  cholera,  unlike  aD  other 
diseases,  attacks  persons  of  every  age  in  the  same  propor- 
tion, and  that  no  one  age  can  be  said  to  be  more  prone  to 
the  attack  than  another. 

Sex. — Among  the  males  the  mortality  was  56  per  cent. ; 
among  the  females  50  per  cent.  This  result,  obtained 
from  a  comparatively  small  number  of  cases,  tends  to  bear 
out  the  conclusion  generally  entertained,  that  the  mor- 
tality amongst  females  is  somewhat  less  than  in  males. 

Previous  Health. — The  state  of  previous  health  was 


(B.) 


Under .... 

1 

year. 

5 

years . 

10 
years. 

15 
years. 

25 
years. 

35 
years. 

45 

years. 

65 
years. 

65 
years. 

75 
years. 

85 
years. 

Deaths  fVom^ 
Cholera  and  1 
DIarrhteaU)! 
100  living  at) 
each  age  .. 

•828 

•255 

•144 

•159 

•317 

•423 

•528 

•705 

•981 

1-187 

1-227 

10 


recorded  in  157  cases.  Out  of  these,  126  were  attacked 
while  in  good  health,  and  it  was  more  or  less  impaired  in 
31.  Of  the  latter  three  were  labouring  under  phthisis, 
and  one  under  chronic  ulcer  of  the  stomach. 

Food  and  Uving  previously  to  attack.— With,  reference  to 
these  conditions,  it  was  found  that  out  of  158  patients,  106 
had  been  living  as  weU  as  most  persons  in  the  same  class 
of  society,  whilst  52  had  been  more  or  less  in  want  of  the 
necessaries  of  life. 

Temperance.— "^he  habits  of  the  patients  with  regard  to 
alcohohc  liquors  were  noted  in  98  cases.  Of  these,  as 
many  as  22  were  in  the  habit  of  indulging  to  excess  in 
alcohohc  stimulants. 

Cleanliness.— "Ihe  degree  of  cleanHness  of  the  patients 
was  noted  in  191  cases ;  the  result  is  given  in  the  table 
below.  In  this  they  are  divided  into  three  classes  1st, 
those  who  were  either  clean,  or  as  clean  as  most  people  of 
the  class  usually  are ;  2nd,  those  who  were  dirty ;  3rd, " 
those  who  were  in  an  extremely  filthy  state. 


Males. 

Females. 

Total. 

35 

47 

82 

34 

33 

67 

22 

20 

42 

91 

100 

191 

Or  we  may  state,  that  in  57  per  cent,  of  the  cases,  the 
degree  of  cleanliness  was  below  the  average,  and  of  these, 
22  per  cent,  were  in  a  state  of  extreme  dirt. 

It  may  be  here  remarked,  that  the  want  of  cleanliness  in 
the  cholera  patients  was  a  fact  obnous  to  all  who  saw  them, 
for  low  as  the  "average  cleanUness"  of  hospital  patients 
may  be,  that  of  the  persons  admitted  with  cholera  was  far 


11 

below  it.  The  fact  may  admit  of  a  partial  explanation  in 
the  circumstance,  that  cholera  attacked  certain  streets  and 
courts  in  which  the  inhabitants  were  of  extremely  dirty 
habits. 

We  cannot  but  attach  some  importance  to  this  want  of  • 
cleanliuess,  which  was  remarkable  in  so  large  a  proportion 
of  the  cases  as  a  predisposing,  if  not  as  an  exciting  cause  of 
the  disease,  acting  as  it  must  do  not  only  in  checking  the 
healthy  action  of  the  skin,  and  so  interfering  with  various 
vital  functions,  but  also  in  polluting  the  atmosphere  in 
which  the  patients  lived.  This  pollution  of  the  atmosphere, 
taking  place  in  the  crowded  dwelhngs  of  the  lower  order, 
must  act  in  a  similar  manner  to  bad  drainage,  in  both 
instances  leading  to  the  respiration  of  air  more  or  less 
largely  charged  with  foul  emanations  injurious  to  health. 

Drainage. — It  is  much  to  be  regretted  that  the  state  of 
drainage  has  been  recorded  only  in  19  cases.  Out  of  these, 
15  complained  that  the  drains,  water-closets,  or  cess-pools 
in  the  house  from  which  they  had  been  brought,  emitted 
foul  smells.  It  was  an  almost  constant  report  of  the  rela- 
tions, who  accompanied  the  patients  to  the  hospital,  that 
the  drainage  of  their  residences  was  ineffective. 

Tlie  stage  of  the  disease  at  which  death  took  place  may 
be  seen  in  the  following  table  : — 


Males. 

Females. 

Total. 

61 

49 

110 

1 

2 

3 

From  consecutive  fever  with  Tarsemia  

1 

1 

2 

Prom  consecutive  fever  without  suppression 

3 

3 

6 

2 

0 

2 

• 

68 

55 

123 

From  the  above  table  it  is  seen  that  out  of  68  males, 


12 

seven  died  from  relapse  or  secondary  affection,  and  of  the 
55  females,  six  died  in  a  similar  manner ;  or,  of  the  whole 
number  of  males  and  females,  123,  who  recovered  from 
the  stage  of  collapse,  13  ultimately  died  and  108  reco- 
vered. In  other  words,  nearly  ll-12ths  of  the  deaths 
took  place  during  the  first  stage  of  collapse. 

Two  patients  died  with  symptoms  resembling  those  of 
epilepsy  not  connected  with  affection  of  the  kidney.  The 
first  case  (No.  74),*  a  man  aged  50,  was  admitted  on  Sep- 
tember 4th,  in  a  state  of  complete  collapse ;  he  recovered 
slowly  from  this  state,  and  for  several  days  had  most  ob- 
stinate vomiting.  The  vomiting  also  ceased ;  after  which 
he  appeared  to  be  going  on  favourably,  passing  more  than 
two  pints  of  healthy  urine  daily  till  the  10th,  when,  at 
8  A.M.,  he  had  a  most  violent  epileptic  fit,  which  lasted 
several  minutes :  after  this  he  recovered  completely,  and 
the  rest  of  that  day  made  no  complaint.  He  continued  to 
pass  urine  freely,  but  at  8  a.m.  the  following  morning 
(11th),  he  was  again  seized  with  epilepsy,  and  the  fits  con- 
tinued with  very  little  intermission  till  he  died  at  11  a.m. 
This  patient  never  had  epilepsy  before. 

The  second  case  (No.  95)  *  was  that  of  a  man  aged  35, 
who  was  admitted  at  6  p.m.  on  September  11th,  in  a  state 
of  slight  collapse;  he  rallied  from  this  in  the  course  of 
two  or  three  hours.  At  11  p.m.  he  was  seized  with  %dolent 
convulsive  movements  of  all  the  extremities,  which  lasted 
about  half  an  hour,  the  pulse  being  very  feeble,  and  the 
pupils  much  contracted.  After  this  he  remained  in  a 
state  of  partial  unconsciousness  for  several  days,  some- 
times not  taking  notice  when  spoken  to,  at  other  times 
being  very  violent.  During  this  period  urine  was  passed 
copiously,  and  uniformly  of  a  perfectly  healthy  character, 

•  Appendix  I. 


13 


except  on  the  13th,  when  it  contained  a  trace  of  albumen ; 
the  pupils  remained  contracted.  On  the  15th  he  became 
much^iiieter  and  more  conscious.  From  this  date  to  the 
20th  he  remained  much  in  the  same  state  of  partial  un- 
consciousness, lying  on  his  side,  with  his  hand  raised  to 
the  head  :  pupils  less  contracted ;  urine  passed  freely.  At 
3  P.M.  he  was  attacked  with  a  fit  similar  to  the  first,  and 
after  a  constant  succession  of  them,  he  died  at  5  p.m. 

It  is  to  be  regretted  that  we  were  not  able  to  make 
post  mortem  examinations  of  these  cases.  Both  are  of 
interest,  from  the  obscurity  of  the  connection  between  the 
epHepsy  and  the  cholera.  In  the  first  case,  the  patient,  it 
is  seen,  was  actually  convalescent  from  cholera  when 
attacked.  The  second  case,  it  must  be  confessed,  has 
much  the  character  of  a  case  of  meningitis ;  and  if  this 
reaUy  were  the  case,  the  patient  must  have  been  suffering 
from  meningitis  and  cholera  at  the  same  time. 

The  tendency  to  head  affection  after  cholera  (irre- 
spective of  uraemia)  was  also  observed  in  a  case  which 
terminated  in  mania.  This  has  not  been  inserted  among  the 
cholera  patients,  as  it  was  probably  only  choleraic  diarrhoea. 

Amount  of  Collapse. — In  general,  the  severity  of  the  col- 
lapse was  in  proportion  to  the  amount  of  the  discharges ; 
but  there  were  several  exceptions  to  this.  No.  121,  in 
Appendix  I.,  may  be  cited  as  an  exceptional  case.  In  this 
instance,  a  child,  aged  3J  years,  was  admitted  in  a  state  of 
complete  collapse,  having  had  only  one  motion,  and  had 
vomited  but  slightly,  from  the  commencement  of  the  dis- 
ease. In  this,  as  in  many  similar  instances,  it  may  be 
asserted  that  the  flux  had  ah-eady  taken  place  into  the 
bowel,  but  had  not  been  discharged  per  anum,  for  soon 
after  admission  the  child  was  profusely  purged. 

The  degree  of  relationship  between  the  flux,  coUapse, 


14 


and  cramps,  respectively,  is  shown  in  the  general  table  of 
cases.    (Appendix  I.) 

Relapse. — ^The  occurrence  of  relapse  in  a  considerable 
number  of  cases  was  one  of  the  most  remarkable  and 
interesting  features  of  the,past  epidemic,  more  particularly 
as  we  had  no  examples  of  it  either  in  the  epidemic  of  1832 
or  in  that  of  1849.  It  should  be  understood  that  under  the 
head  "  relapse,"  only  those  cases  are  placed,  which,  having 
fairly  recovered  from  the  stage  of  collapse,  and  having  passed 
into  a  state  of  more  or  less  severe  consecutive  fever,  were 
again  attacked  with  the  symptoms  of  cholera, — such  as 
the  rice-water  evacuations,  cramps,  and  collapse.  The 
cases  stand  as  follows  : — 

On  the  2nd  day,  one  case,  which  recovered, 
„     3rd    „    two  cases,  both  recovered. 
„     4th    „    one    —  recovered. 
„     5th    „    two    —   one  recovered,  one  died. 
„     7th    „    two    —   both  died. 
„      13th  „    one    —  recovered. 

These  days  are  reckoned  from  the  date  of  the  attack  of 
cholera. 

The  foUowitig  may  be  cited  as  a  characteristic  example 
of  relapse:— D.  S.,  aged  50  (vide  Appendix  I.,  No.  153), 
was  admitted  on  September  2nd,  at  6  30  p.m.,  in  a  state 
of  extreme  collapse.  She  had  been  attacked,  at  3  p.m., 
with  vomiting,  purging,  and  cramps,  but  up  to  that  time 
was  perfectly  well.  Complete  reaction  was  established  in 
about  twenty-four  hours. 

September  4/A.— Is  going  on  well;  skin  warm;  pulse 
accelerated ;  bowels  relaxed ;  motions  contain  bile. 

Some  slight  fever  continues.  The  purging  has 
ceased,  but  occasional  vomiting  persists.  Says,  that  she 
"  feels  getting  quite  strong." 


16 


8th,  9  A.M. — Continued  progressing  favourably  till  4  a.m. 
this  morning.  Since  then  has  suffered  from  extreme 
purging,  vomiting,  cramp,  and  collapse.  Motions  and 
vomited  matters  resembling  rice  water. 

She  is  now  nearly  pulseless;,  the  countenance  sunk; 
surface  blue. 

9th,  at  noon. — Has  continued  in  the  same  condition 
since  yesterday.  Profuse  purging  continues,  with  severe 
paroxysmal  cramps.  Skin  and  surface  cold  and  sodden ; 
pulse  absent;  complete  suppression  of  urine;  voice  not 
qmte  gone. 

Died  at  2  p.m.  on  the  same  day. 

Consecutive  Fever. — In  the  appended  table  of  cases,  it 
will  be  seen  that  a  large  number  are  put  down  as  having 
had  secondary  fever ;  but  the  majority  of  those  noted  as 
having  "  slight  consecutive  fever,"  had  little  more  than 
the  natural  amount  of  reaction.  The  number  of  cases  in 
which  the  fever  was  distinctly  marked  was, — 


Slight. 

Sevefe. 

Deaths. 

15 

13 

6 

25 

11 

4 

40 

24 

10 

• 

Even  in  the  majority  of  the  above  cases  the  febrile 
symptoms  were  not  severe,  and  in  all  they  were  of  an 
extremely  adynamic  character.  Vomiting  was  the  prin- 
cipal symptom  in  a  large  majority;  and  the  remedies 
found  of  greatest  use  in  checking  this,  were  hydrocyanic 
acid,  milk  and  lime-water,  and  creosote. 

From  a  careful  examination  of  the  general  table  (Ap- 
pendix, No.  I.),  and  also  of  the  tables  A  and  B,  it  would 


16 


appear,  as  a  general  rule,  that  the  presence  of  consecutive 
fever  bore  a  direct  relation  to  the  extent  of  the  collapse, 
but  that  this  was  not  invariably  the  case. 

The  following  are  the  principal  conclusions  arrived  at 
on  the  subject : — 

1.  That  in  nearly  all  the  cases  in  which  collapse  was 
complete  and  purging  profuse,  more  or  less  of  consecutive 
fever  supervened.    (See  Table,  Appendix  I.) 

2.  That  many  cases  passed  into  the  most  extreme  stage 
of  collapse,  and  remained  in  that  condition  many  hours, 
yet  recovered,  with  consecutive  fever  in  its  least  severe 
form.    (Table  A,  Appendix  II.) 

3.  That  of  those  cases  which  did  not  pass  into  a  state  of 
complete  collapse,  several  were  followed  by  a  shght,  and 
two  by  a  severe,  form  of  consecutive  fever.  (Table  A 
and.  B,  Appendix  II.) 

An  objection  may  perhaps  be  made  to  one  of  these  two 
last-mentioned  cases.  The  particulars  of  the  case  are 
given  at  page  12.    (No.  95.) 

4.  That  all  the  cases  of  severe  fever,  with  the  two  ex- 
ceptions above  mentioned,  were  preceded  by  severe  col- 
lapse, and  considerable  discharges.    (Table  B.) 

5.  That  the  degree  of  fever  appears  to  have  generally 
borne  some  relation  to  the  duration  of  the  stage  of  collapse, 
but  that  there  were  numerous  exceptions  to  this  rule. 
(Appendix  II.) 

Treatment. — On  admission,  nearly  aU  the  patients  were 
subjected  to  certain  remedial  measures  in  common.  In 
the  first  place,  they  were  put  into  a  hot  bath  (104°),  in 
which  they  were  kept  a  few  minutes,  according  to  cir- 
cumstances. Secondly,  an  emetic  of  mustard  and  salt 
was  administered,  and  in  some,  in  whom  the  vomiting  was 
slight,  the  emetic  was  repeated  once,  or  oftener.  Thirdly, 


17 


hot  applications,  hot  bottles,  and  turpentine  fomentations 
were  applied.  Fourthly,  the  front  of  the  chest  and  ab- 
domen Avas  covered  with  a  large  sinapism.  Fifthly,  in 
those  cases  where  cramp  was  severe,  turpentine  liniment 
was  rubbed  on  the  painful  part. 

A  large  number  of  cases  slightly  rallied  after  the  bath, 
emetic,  and  hot  applications ;  but  in  the  majority  this 
improvement  was  only  transient. 

Subsequently,  they  were  subjected  to  the  various  modes 
of  treatment,  as  shown  in  the  following  table.  In  cases 
where  brandy  was  administered,  it  was  given  to  an  adult 
in  doses  of  half  an  ounce  every  half  hour. 


Males. 

Females. 

Total. 

Cases. 

Death. 

Cases. 

DeaUi. 

Cases. 

Death. 

34 

16 

39 

15 

73 

31 

Mixed  Saline  and  Calomel 

48 

24 

40 

25 

88 

49 

3 

2 

5 

3 

8 

5 

Saline  with  Cajaput  oil. . 

1 

1 

4 

2 

5 

3 

Chloroform,  Camphor,  &c. 

3 

0 

1 

0 

4 

0 

10 

7 

6 

1 

16 

8 

10 

7 

11 

6 

21 

13 

0 

0 

1 

0 

1 

0 

Hyposxilphite  of  Soda  ... 

3 

3 

0 

0 

3 

3 

9 

8 

1 

1 

10 

9 

Nitrous  Oxide  gas  

0 

0 

1 

1 

1 

1 

0 

0 

1 

1 

1 

1 

121 

68 

110 

55 

231 

123 

In  order  to  obtain  a  correct  estimate  of  the  comparative 
value  of  different  modes  of  treatment,  it  is  necessary  to 
have  precise  information  of  the  severity  of  the  disease  in 
each  example.  For  that  object  it  is  proposed  to  divide  the 
cases  into  three  gi-oups.  This  division,  it  should  be  re- 
marked, refers  to  the  condition  of  the  patient  at  the  time 
of  admission. 

B 


18 


Group  1.  Those  cases  which  appear  completely  hopeless. 

3.  Medium  or  doubtful  cases,  in  which  the  im- 
mediate prognosis  is  uncertain. 

3.  Cases  in  a  state  of  incomplete  collapse,  in 
which  the  disease  does  not  appear  to  be  in 
its  most  malignant  form,  and  in  which 
there  is  every  probability  that  the  patient 
will  recover. 

On  the  Saline  Plan. — These  cases  were  treated  nearly  on 
the  principles  recommended  by  Dr.  Stevens.  A  saline 
mixture,  composed  of  the  chlorate  of  potash  and  carbonate 
of  soda,  and  of  the  chloride  of  sodium,  was  given  every 
half  hour.  Injections  of  broth,  salt,  and  turpentine  were 
administered  every  three,  four,  or  six  hours.  The  follow- 
ing table  exhibits  the  result  of  this  plan  of  treatment: — 


Alone. 

with  Brandy. 

Total. 

Cases. 

Died  in 
Col- 
lapse. 

Died 
subse- 
quently 

Cases. 

Died 
in  Col- 
lapse. 

Died 
subse- 
quently 

Cases. 

Deaths. 

1.  Most  severe  cases: 
Males  

9 
6 

15 
20 

8 
10 

9 
6 

4 
9 

1 

1 

2.  Medium  cases : 

1 

1 

16 

3.  Favourable  cases : 

1  ■ 

2 
1 

}37 

I- 

•14 

1 

68 

28 

2 

5 

1 

_ 

73 

31 

Of  the  two  cases  (both  males)  which  raUied,  but  died 
subsequently,  one  died  of  epilepsy,  the  other  of  secondary 
fever. 

Mixed  Saline  and  Calomel. — In  these  cases  the  saline 
mixture  last  spoken  of  was  ordered  eveiy  half  hour,  and 
in  addition,  10  grains  of  calomel  were  given  after  the 


19 


emetic  had  acted,  and  in  the  majority  a  dose  of  3  grains 
was  repeated  every  two  hours.  In  some,  half  a  grain  of 
opium  was  given  with  the  first  dose  of  calomel.  The  in- 
jections also,  previously  mentioned,  were  given  in  a  con- 
siderable proportion  of  the  cases.  The  resvilt  is  exhibited 
in  the  following  table  : — 


Alone 

With  Brandy. 

Total. 

Died 

Died 

Died 

Died 

Cases. 

In  Col- 

subse- 

Cases. 

in  Col- 

subse- 

Cases. 

Deaths. 

1.  Most  severe  cases : 

lapse. 

quently. 

lapse. 

quently. 

1 

1 

17 

16 

36 

4 

4 

17 

15 

1  39 

2.  Medium  Cases : 

10 

4 

16 

2 

1 

5 

11 

4 

2 

} 

13 

3.  ravourable  cases  : 

3 

1 

2 

1 

25 

9 

63 

37 

3 

88 

49 

The  male  patient  aUuded  to  in  the  sixth  column  of  the 
above  table  died  of  epilepsy.  One  female  died  of  relapse, 
the  other  of  uraemia. 


Calomel. — Eight  cases  were  treated  on  this  plan.  Ten 
grains  of  calomel  were  given  after  the  emetic,  and  two 
grains  every  half-hour  subsequently.  No  brandy  was 
given  in  any  of  these  cases. 


m 

ties. 

Females. 

Total. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Cases. 

Deaths. 

Most  severe  cases  .... 

2 

2 

1 

2 
2 

Medium  cases.. 

1 

3 

3 

Favourable  cases 

1 

2 

2 

2 

3 

3 

2 

5 

3 

8 

5 

20 

It  should  be  remarked,  that  all  the  deaths  took  place  in 
the  stage  of  collapse.  The  number  of  the  cases  is,  of 
course,  too  small  to  draw  any  conclusion  from  them,  as  so 
little  encouragement  was  obtained  from  the  results  of  this 
treatment,  that  the  plan  was  soon  abandoned. 

In  none  of  the  cases  did  the  calomel  appear  to  exert 
any  influence  in  restoring  the  bile  in  the  evacuations,  and 
in  none  did  it  afi'ect  the  gums. 

Cajaput  Oil. — In  five  cases  half  drachm  doses  of  this  oil 
were  combined  with  each  dose  of  the  saline  mixture  ;  they 
were  treated  in  other  respects  as  on  the  "  saline  plan  ]'  the 
result  was — 


Moles. 

Females. 

Total. 

Most  severe 

Cases. 

Died  in 
Collapse. 

Cases. 

Died  in  last 
Collapse. 

Died  In 
Relapse. 

Cases. 

Deaths. 

1 

1 

2 

2 

1 

9 

2 

1 

2 

1 

It  was  a  curious  fact,  that  one  of  the  worst  cases  that 
recovered  was  treated  on  this  plan ;  a  second  nearly  as  bad 
recovered  from  the  stage  of  collapse,  but  subsequently  died 
of  relapse.  It  would  not,  however,  be  just  to  affirm  that 
this  result  was  owing  to  the  cajaput  oil. 

It  was  noticed  in  the  majority  of  the  cases  in  which  the 
oil  was  given,  that  although  the  collapse  was  complete,  and 
it  might  therefore  be  supposed  that  the  stomach  had  lost 
all  power  of  absorption,  the  odour  of  the  oil  was  very 
obvious  in  the  breath  of  the  patients.  This,  of  course,  was 
by  np  means  positive  evidence  that  the  oil  had  been 
absorbed  and  had  entered  into  the  blood,  as  it  is  natural 
to  suppose  that  part  of  the  medicine  had  remained  in  the 


21 


mouth,  and  had  imparted  its  powerful  odour  to  the  expired 
breath. 

Chloroform  and  Camphor. — A  solution  of  camphor  in 
chloroform  was  administered  in  four  cases  ;  they  all 
recovered,  but  none  of  them  were  of  the  worst  class. 
Two  males  may  be  placed  as  belonging  to  the  most 
favourable  group,  and  one  male  and  one  female  to  the 
*  medium  group. 

From  what  was  observed  in  these  cases  there  was 
nothing  to  recommend  the  employment  of  the  remedy  in 
any  of  the  more  severe  cases.  It  was,  however,  singu- 
larly efficacious  in  removing  the  distressing  sense  of 
epigastric  constriction  complained  of  by  some  of  the 
patients  who  were  suffering  from  the  milder  forms  of 
cholera. 

Castor  Oil. — Sixteen  cases  were  treated  on  the  castor  oil 
plan ;  in  all,  the  oil  was  given  in  half-ounce  doses  every 
half-hour. 


Alone. 

With  Brandy. 

Total. 

Cases. 

Deaths. 

Coses. 

Deaths. 

Cases. 

Deaths. 

Most  severe  cases : — 
Males  

1 

1 

3 

3 

1 

1 

5 

Medium  cases : — 

Males  

1 

1 

4 

2 

3 

Favourable  cases : — 
Males  

1 

Females  

4 

1 

7 

2 

9 

6 

16 

8 

All  the  deaths  took  place  in  the  stage  of  collapse. 
No  difference  was  observed  in  the  effect  of  the  remedy 
when  given  alone,  or  when  combined  with  brandy,  except 

B  3 


22 


that  in  the  latter  case  it  was  found  less  apt  to  cause  dis- 
tressing  vomiting. 

Although  several  of  the  patients  took  large  quantities  of 
the  oil,  we  did  not  observe  any  increase  in  the  amount  of 
purging  as  compared  with  other  cases ;  on  the  contrary,  in 
all,  except  the  worst  class  of  cases,  a  gradual  diminution  of 
the  diarrhoea  took  place. 

On  a  careful  review  of  the  cases,  the  following  conclu-  ' 
sions  were  arrived  at : — 

1.  That  in  the  worst  class  of  cases  death  took  place 
quite  as  soon,  or  even  sooner,  under  the  castor  oil  than 
under  other  modes  of  treatment. 

2.  In  the  most  favourable  group  recovery  was  quite  as 
rapid,  perhaps  more  so,  than  in  cases  under  other 
remedies. 

3.  In  several  cases  of  the  medium  group  it  was  believed 
that  the  oil  did  serious  injmy ;  and  two  cases  which,  on 
admission,  had  appeared  as  almost  belonging  to  the  most 
favourable  group,  proved  fatal. 

It  follows  that,  in  the  cases  treated  by  castor  oil,  there 
was  evidence  of  the  injurious  effects  of  the  remedy,  whilst 
there  was  little  or  none  of  its  beneficial  qualities.  These 
considerations,  of  course,  prevented  a  more  extended  trial 
of  the  remedy  being  made. 

Acetate  of  lead  was  given  in  one  case,  which  recovered. 
Tedious  and  imperfect  convalescence  took  place,  which 
was  followed  by  relapse,  and  rapid  recovery  under  salines. 

Hyposulphite  of  Soda. — This  salt  was  administered  in 
three  cases.  The  remedy  was  of  course  suggested  by  the 
theory  which  ascribes  the  symptoms  of  cholera  to  a  para- 
sitical fungus  or  vegetable,  the  acid  of  the  salt  being  a 
powerful  agent  in  destroying  vegetable  life.  The  salt  was 
given  in  drachm  doses  every  half-horn-,  the  treatment 


I 


23 


being  commencecl  by  an  emetic  of  sulphate  of  copper. 
Enemata  containing  the  hyposulphite  were  also  adminis- 
tered. All  three  cases  were  of  the  worst  class,  and  death 
took  place  in  the  stage  of  collapse ;  the  treatment  did  not 
appear  to  produce  the  least  effect  on  the  symptoms. 

Diluted  Sulphuric  Acid. — This  was  administered  in  31 
cases ;  it  was  given  in  doses  of  from  30  to  80  minims  of 
the  dilute  acid,  the  first  six  or  eight  doses  being  given 
every  half-hour,  and  subsequently  every  hour.  In  three 
cases  stimulants  were  administered  along  with  it.  The 
following  table  gives  the  result  of  those  cases  in  which  the 
remedy  was  given  alone: — 


Of  the  worst  class. 
Of  medium  cases... 
Of  favourable  cases 

Males. 

Females. 

Recovered. 

Dlca  in 
Collapse. 

Died  of 
Cons.  Fev. 

Recovered. 

Died  in 
Collapse. 

Died  of 
Cons.  Fev. 

3 

1 

3 

2 

2 
2 

3 
1 

1 

The  three  cases  in  which  brandy  was  adrainistered  with 
the  acid  may  be  arranged  as  follows  : — 


Of  the  worst  class 

Recovered. 

Died  in  Collapse. 

Died  in  Fever. 

One  female. 

One  male. 

One  female. 

Or,  adding  these  numbers  together,  it  will  be  seen  that — 


Oases. 

Deaths. 

5 
13 

3 

4, 

8 
1 

Of  medium  cases  

Of  favourable  cases  

Total  

21 

13 

B  4 


24 


In  regard  to  the  action  of  sulphuric  acid  in  cholera,  the 
remedy  does  not  appear  to  have  had  any  power  in  rousing 
the  patients  from  the  condition  of  collapse.  Again,  althougli 
we  assign  considerable  power  to  the  acid  as  an  astringent 
in  checking  ordinary  and  choleraic  diarrhoea,  it  appears  to 
have  been  completely  powerless  in  restraining  the  rice- 
water  evacuations  of  cholera.  If  the  general  table  of  cases 
be  examined,  it  will  be  seen  that  the  majority  of  patients 
who  took  sulphuric  acid  were  much  purged  after  admission. 
Dr.  Hawkins  noticed  that  in  one  of  his  patients  (No.  8),* 
who  had  taken  about  3  oz.  of  dilute  sulphxu'ic  acid,  the 
alkaline  reaction  of  the  evacuations  was  not  changed. 

It  will  also  be  seen,  under  the  column  "  Previous  treat- 
ment," that  the  administration  of  sulphuric  acid,  in  the 
stage  of  diarrhoea,  did  not  prevent  several  cases  from 
passing  into  developed  cholera. 

Quinine. — The  treatment  by  quinihe  was  not  commenced 
in  any  of  the  following  cases  immediately  after  their  ad- 
mission. They  had  all  been  placed  for  a  few  hours  on  the 
mixed  saline  and  calomel  plan.  Brandy  was  administered 
in  all.  The  quinine  was  given  in  five-grain  doses  every 
one  or  two  hours. 


Died  of 

Coses. 

Died  in 
Collapse 

Died  of 
Eelapse. 

coasecu- 
live 

Cases 

Deaths. 

Most  severe  cases : 

Fever. 

Males  

8 

6 

1 

1 

8 

8 

Females  ... 

1 

1 

1 

1 

Medium  cases : 

Male 

1 

0 

0 

1 

0 

10 

7 

1 

1 

10 

9 

Two  patients^  it  is  seen,  in  the  most  severe  form  of  the 


Appendix  L 


25 


disease,  rallied  out  of  tlie  stage  of  collapse ;  but  these  iilti- 
matelv  died,  —  one  of  consecutive  fever,  the  other  of 
relapse.  The  only  patient  that  recovered  under  quinine 
passed  through  a  most  severe  consecutive  fever. 

Inhalation  of  Gases. — One  patient  was  made  to  inhale 
nitrous  oxide  gas.  The  principal  features  of  the  case 
may  be  noticed.  The  case  is  that  of  a  woman,  aged  45.. 
(No.  180.)*  She  had  been  suffering  from  cholera  eleven 
hours  when  admitted,  and  was  in  the  state  of  extreme 
collapse,  prdse  barely  perceptible,  and  there  was  great 
lividity  of  surface.  On  commencing  to  inhale  the  gas  the 
pulse  was  reduced  from  140  to  120,  and  became  much 
fuller ;  this  improvement  in  quality  of  the  pulse,  however, 
was  only  temporary,  as  it  again  became  scarcely  per- 
ceptible, but  still  remained  at  120.  The  inhalation  was 
frequently  repeated  during  the  twenty-four  hours  after 
admission ;  and  during  this  time  she  inhaled  ten  gallons 
of  the  gas,  each  time  with  similar  effects, — that  is,  with 
only  very  transient  benefit.  After  this,  she  was  put  on  the 
saline  treatment  and  slowly  rallied  from  the  state  of  col- 
lapse.   She  ultimately  died,  however,  of  consecutive  fever. 

Another  patient  (No.  44),*  which  had  been  treated  on  the 
hyposulphite  of  soda  plan,  was  made  to  inhale  oxygen ;  the 
resvdt  was  somewhat  similar  to  that  produced  by  the 
laughing  gas,  but  was  less  striking;  the  patient  died  in 
the  state  of  collapse. 

Injection  of  Fluids  into  the  Veins. — In  two  cases  (Nos. 
201  and  205)*  injections  were  used,  and  although  both  of 
these  terminated  fatally,  a  few  remarks  on  them  may  be 
admissible,  considering  the  great  importance  of  the 
subject. 

The  injections  principally  used  during  the  epidemics  of 

•  Appendix  I. 


26 


1832  and  1839  consisted  of  water,  holding  in  solution  vari- 
ous salts,  and  forming  a  fluid  the  specific  gravity  of  which 
only  slightly  exceeded  that  of  water.  This  fluid,  on  mix- 
ing  with  blood  in  the  veins,  would,  of  course,  tend  to  swell 
out  and  distort  the  red-blood  corpuscles,  and  probably 
cause  the  impaction  of  some  in  the  capillaries  of  the 
lungs.  In  order  to  prevent  this  result.  Dr.  Rees  em- 
ployed a  saline  fluid  of  a  specific  gravity  approximating  to 
that  of  blood.  This  fluid  would,  however,  also  alter  the 
form  and  size  of  the  blood  corpuscles,  although  perhaps 
less  so  than  those  first  spoken  of. 

Now  many  of  the  principal  symptoms  of  cholera  met 
with  an  explanation  in  the  diminished  bulk  and  tar-like 
condition  of  the  blood;  in  fact,  there  is  some  analogy 
between  the  symptoms  of  cholera  and  those  of  a  profuse 
haemorrhage. 

Moreover,  the  recent  researches  of  Dr.  Garrod  have  cast 
doubt  on  the  doctrine  of  the  diminution  of  the  saline  con- 
stituents of  the  blood.  He  also  found  that  the  proportion 
of  corpuscles  was  increased. 

It  is  clear,  then,  that  the  fluid  that  would  supply  these 
defects  in  the  composition  of  the  blood,  and  at  the  same 
time,  when  injected,  would  not  materially  alter  the  cor- 
puscles, should  be  closely  analogous  to  the  serum  of 
healthy  blood,  but  should  not,  however,  be  of  equal  den- 
sity with  it.  An  "  artificial  serum"  was  accordingly 
employed,  which  contained  only  half  the  quantity  of 
albumen  found  in  healthy  blood.  The  composition  was 
as  follows : — 


"Water  -  -  - 
Albumen 

Chloride  of  sodium  - 
Chloride  of  potassium 


2  pints. 
1|  oz. 
90  grains. 


37 


Phosphate  of  soda  -  -  5  grains. 

Carbonate  of  soda  -  -  3 1  „ 

Sulphate  of  soda  -  -  7  „ 

Oxide  of  iron  -  -  -  13  „ 

The  fluid  was  used  at  a  temperature  of  105°.  In  both 
the  cases  about  a  pint  was  injected,  at  the  rate  of  about 
an  ounce  a  minute.  The  immediate  eflPect  of  the  injection 
was  much  the  same  as  has  been  noticed  with  other  in- 
jections. 

The  first  case  (201)  *  was  admitted  8.30  p.m.,  in  a  state 
of  complete  collapse,  having  been  suffering  from  cholera 
for  5^  hours.  She  was  placed  on  the  saline  plan  of 
treatment.  The  injection  into  the  basilic  vein  was 
made  on  the  following  day,  at  3  p.m.,  at  which  time  she 
had  been  quite  pnlseless  for  four  or  five  hours,  and  had 
been  purged  most  profusely.  After  the  injection  of  a  few 
ounces  of  serum  the  pulse  became  perceptible,  and  finally 
became  steady  and  regular,  but  small,  and  113  in  a 
minute.  Respiration  36.  On  the  injection  being  com- 
pleted the  expression  of  the  countenance  was  much  im- 
proved, pulse  steady,  heat  of  surface  considerably  restored, 
no  dyspnsea,  breathing  easy,  and  the  patient  expressed 
herself  much  reheved.  The  improvement,  however,  was 
only  temporary;  she  continued  much  in  the  same  state 
tiU  about  5  p.m.,  the  pulse,  however,  gradually  becoming 
more  feeble.  After  this  time  she  relapsed  into  her  former 
condition,  again  became  pulseless,  and  the  purging,  which 
had  never  ceased,  continued  unchecked,  until  she  gradually 
sank  and  died  at  7.30  p.m.  The  surface,  however,  con- 
tmued  warm  up  to  a  short  time  before  her  death. 

The  second  case  (No.  305)*  was  that  of  a  woman,  aged 
38,  who  was  admitted  5.45  p.m.  on  September  13th,  in  a 

•  Appendix  I, 


28 


state  of  complete  collapse,  and  had  had  cholera  two  hours. 
She  was  put  on  the  saUnc  plan  of  treatment ;  the  injection 
was  used  at  8.30  p.m.  Slie  was  then  quite  pulseless ; 
respiration  very  laborious,  numbering  56  in  the  minute. 
After  ten  ounces  of  the  artificial  serum  were  injected  the 
pulse  at  the  wrist  became  just  perceptible,' 108.  She  ex- 
pressed herself  relieved.  The  injection  being  completed, 
the  pulse  ceased  to  be  felt,  and  did  not  again  return,  the 
dyspnoea  was  somewhat  increased,  the  respiration,  how- 
ever, remaining  at  56.  She  died  at  11  p.m.  The  heat  of 
surface  was  considerably  restored  after  the  injection. 

The  temporary  benefit  in  both  these  cases  was  well 
marked,  and  there  can  be  little  doubt  that  in  the  first  case 
life  was  prolonged  several  hours. 

On  looking  over  the  tables  showing  the  mortaUty  after 
difi'erent  modes  of  treatment,  and  at  the  same  time  making 
due  allowance  for  the  unequal  severity  of  the  cases,  it  will 
be  seen  that  but  little  difi'erence  was  observed  in  the 
results.  Under  every  mode  of  treatment,  nearly  all  the 
cases  of  the  worst  class  died,  whilst  nearly  all  those  of  the 
most  favourable  recovered.  It  is  only  in  the  medium 
group  of  cases  that  the  real  value  of  the  respective  modes 
of  treatment  is  to  be  sought. 


Jiilj-2d 
Jtilj-23 


ins.? 
ins- 11 
Aug.  21 


SepU  I 
Sept.1 
Sept.  1 
Sept.  1 
Sept.  1 
SepL  I 
Sept.  I 
S«pt.  I 
Sept.1 
S^I 
S9t  1 
SepLl 
StpL  1 
Sq)t.l 
Sept.1 
Sept.l 
Sept.  2 

Sept.  2 
Sept.  2 
Sept.  2 
Sept.  2 
SepL2 
Sept.  2 
Sept.  3 
5ept.2 
Sqrt.a 
Sept.  2 
Sept,  2 


E.H. 
T.B. 
L.L. 

T.  F. 
T.  31. 
G.T. 
T.G. 
Z.  W. 

E.S. 

G.  S. 

H.  n. 

T.  G. 
D.  A. 
A.H. 
It.  A. 
T.G. 
T.  C. 

D.  G. 
CO. 
T.F. 
T.  E. 
T.T. 
T.  C. 

E.  W. 
S.H. 
P.D. 

I  C.F. 

D.  S. 
T.H. 
ELH. 

E.  T. 
T7.  T. 
E.  P. 
T.  W, 
S.  S. 
A.  A. 
G.  A. 
T.IL 
T.  L. 


At  School 
Errasd-bof 
AitisUs 

Odlcctor  of  SIdns 
Tailor 
Catpcntta- 
S'one 


Z^ibooTcr 

Porter 

Cabman 
Tin-plfllo  ■\Vorfecr 
Siiocmakcr 
Tailor 
TaUor 
Shoemaker 
Tin-plate  Worker 
Erraad-boj- 

Errand-boy 
Heraldic  Chaser 
Shoemaker 
Greengrocer 
Errand-bor 
School-boy 
Pianoforte  Mokei 
Errand-boy 

School-boy 
Errand-boy 
Errand-boy 

Porter 
Compositor 
Shoemaker 

Tailor 
Iron  Chalr-baclc 
Maker 


Good 
Very  Good 
Very  Good 
Not  Good 

Good 

Good 
Good 
Good 
Fair 
Good 
Good 
Good 
Good 


Good 
Not  Good 
Sot  Good 


Not  Good 
Good 
Good 
Good 
Good 


Good 
Good 


Very  Good 

Good 
3Ioderatc 
Very  Bad 

Good 


Good 

Good 

Good 
Modcmto 
Moderate 
3 rod crate 

Good 


Slorved 
Good 
Very  Bad 


Bad 
Bod 


Good 
Good 


Beer,  Moderate 
Sober 
Sober 
Water 
Sober 

Beer,  Sober 

Sober 


Sober 
Excessive 


Moderate 
Excessive 


^lodernte 
Excessive 


Very  Dlrtj- 
Fair 


Very  Dirty 
ATcrage 


Dhrty 
Moderate 

Moderate 

Good 

Dirty 
Very  Dirty 
Very  Dhly 
Very  Dirty 

Good 


Very  Dirty 
Very  Dirty 
Very  Dirty 
Very  Dirty 

Average 
Very  Dirty 

Moderate 
Good 

Moderate 

Moderate 


Average 
FUlhy. 
Moderate 
Moderate 


APPENDIX  (I.)— MAIZES. 


BEFOnE  ADUI3SI0X. 


21  Hours,  C  01  wide  ruble 

4  Da>-s 

Considerable 
8  Days,  Considemblo 
7  Days,  Coiialdcrablo 
2  Dnys,  Considerable 
2  Hours,  one  Motion 


24  HouTBt  Consldcrabio 
Coiislilcrable 


24  Hours 
G  Hours 


22  Hours,  Considerable 


2i  Hours,  Considerable 

26  Hours 

Considerable 
6  Hours,  Violent 
6  Hours,  Considerablo 
2  Daj-s,  Considerable 


Considerable 
Considerable 


Consldcrabio 


2J  Hours 

Considerable 

Considerable 
Consldcrabio 
Considerable 


Comploie 
Sliglit 
Extrcmo 
I 

Moderate 

Iiicouipleto 
Extreme 
Extriine 

Ii  I  compIctc-^Extreme 
ExtrtmB 
Extreme 
E.\ttfmG 
Complete 
Extreme 
Extruno 
Coinploto 
Exlrnno 
Exlrone 
EKlremo 
Extreme  , 
Ex  1  rente 
Extreme 
Extreme 
Extrerao 
£.\tTciDe 
Extreme 
Ext  rone 
Estieme 
Extreme 
Extreme 
Incooipleto 
CouiplBto 
Extreme 
Coiii]ileto 
Exlrepie 
Ex  treble 
Extrono 
Fj:tri  IB 
Cooalilo  ible  . 


AFTER  ADUISSIOh'. 


Slight 
Slight 
Violent 

Consldcrabio 
Considerable 

AIo<lcrale 
Severe 

G  Motions 

Extreme 
Considerable 
Considernblo 
Moderate 
Profuse 
Proflise 
Profuse 
ProibsQ 
ProHiEe 
Profliac 
Profuse 
Prof\iso 
Profuse 

Considerable 
ProAi^o 
Moderate 
ProAisc 

Considerable 
Profhso 

Considerable 

Considerable 
Moderate 
Prothso 
ProfUsc 
Promise 
Sloderato 
Severe 
Prolhso 
Bloderato 
Profuso 


Sllglit 
Slight 
Free 

Considerable 
Considerable 

Moderate 
Severe 

Moderate 

Extreme 
Considerable 
Considerable 

Moderate 

Couslderablc 
Extreme 
Proftiao 
FrolliGo 
Proftiso 
ProfhsQ 
Profhse 
Slight 

Considerable 
Cousldcrnblc 
Moderate 
Profuso 
Considerable 

Proftiso 
Considerable 
Considerable 
Moderate 
Prolhso 
Profuse 
Profuso 
Moderate 
Severe 
Proltise 
Moderate 
Profuso 


Slight 
Considerable 
Coiialderablo 


Moderate 
Severe 


Considerable 
Considerable 
Extreme 


Moderate 
Considerable 
Severe 
Severe 
Severe 
Severe 
Severe 


Slod crate 
Severe 


Severe 
Sliglit 
Severe 


Coloured 
liicc  Water 


Rico  Water 
Bice  Water 


Elce  Water 
Bice  Water 
Bice  Water 
Rice  Water 
Bice  Water 
Bice  Water 
Rico  Water 
Blee  Water 
Bice  Water 
EIco  Water 
Bice  Water 
Bice  Water 
BIco  Water 
Rice  Water 
nice  Water 
Bice  Water 
Bice  Water 
Bice  Water 
Bice  Water 
Biee  Water 
BIcc  Water 
Bice  Water 
Bice  Water 
Biee  Water 

Bice  Water— Blood 
like  Water 
Bice  Water 

BIco  Walcr— Blood 
Rico  Water 
Bice  Water 
Rice  tt'atcr 


Eico  Water 
Bice  Water 


nice  Water 
Blee  Water 
Blcc  M'atcr 
nice  Water 
Bice  Water 
Bice  Water 
nice  Wilier 
nice  Water 
BIco  WalcT 
Bico  Water 
nice  Water 
Rice  Water 
Elce  Water 
Elce  Water 
Elce  Water 
Bice  Walcr 
Elce  Water 
Elce  Walcr 
nice  Water 
Blcc  Water 
Eleo  Water 
Kice  Water 
nice  Water 
Blcc  Water 
Bice  Water 
Rice  Water 
nice  Water 
Blee  Water 
nice  Water 
Bleu  Water 
BIco  Water 


4  Hoars 
4  Bours 


Fc«-  Honrs 


14  Hoars 
Fciv  Hottre 

Feiv  noura 


Cooaccullvp  Fever. 


Absent 
Absent 


Absent 
Absent 


SUght 
None 
Slight 


Nor 


Adynamic,  with  much  Vomithig 
Severe,  with  Coma 


None 
None 


7th  Day 
(?)  4th  Day 


Total  Duration 


3  Daj'S 
3  Days 
43  Hours 

3  Dnys 
70  Hours 

5  Days 

10  Days 
20  Hours 

GG  Hours 

26  Hours 
S  Hours 
12  Hours 

14  Hours 

27  Hours 
7  Doys 

30  Boars 

11  Hours 

15  Hours 
IS  Hours 
20  Hours 

20  Hours 
Few  Days 

21  j  Hours 
23}  Hours 

4  Days 

31  Honrs 
31  Hours 

19  Hours 
4  Days 
4  Days 
G  Days 
4  Dnys 

31  Hours 

20  Houra 

12  Days 
17J  Hours 
30  Hours 
SO  Days 


Eecovcr? 
Bccovery 
In  CoUapsQ 

BccoYcry 
In  Collapso 
Bccovery 
Bccovery, 
In  Collapse 

In  Collapse 
In  CoUapse 
In  Collapse 
In  Collapse 
III  C<illapse 
In  Collapse 
lu  Colapse 
In  Collapso  I 
In  Collapse. 
In  Collapse 
In  CfUapso 
In  CoIlapBO 
In  CoIlapsB 
In  Collapse 
Bccovery 
In  Collapse 
In  Collapse' 
Consecutive  Fe^ 
III  Collapse 
In  Collapso 
In  Collapse 
Bccovery 
Recovery 
Bccovery 
Bccovery 
lu  Collapse 
In  CoUapao 
ForoUtls  (?) 
In  CoUapn 
In  CoUapsq 
necevcry 


k 


y 


Sllxcd  Saline 
Mixed  Sallno 
SUiod  Saline 

Mixed  Salino 
Sllxed  SflUac 
Mixed  Saline 
Sulphuric  .Icia 
SnipLuiioAcId 

Sulphuric  Add 

^idliic 
Mixal  Salliio 

SoUuc 
Suipharic  Add 
Mixed  Salino 
Miied  Salljie-Quinino 
Mlxcil  Smiuo 
Mixed  Salino 
IDicd  Sallnc-ijalnino 
Sulphuric  Add 
Mixed  Salliio 
Mixed  Salliio 
JUxed  Snllnc-QuiiLlQe 

Mixed  Sdino 
ilixed  Saline— Quinine 

Mixed  Salino 
Sulphuric  Add-Qulnlno 

Mixed  SoUufl 
Uiicd  Sallne-QuJiilne 
Mixed  Sallae 
MUulSidlno 
tUxed  Salino 
Mixed  Salino 
MUeil  Sidlue 
Mixed  SiUluo 
Mixed  Saline 
Ulietl  Sailnc-Qolnlne 

SailDO 
Mixed  Sallne-tjulnino 
Mixed  Sallnc-Qalulao 


Won, 
oilmiiidicn' 

I 

No 

Dr.  Stewart 

1 

No 

Dr.  BtctvoTt 

2 

No-Vcs 

Dr.  Thumpio 

a  3 

No 

Dr.  Tlionijiso 

4 

No-Ycs 

Dr.  Uatvkliu 

5 

No 

Dr.  Thonipso 

G 

No 

Dr.  Hawkins 

7 

Yea 

Dr.  Thompso 

B 

No 

Dr.  Hawkins 

9 

No 

Dr.  Hawkins 

10 

No 

Dr.  Hawkins 

II 

No 

Dr.  Hawkins 

13 

Ko 

nr.  Hawklus 

13 

\(S 

Dr.  Huwkljis 

14 

Ics 

Dr.  Hawkins 

15 

ICB 

Dr.  HuwkliiB 

IG 

Yea 

Dr.  Hawkins 

17 

Yea 

Dr.  Hnivklus 

18 

No 

Dr.  Hawkins 

10 

Yes 

Dr.  Iluwkjiis 

20 

\w 

Dr.  HuwklLis 

21 

Yes 

Dr.  Hawkins 

22 

Yes 

Dr.  Hawkins 

U3 

Yes 

Dr.  Haw  Idas 

24 

Yes 

Dr.  HawUna 

23 

Yea 

Dr.  Hawkins 

20 

Yei 

Dr.  Hawkins 

27 

Yea 

Dr.  Hawkins 

Ym 

Dr.  Hawkins 

29 

No 

Dr.  Hawkins 

30 

No 

Dr.  Huwkliut 

31 

Yea 

Dr.  HawUdS 

32 

No 

Dr.  Hawkln' 

Yea 

Dr.  Hawkins 

34 

Yes 

Dr.  Hawkins 

3Q 

Ym 

Dr.  Hawkins 

36 

Yes 

Dr.  Hawkins 

37 

Yes 

Dr.  Hawkins 

38 

Yes 

Dr.  Hawkins 

39 

/ 


APjEBNDIX  (l.)~'M.XLES—co}itmtied.  * 

1  ■  2 


1 

BEFORE  ADSII63ION. 

AFTER  AD 

MISSION'. 

TREATJIEKT, 



DUe. 

As*. 

Occnpatloa. 

iiojath 

Food. 

Drink. 

CIcanlincu. 

Diorcbica. 

Cramp. 

A  Hock 
C  holers. 

CollnpEOOD  Admi/aliBi- 

Vomltlug. 

Motion). 

VoniK. 

RccoTcry  ftom 
CollBpje. 

CoDMCullvo  Fo«r. 

Totnl  DuniUoD 

of  DlKBH. 

Rondt,  and  Cuuu 
of  Death. 

Delbr 

BAdndnlon. 

After  A  J  million. 

Were 
RLlmulanti 
luliiilnltlcim 

riiyilclan. 

1 

No. 

Extreme 

Severe 

Severe 

Very  Severe 

nice  Water 

Rice  Wotcr 

14  Honrs 
Few  Days 

IG  Hours 

Ill  Collnpso 
It  ceo  very 

In  Collapse 
In  Coliapso 
In  Coliapso 
la  Coliapso 
III  Coliapso 

Ilecovcry 
In  CoUupso 
III  Coliapso 

Recovery 

Mixed  Saline— Quinine 
Mixed  Saline 

Sqit.2 

■W  B 
G.B. 

65 
29 

Brieklayers' 
Latworcr 

Strons 

Good 

Hodcrato 

Very  Dirtj- 

3  Hours,  Cousidornble 
40  Hours 

3  Hours,  Considcrnble 

3  Hours,  Severe 

3 

Complete 

E-clremo 
X  remo 

Considerable 
Profuse 

Considerable 
Profhso 

Severe 

Itlco  Water 
Pink  Motion — Blood 

Bice  Water 
cc  atcr 

Few  Hours 

Slight 

1-0 

Dr.  Hawkins 
Dr.  Hawkins 

40 
41 

1 

1 

1 

5 
S 

1 
B 
6 

Sept.2 
Sept.  2 
Sept.  2 
Sq)t.2 
Sept.  2 
Sept.  2  ' 

T.B. 

46 

Shoemaker 

Good 

Moderate 

Excessive 

Mixed  Snlluo 

Yea 

Dr.  Hawkins 

43 

G.  P. 

55 

Bootmaker 

Very  Sober 

Good 
Very  Dirty 

24  Hours 

2^ 

6 

Bxlremo 

ProfuEo 

Proflise 

Severe 

nieo  Water 

Rice  Water 

C9i  Hours 
14  Hours 
44^  Hours 

Yes 
Innjy 

Mixed  Saline 

Dr.  Hawkins 

43 

C  W. 

30 

Tailor 

Good 

Good 

Ext  remo 

Profhso 

Profuso 

nice  Water 

Blcc  Water 

Hj-poaulpUito— Oxygen 

Yea 

Dr.  Hnwklni 

44 

Labourer 

Good 

Good 

Excess  vo 

24  Hours 

H 

Proruso 

Profuse 

Severe 

nice  Water 

Hypcsidphlto 

Yes 

Dr.  Ilnwklris 

T 

25 

Cabinet-maker 

Very  Bad 

Excessive 

Very  Dirty 
Good 

Average 
Good 

Y 

Ext^me 

Moderate 

j^foderato 

Kice  Water 

3'do*  3 

oys 

*  Adynamic 

DuimrapBinic 

HypoaulpUlto 
Mixed  Snllno 
Mixed  Saline 
Mixed  SnliiLo 
Mixed  Saline 
Mixed  Saline 
Mixed  Suliiio 
Mixed  Saline 
Mixed  Snllno 
Mixed  Soiluo 

Yea 

Dr.  Hawkins 

40 

H  K. 

07 

3Icdicul--issUtaiit 

Good 

Good 

Sober 

S 

21 

Extreme 

Profuse 

Severe 

Rice  Water 

9  Daj-a 
14 1  Houra 
34  Hours 

Yes 

Dr.  Hnwliliia 

47 

T  D 

30 

Zu5lnccr 

Good 

Good 

7 

Complete 

Profuse 

Proflise 

lUce  Water 

Kicc  Water 

Yes 

Dr.  Hnivkina 

43 

E.  L. 

26 

Bulchcr 

Good 

36  Hours 

Complete 

Profuse 

Profhso 

Bico  Water 

Rice  Water 

Few  Hours 

Moderate 

20  Days 
5  Doya 

Yes 
Yea 
Yea 

Dr.  Hnwkina 

40 

• 

U 

a 

B 

» 
Si 
ST 
» 
» 

to 

SI 

Sept.  2 
Sept- 2 
SepL  2 
Sept- 2 
Sept.2 
Sept.2 
Sept.2 
S(Tt.3 
Sept.  3 
Sept.  3 
Sept.  3 
,^t.  3 
Sept.  3 

C.  P. 

8 

Xone 
Foreman  Tailor 

Good 

Good 
Good 

Mode  rate 

1 

«3 

Days,  Considerable 
52  Houra 

11 

Complete 

I'rofuse 
Considcrnble 

Considerable 
Considerable 

Rico  Water 

Kicc  Water 

3Daj3 
Few  Hours 

Fever  Slight,  but  Diarrhcea  continued 
None 

Recovery 
Recovery 
In  Coliapso 

Dr.  Hawkins 
Dr.  Hawkins 

GO 
51 

T  r 

37 

Cabinet  3Iakcr 

Good 

Good 

Soter 

Complete 

I  refuse 

Severe 

ni^  Water 

Bice  Water 

Hours 

Yea 
Yes 
Yes 
Yea 
Yes 

Dr.  Hawkljis 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Hnivlthis 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Haivkliui 
Dr.  Haivkltia 

62 

Carpenter 

Dirty 

\ 

a 

*■  . 

Promise 

Profhso 

Bico  Water 

17  Hours 

In  Collniao 

1)3 

G  H 

30 

Taiior 

3  Days 

*' 

Incomplete  1 . 

Prodise 

Moderate 

Severe 

Slightly  Tinged 

Bico  Water 

Few  Hours 

SUglit 

G  Days 

Ileco\ery 

^4 

ilusicsmlUi 

Good 

Good 

"4 

[j 

Profuse 

Severe 

Severe 

Itlco  Water 

Kleo  Water 

In  Coliapso 

Mixed  Saline 

55 

B-  G. 
T.K. 

2G 
53 

Siiocraakcr 

Good 

Sober 

Good 

1 

es 

9  Houra 
3G  Hours 

4 
1 

Extreme 
Complete 

Profuse 

Profhso 

Extreme 
"** 

lUeo  Water 
Itlco  Water 

Rico  Water 
Hice  Water 

2D*a'-3 

aj3 

Slight 

IB  Hours 
0  Days 

In  Collnpso 
Recovery 

Castor  Oil 
Mixed  Sallao 
Castor  Oil 

Yea 
Xo 
Ko 

K 
67 

c.n. 

12 

Good 

Good 

Very  Dirty 

1 

es 

2 

Extreme 

ro  use 

Pro'fhso 

cvero 

It  ice  Water 

Rico  Water 

34  Hours 

III  Coliapso 

OS 
fi'J 
GO 
Gl 

ca 

36 

Labourer 

Vei^-  Dirty 

3}  Hours 

3) 

Extreme 

Profuse 

BLeo  Water 

24  Hours 

Slight 

MUcd  Snllno 

No 

T.D. 

Cttbinel-maker 

Good 

Good 

Moderate 

Dirty 

2i 

Complete 

Slight 

It  Lee  Water 

Rfce  Water 

Few  Hoars 

Nono 

4  Days 

Recovery 

T.A. 

12 

School-boy 



23  Houra,  Considerable 

Complete 

Profuse 

Profhso 

M  ml  e rate 

Rico  Water 

3Daj-s 

AJjTiamIc,  Willi  much  Vomiting 

14  Days 

Castor  OU 

No 

Dr.  Hnivkina 
Dr.  Hawkins 
Dr.  Hawkins 

Dr.  Hawklua 

T.  IV. 

11 
14 

3» 

Errand-boy 
Eiraud-boy 

Good 

Good 
Good 

Dirty 
Average 

in 

28  Hours,  Consldorablo 

Yes 

2 
1 

Incomplete— Compl 
Extreme 
Extreme 

Profuse 

Slight 
Proflise 

Slight 
Severe 

Bice  Water 
nice  Water. 
Rico  Water 

Elco  Water 
Blco  Water 

Bice  Wntcr 

Moderate 

8  Daj-3 
11  Hours 

Recovery 
In  Colla|tso 
In  Coliapso 

Castor  Oil 
Cnstor  OU 
Castor  Oil 

No 
No 
No 
No 

C3 

1  S^t.3 

T.  T. 
H.B. 
D.  B. 

Very  Dtrly 

1 

a 

3  Days,  Considerable 

6 

ProfUse 

32  Hours 

64 

« 
fE 

1  Sept.  3 
j  SepL  3 
SepL  3 

TaUor 

Good 

^lodcrate 

ExccKive 

Dh-ty 

Complete 

Consiilerahlo 

Blco  Water 

20  Hours 

III  Collapse 

Castor  Oil 

G5 
GG 
G7 
CS 
GO 

T.  G. 

Baker 

Moderate 

Good 

Sober 

Dirty 

5 

Profuse 

Considerable 

Slight 

Illco  Water 

Rico  Water 

25  Hours 

In  Coliapso 

Mixed  Saline 

Dr.  Hawtchia 

47 

0  tier 

Xot  Good 

Not  Good 

Excessive 

Average 

3  Days 

Severe 

Profuse 

Severe 

Bico  Water 

ITj  Hours 

In  Coliapso 

Mixed  Saline 

n" 

a  <  Sept.* 
e  1  &epi.4 

40 

Bootmaker 

Good 

Sober 

Average 

24 

Complete 

l^ofuso 

Much 

Rico  Water 

Bice  Water 

2  Days 

Adynamic 
jTinmlc— Considerable 

6  Dnya 

Recovery 

Dr.  Hawkins 

T  b" 

Shopman 

Good 

Good 
Sloderntc 

Very  Dirty 

1 

a 

24 

Extreme 

Proflise 
Profuse 

Moderate 
Moderate 

nice  Water 
Bico  Woler 

Rice  Water 

2  Days 

A 

7  Dajs 
20}  Hours 

Recovery 
III  Collapse 

Mixed  Snllno 
Mhced  Saline 

Yes 

Dr.  Unwklna 
Dr.  Hawkins 

70 

n  s<?'t.4 

71    Sepr.  4 
T!  1  SepL  4 
n  !  Sept.  4 
74     Sept-  4 

T.  il. 

w.n. 

9 

School-boy 

So 
So 

Extrcmo 

Profuse 

Bice  Water 

Yes 

17 

Cahincl-mokcr 
Cahinet-maker 

Good 
Good 

Good 
node  rate 

Sober 
Sober 

Good 
Dirty 

ii  Hours 

m  Hoars 

6 

Complete 
Complete 

Profuse 
Moilotule 

Profuse 

Moderate 

Bico  Water 
Bico  Wntcr 

Rico  Wntcr 
Rice  Water 

12  Hours 
12  Hours 

None 
Kone 

SDaya 
2  Days 

Recovery 
Recovery 

Mixed  Saline 
Mixed  Saline 

No 
Yea 

Dr.  Hawkins 
Dr.  Hawkins 

72 
73 

T.C. 
W.C. 

11 

30 

ErraBd-boy 

Good 

Good 

72  Hours 
24  Hours 

Complete 

Moderate 

Considerable 

Rico  Water 

HIco  Water 

43  Houra 

Severe  Vomiting 

7  Days 

Epilepsy 

Mixed  Snllno 

So 

Dr.  Uawklus 

74 

gboomalier 

Good 

Good 

Sober 

Average 
Avemgc 
Dirty 

ea 

Incomplete 

Blco  Water 

Blcc  Water 

6  Hours 

3Daj-a 
23  Houra 
5  Daj-B 

Recovery 

MUed  Saline 

No 

Dr.  Hnwklua 

75 

H.P. 

17 

6cUool-boy 

So 

5 

Extreme 

Profuse 

Proflise 

Blco  Water 

Bice  Water 

24  Hoora 

Severe 

In  Coliapso 

Calomel 

No 

Dr.  Stewart 

7G 

6     S^.-A.  i 
T     Sept.  4 
1  ,   ^vt.  i 

G.B. 
U.iL 
T.  H. 

16 
34 

Pot-boy 

Good 

es 
Vm 

12 

Extreme 

I'roAise 

Slight 

Slight 

Blco  Water 

Bice  Water 

Utccmla 

Sulphuric  Acid 

Tea 

Dr.  Stownrt 

77 

TaUor 

Good 

Good 

Considerable 

Moderate 
Good 

3  Days 
15  Hours 

4 

Complete 

ProIUso 

Bice  Water 

Elco  Water 

24  Houra 

SUght 

6  Days 

Becovcry 

Saline 

No 

Dr.  Stewnrt 

78 

25 

ToDor 

Good 

Good 

Sober 

Tea 

15 

Extreme 

Proftiso 

Moderate 

Severe 

Bice  Water 

Rice  Water 

331  Hours 
33  Hours 

III  Collapse 
In  Coliapso 

Calomel 
SnLjie 

No 
No 

Dr.  Stownrt 
Dr.  Stewart 

[Continued 

70 

■5  ,   Stpt.  5 
10  '  SepL  5 

W.  K. 
T.  D. 

36 
2 

Bolrdre^r 

Sono 

• 

1 

24  Houra 

1 

5 

Complcto 

Moderate 

Bice  Water 

Rice  Water 

30 

noalth 

g 

Sq>t.5 

T.  F. 

24 

Labourer 

Good 

83 

Sept  5 

G.vr, 

23 

Cabinet-mater 

" 

61 

S«pl6 

A.D. 

31 

Pork-bnfchcr 

Good 

ood 

&I 

S«pL  G 

S.  T. 

40 

Bootmaker 

Phthisis 

6» 

Sq*.6 

T.  G. 

13 

Haivk-boj- 

Good 

Good 

SE 

Sept.  6 

P.P. 

15 

Stable-twj 

s; 

i  Sqjt,  7 

s.vr. 

21 

Saivyer 

Good 

&s 

■  SepLT 

W.M. 

23 

Engineer 

S<pt,6 

H.  C. 

40 

Shoemaker 

Good 

Good 

» 

Septe 

P.  P. 

IS 

Servant 

91 

Sqit9 

G.  B. 

5, 

Good 

Good 

92 

SepL9 

T.F. 

15 

Errand-boy 

S3 

S^t.  10 

T.  C. 

43 

Good 

» 

SqiLIO 

F.Z. 

35 

Undertaker 

Good 

SepL  11 

T.D. 

35 

Painter 

96 

SrpL  12 

R.H. 

16 

Artists'  Colonrmau 

Mode  rata 

Good 

97 

Sept.  12 

W.C. 

5G 

Farrier 

as 

Sept.  13 

IV.  H. 

25 

Brcvrer 

Good 

g" 

99 

SepL  13 

H.G. 

43 

Worker  in  Plaster 

100 

SepL  13 

T.  H. 

44 

Sbocmaker 

Ve  B 
en- 

101 

Sept.  13 

B.F. 

11 

Sdiool-boy 

loa 

Sept.  14 

D.F. 

43 

Labourer 

103 

Sept.  IG 

C,T. 

36 

Painter 

Good 

Bad 

... 

SepL  IT 

H-X. 

9 

Kone 

lOS 

Sept.  17 

T.a 

'l5 

Shoeblack 

106 

Sept.  17 

A.  p. 

12 

Scliool-boy 

Ead 

Bad 

lo; 

SqiL  18 

c.  c. 

3 

Xone 

lOi 

tepl.  19 

T.  0. 

27 

Labourer 

ivot  Good 

Good 

109 

Sept.  19 

F.W, 

10 

Sone 

Good 

m 

Sept.  19 

w.s. 

8 

School-boy 

HI 

Sq)t.  M 

"W.  P.  T. 

31 

Kone 

Good 

111 

Sqit.  22 

T.  T. 

Ci 

Sone 

Good 

113 

Sept.  22 

T.  S. 

4S 

Smith 

Strong 

111 

8q.t.24 

>".L. 

43 

Labourer 

SuOcrs  from 

VeryBnd 

Itheumatism 

113 

Sept.  27 

T.B. 

26 

TaUor 

Ph  tills  is 

116 

S^r.  26 

T.  It. 

G 

School-boy 

Hi 

Sept.2S 

T.B. 

39 

Camum 

Good 

Good 

S«PL30 

T.  T. 

21 

Tailor 

Good 

119 

Ort.  1 

G.T. 

21 

Wheelwright 

]» 

Oct.  3 

E.A. 

22 

Smith 

Good 

Good 

111 

Ott.lI 

E.  vr. 

50 

Chalrmnker 

Good 

Good 

Sober 
Sober 


IToderute 
Hodarata 


Sober 
Uodcrato 
Moderate 


.\vorago 
Good 
Averngo 
Average 

Moderate 
Good 
Dirty 


Moderate 
Averaso 
■R'antlng 


.  Wanting 
Dirty 

Very  Dirty 
Very  Dirty 
Good 
Dh'ty 
Average 
Wanting 

310(1  e  rate 

Dirty 

Good 
Good 
Moderate 


Average 
Average 


r 


fiBEOBE  ADUIS310X. 


C  Days 


4  Days 
Few  Days 

5  Hours 


4  Days 
4  Days 
1  Hour 
12  Hours 


15  Honrs,  Slight 
3  Days 
CDays 


4  Days 
4  Dftj-s 
IS  Hours 
3  Days 
2Daj-s 


2  Days,  Coiisldernbie 


7  Hours 
24  Hours 
3  Hours 
6  Hours 
24  Hours,  Slight 
2  Hours,  Profuse 


^«  4B 


S  Houro,  aioderalc 

Hours,  .Slight 
30  Hours 
34  Hours,  Profuse 
24  Hours 
CDays 
jt30  Hoursi  Considerable 
9  llours 


4  Days 
IHour 
10  Hours 


15  Hours 
24  Hours 


le  Hours 
2  Days 
G  Hours 


Sllslit 
Pro  n  ISC 


&I ode rate 
Severe 


2  Hours 
Profuse 


APPENDIX  (I.)-MAL-ES-contimed. 


CoUapw  on  Admlulm. 


Compieto 
Complete 
Incomplete 
Complete 
Incomplete 
Incomplcto 
Incomplete 
Complete 
Extreme 
Complete 
Extreme 
Compieto 
Severe 
Incomplete 
Incomplete 
Extreme 
Complete  ' 
Incomploto  i 
Incomplete  | 
Incomplete 
Incomplete 
Extreme 
Complete  | 
Inoomplole  I 
Ineoiuplote— ComUto 
Compieto  I 
Complete  i 
Incoiiipl  etc — Comjilcl  o 
Complete 
Extreme 
Extreme 
Complete 
Complete 
Extreme 


Complete 
Incomplete  * 
Complete 
Complete  | 
Compieto '  J 
Incomplete  j 
Incomplete— Conipl: 


Considerable 
ProfUso 
Moderate 

Considerable 
Moderate 
Moderate 

Profuse 
ProfUso 
ProAiso 

6Iod crate 

Slight 

Slight 
ProftisB 

Slight 

Slight 

Slight 
Jfoderato 
Jlodernto 
Pi-ofuso  . 
Prolhse 
Jfodcralo 
Profhse 
Prodi  so 
Moderate 
Prolhso 
Moderate 
Profuse 
Slight 
Profuse 
ProfbBo 
ProAiae 

Slight 
Slight 
I'rofUso 
Severe 
Moderate 
Slight 
Profuse 


Considerable 
Not  violent 
Moderate 
Modernlo 
Moderate 
Moderate 

Considerable 
Considerable 
Prolhse 

Moderate 

Slight 
Slight 
ProfUso 
Slight 
Slight 
Considerable 
Moderate 
Slight 
Considerable 
Profuse 
Moderate 
Coil  ski  erable 
Pro  fits  e 
Slight 
Considerable 

Profuse 
Sliglit 
Profuse 
Prodiso 
Profuse 

Slight 
Slight 
Considerable 
Mwtcrale 
Slight 
SlUsht 
Profliso 


Sllgiit 
Moderate 
Slight 


Severe 
Severe 


Slight 
Slight 


Mo<l  crate 
Iklodcrato 


Jfodcrate 
srodornto 
Slight 


Sllglit 
Motlerato 
Moderate 

Slight 

Slight 
Slight 

ilfoderalo 
Severe 

Moderate 


AFTEU  ADltlSSION 


nice  Water 
111  CO  Water 
Very  Palo 
Rico  Water 
nice  Water 
Itico  Water 
nice  Water 
nice  Water 
nice  Water 
Ytlllowlsh 
nice  Water 
Bice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
Itico  Water 
nice  Water 
Slightly  Coloured 
nice  ll'flter 
nice  Water 
It  Ice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Wnlcr 
lilcu  Water 

nice  Water 
Yellowish 
Bice  Water 
Bice 

Yelion-isli 
Elcc  Water 
Bice  Water 


nice  Water 
nice  Water 
nice  Water 
Bice  Water 
nice  Water 
Rice  Wnlcr 
Rice  Water 
Rico  Wnlcr 
Rico  Wnlec 
nice  Water 
Rice  Water 
Rice  Water 
nice  Water 
Rico  Water 
nice  Water 
llicc  Wnlcr 
Rico  Water 
Bleo  Water 
Bice  Walcr 
Bice  Water 
Rice  Water 
Rice  Water 
Rice  Wflicr 
Rico  Water 
Bico  Wntcr 
BIco  Water 
Rice  Water 
Bice  Water 
Rico  Water 
Bice  Water 
Bleo  Water 
nice  Water 
Rico  Water 
Rico  Wntcr 


G  Hours 
8  Hours 
8  Hours 
6  Hours 
6  Houii 
12  Houri' 


Few  Hours 
Few  Hours 
Few  Houre 
4  Honrs 

Few  Honrs 
a  Honrs 
8  Hours 
8  Hours 

li  Hours 


Few  Hours 
30  Houia 

Few  Hours  - 
48  Hour« 
Few  Houn 


Bice  Wuler 

4  Hours 

Rice  ^^■nler 

24  Houn 

Rice  IVnttr 

Iticc  Water 

nice  Wultr 

13  Hours 

Itlco  Wiiter 

12  Hours 

Bleo  Wuler 

24  Hours 

Co  ijccutlvo  Forer. 


None 
ITone 
Slight 
None 
Nouo 
None 


Severe 
SUght 

None 
^ery  Slight 


None 
None 


None 
None 


Tolal^Duralloii 

ItciuU,  nnil  Ciuid 
of  ]hM(h. 

^  TREATUEST. 

BcTora  Ailmluloa 

An  or  Ailmtuloii, 

10  Days 

n ceo very 

Sulphurle  Acid 

Hours. 

In  CoUnpso 

Sulphuric  Acid 

3  Days 

Recovery 

Chloroform  and  Camphor 

4  Daj-3 

Recovery 

Clilorolbrm  and  Camphor 

4  Days 

Recovery 

Culoinel 

4  a.vs 

Recovery 

Sulphuric  Add 

4Dai-s 

Bcoovery 

Chi  ore  form  nnrt  Camphor 

uys 

Recovery 

Saline 

IS  Hours 

In  Collapse 

Yea 

Sotliio 

^^  j  Hours 

In  Collapso 

None 

Salltie 

13  Hours 

In  Collapse 

Saline 

3Daj-B 

Becovorj- 

Sidlno 

sd"^* 

Recovery 

haunu 

Recovery 

Salluu 

Epilepsy 

Snllno 

17^  Hours 

III  Collapso 

SnUno 

17 j  Hours 

Consecullvo  Fever 

Out  Patient 

Soiliiu 

3  Days 

Recovery 

Outpatient 

SaUue 

3  Days 

Recovery 

;  Yes 

Sutlne 

3  Daya 

Becovery 

1  Vea 

SuliND 

3  Days 

Bccovcry 

Saline 

19  Hours 

In  Collapso 

Saline  and  Civlapat  Oil 

10  Hours 

In  Collapso 

Kono 

Cnslor  Oil 

uid"^'^ 

Becovery 

Saline 

Recovery 

Yea 

Castor  Oil 

10 J  Hours 

In  Collapso 

Yes 

Cnslor  Oil 

3  Days 

Recovery 

Saline 

10  Days 

Rccos'ery 

Yes 

Sidliic 

4  Daj-a 

Recovery 

Saibie 

18  Honrs 

In  Collapae  E 

nlphurlo  Add 

Sallue 

Gi  Hours 

In  CoUapao 

Chalk 

Snlhie 

10  Days 

Bceoverj" 

Saline 

1 5  j  H  ours 

In  Collapse 

Yea 

SnliND 

■lOJ  Honrs 

In  Collapse 

Sntlne 

4  Days 

nccovery 

.  Yes 

Saline 

7Daj-3 

nccovcry 

18  Hours 

In  Collapso 

Saline 

33  j  Hours 

In  Collapse 

Sothic 

3  Days 

Itccovcry 

Saline 

2  Days 

nccovery 

Saline 

G  Duj'3 

Recovery 

SaUue 

Dr.  Stcivart 
Dr.  Slownrt 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Slowurt 
r,  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Tijoinjnon 
Dr.  Tlioniiison 
Dr.  Tliompti. 
Dr.  Thoinpsuji 
Dr.  Tlioniiiwn 
Dr.  Tliompson 
Dr.  Tliunipsi; 
Dr.  Tliiinipsun 
Dr.  TlioinpuDii 
Dr.  Thouipsun 

Dr.  Tliompson 
Dr.  Thompson 
Dr.  Hawklni 
Dr.  Tliuinpj< 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Hawkins 
Dr.  Hawking 
Dr.  Stewart 

Dr.  Stewart 
Dr.  SIcivnrt 
Dr.  Stewart 
Dr.  Stewart 
Dr.  Stewart 
Dr.Goodfiiliow 
Dr.  Hawkins 


Hue. 

Occnpntion. 

Haaltli. 

Food. 

IB 

JnJj-  53 

B.O. 

24 

Housework 

Good 

IS 

Ja]y24 

E.B. 

25 

Servant 

Good 

Not  Good 

\U 

Atts.3 

E.H. 

29 

Laundress 

Delicate 

Good 

IS 

C.W. 

25 

Servant 

Sot  Good 

Bad 

IK 

E.B. 

60 

Shirtoiaker 

m 

AOS.  SO 

E.H. 

36 

House  ivorfc 

JTot  Good 

Good 

1 

IS 

AOS.  23 

A.L. 

50 

Ctiariroman 

Good 

Good 

m 

AOS- 23 

H.S. 

None 

Good 

Good 

i» 

Aug.  30 

E.  T. 

7 

School 

131 

SepLl 

M.  A,  S. 

25 

Housework 

m 

Sept.  I 

T.A. 

50 

Charwomaa 

Very  Good 

Tolerable 

la 

S«pt.l 

A.D. 

23 

Cook 

Good 

Good 

m 

Sept.1 

H.T. 

ii 

Tanorc£3. 

Bod 

35 

Sept.1 

C.B. 

20 

Boot  Closer 

Good 

Bad 

136 

S.  S. 

19 

Xeedlcwonmn 

Good 

Good 

I3T 

Sept.1 

S.  A. 

34 

Housework 

Bad 

Good 

SepL2 

C.H. 

27 

Housework 

39 

SepL2 

E.R. 

10 

Xone 

Not  Good 

Good 

140 

Sept.  2 

F.  D. 

13 

Shoemaber 

Good 

Good 

141 

Sept.  2 

31.  K. 

16 

Servant 

Good 

Jtoderata 

113 

Sept.  2 

S,B. 

49 

Housework 

Bad 

143 

Sept.  2 

S.B. 

20 

Servant 

Bad 

144 

Sept.  2 

31.  B. 

24 

Servant 

Good 

Good 

145 

SepL2 

E.B. 

5 

Xone 

Good 

Good 

146 

SepL2 

SLF. 

40 

Housework 

Moderate 

iloderate 

147 

Sept.  2 

M.  A-X. 

30 

Housework 

Good 

14S 

Sept.  2 

E.  B. 

44 

Housework 

Good 

149 

Sept.  2 

Z.  E. 

43 

"Washerwonum 

Good 

Bod 

150 

SepL2 

31.  B. 

24 

Governess 

151 

S^U2 

C.B. 

16 

Servant 

Good 

Good 

1^3 

Sept.  3 

E.  B. 

19 

Servant 

153 

Sept.  2 

B.  S. 

50 

Charwoman 

Fair 

Bad 

154 

Sert-S 

M.T. 

24 

Servant 

Good 

Good 

155 

Sept.  2 

M.P. 

Hoasework 

Good 

Bad 

156 

SepL2 

S,M. 

49 

Housevrork 

Good 

Hodera'.e 

57 

S^L2 

ILS. 

54 

Cbarwoman 

ad 

Sept.  3 

M.K. 

19 

Sells  fruit  in  the 

Good 

Bod 

street 

S9 

Sept.  3 

M.  S. 

55 

00 

Sept.  3 

ir.  B. 

16  m. 

None 

Good 

Good 

APPENDIX  (I.)— I-EMALES. 


BEFORE  ADMIS.SION. 


Excess!  vo 
Moderate 
Beer,  Seldom 


Moderate 
Sober 
Water 


Boer 


itodcrate 
Average 
Dirty 
Very  Dirly 
Very  Dirtj- 

Very  Dirty 
Average 

Good 

Good 
Very  Dirty 

Dirty 
Moderate 

Dirty 
Very  Dirty 
Very  Dirty 
Very  Dirty 

Good 
Very  Dirty 

Good 

Good 

Moderate 
Avcr.ige 
Dirty 
Dirtj- 

Moderate 
Average 
Very  Dirty 
Dirty 

Very  Dirty 
Good 


3  Days,  20  Motions 

17  Hours 
2  Days,  Consldorablo 
Considerable 
Considerable 
4  Daj-s,  Considerable 

2  Days 
13  Hrs.  befbrc,  1  Motion 


24  Hours 
14  D-iys 
6  Hours,  Slight 


3  Honrs 
30  Hours,  Profuse 

2  Days 


3^  Hours 
30  Hours 
2  Days 
B  Hours 


! 


Considerable 
Considerable 
Coiiaiderabio 
Considerable 
Considerable 
Considerable 


G  Hours,  Severe 


3  Hours 
36  Hours,  Profuse 
2  Days 
2  Days 


3^  Hours 
30  Hours 
3  Hours 
3  Hours 


Considerable 

Sevoro 
Consldorablo 
Coiisideroblo 


C  Hour?,  Sevoro 


10  Hours,  Considerable 


41 
Few 


Complete  , 
Complolo 
ComplotQ 
Complete 
Com  pie  to 
Extreme 
Bxtremo  ! 
Extreme  ' 
Complelo 
Complete  I 
Complcto  I 
Extreme 
Extreme 
Extreme 
Incomple  to— Complete' 
Complete 
Extreme 
Extreme 

Extremo 

Extreme 

Extreme 

Extremo 

Complete 

Extremo 

Extremo 

Extreme 

Comploto 

Extremo 

Extreme  i 

Complete 

Extreme 

Complete 

Extreme 

Extreme 

Complete 

Extreme 

Complcto 

Extreme 
Extiemo 


AFTER  ADinaaiON. 


Tomitla^. 

Cramp. 

aiotloiu. 

Kono 

SUght 

Moderate 

Itlce  Water 

30  Jlotloiis 

Considerable 

Intense 

Hlco  Water 

Moderate 

Srodcrato 

Coloured 

Pro  (Use 

Profuso 

Severe 

nice  Water 

Considerable 

None 

Severe 

Rice  Water 

CoLislderablo 

Considerable 

Severe 

Rico  Water 

Considerable 

SUgiit 

Hlce  Water 

3  Small  Jtotions 

Rice  Water 

ProiUse 

Considerable 

Considerable 

Rico  Water 

Profuse 

Profuse 

Extremo 

Back  Motion  and  Blood 

Profuse 

Considerable 

Severe 

Rice  Water 

Proilise 

Proilise 

Severe 

Rice  Wntor 

Profuae 

Consldorablo 

Severe 

Rico  Water 

Profuse 

Profuse 

Sevoro 

Rice  Water 

Considerable 

Considerable 

Severe 

Rice  Water 

Moilcrate 

Moderate 

Jloderato 

Rice  Water 

Silsbt 

Profuse 

Severe 

Rico  Water 

Profuse 

ProlUse 

Severe 

Rico  Water 

Profuse 

Considerable 

Rico  Wnler 

Considerable 

Severe 

Rice  Water 

Siigiit 

Considerable 

Bice  Water 

Profuse 

Pro  fuse 

Severe 

Elce  Water 

Profbsc 

Considerable 

Slight 

BIcD  Water 

Profuse 

Slod crate 

Severe 

Rice  Water 

Considornble 

Extreme 

Severe 

Bice  Water 

Considerable 

Extreme 

Sevoro 

Rice  Water 

Bice  Water 

Con  side  rablo 

Considerable 

Severe 

Klce  Water 

Considerable 

Considerable 

Extreme 

Hlce  Water 

G  Motions 

Considerable 

Considerable 

Considerable 

Severe 

Rice  Water 

Considcrnblo 

ConsiilBrable 

Severe 

Eico  Water 

Considerable 

Considernblo 

Severe 

Rice  Water 

Considerable 

Considerable 

Severe 

Rice  Water 

Consldotablo 

Considerable 

Kico  Water 

Extreme 

Profuse 

Prol\iso 

Bice  Water 

Profuse 

Prol\iso 

Severe 

Rice  Water 

ProtUso 

Conslderablo 

Severe 

Rico  Water 

•  Aborted  on  the  3rd  day  at  the  7tli  month. 


Rico  Water 
Rico  Water 


Coloured 
Rice  Water 
Hlco  Water 
Rico  Water 
Rico  Water 
Hlco  Water 
Rico  Water 
Rice  Water 
Rice  Water 
nice  Water 
Rice  Water 
Rico  Water 
Rico  Water 
Rice  Water 
Rice  Water 
Hlce  Water 
Rico  Water 
Rice  Water 
Rico  Water 
Hlco  Water 
Rice  Water 
Hlce  Water 
Riee  "n'atcr 
Rice  Water 
Hlce  Water 
Rice  Water 
Rice  Water 
Rico  Water 
Rice  Water 
Rice  Water 
Rice  Water 
Rico  Water 

Rice  Water 
Bice  Water 


20  Hours 
40  Hours 


5  Hours 
24  Hours 
Few  Hours 
GO  Hours 


34  Hours 
24  Hours 


24  Hours 
4  Honrs 
24  Hours 


Very  Slight 
Adynamic,  Severe 
SUght 
Severe,  mucin  Vomiting 


Moderate 
SUght 


SUght 


SUght 
Severe 
^odorato,  much  Dlorrhcca 
Slight 


Slight 


2  Days 
12}  Hours 
54  Hours 
Days 

13  Hours 

10  Days 
27  Hours 
IG  Hours 

2  Days 
^  Days 

1 1  Da>-s 
24  Days 
17  Hours 

14  Hours 
10  Days 

7  Days 

12  Days 

8  Hours 
32  Hours 

Under  32  Hours 
171  Hours 
CZj  Hours 
7i  Hours 
ITi  Hours 

Under  10  Hours 
7  Daj-s 

13  Hours 
Under  24  Hours 

7  Days 
Under  24  Hours 

7  Days 
SO  Days 

8  Days 
U  Dnj-B 
2  Hours 
4  Days 

8  Hours 

14  Hours 


Bcfoni  Admlulon. 


After  Adniltiton. 


Recover)' 
In  CoUapso 
In  Collapse 

Recovery 
In  Collapse 

Recovery 
In  ColIapsQ 
In  Collapse 

Recovery 
Cousecullvo  fever 
Urmniia 

It  ceo  very 
In  CoUapso 
In  CoUapso 

Recovery 

Recovery 
In  CoUapso 


In  Collapse 
In  CoUnpso 
In  CoUapso 
In  CoUapao 
In  Collapse 
In  CoUapso 
In  Collapse 
In  CoUapso 
Recovery 
In  Collapse 
luCoUapsc 
Recovery 
In  CoUapso 
In  CoUapso 
Recovery* 
Recovery 
Recovery 
In  CoUapso 
Recovery 

In  CoUapso 
In  CoUapsc 


Mixed  Saline 
itllxcd  Saline 
Mixed  Saline 
3Iixcd  Saline 
SH.NciI  SaUno 
Sulpliuric  Acid 
Sulpliurlc  Acid 
Sulphuric  Acid 
Sulphuric  Acid 
Sulphuric  Acid 
Mixed  SaUno 
Siiliiluiric  Acid— Mixed  Sulhic 
Mixed  SaUno 
Mixed  Sulino 

Salluo 
Mixed  Sniljio 
Mixed  SnUuo 
tllxcd  Sulino 
Mixed  KuUnu 
Kaxcd  SaUno 
Mixed  Sulino 
Mixed  Saline — Quinine 
Mixed  Saline 
Mbced  SuUne 
Mixed  Saline 
Mixed  Sulhio 
Mixed  SaUno 
Mixed  Salluo 
Mixed  Salinu 
ailxcd  SaUno 
Mixed  Saline 
Mixed  SaUno 

SoUno 
Mixed  Saline 
atixed  SaUno 
illxoA  Sollitc 
Carnihintlvcs 

Mixed  Saline 
Sulhio 


0. 

0ccapat[0D. 

HoiUth. 

FooU. 

61 

Scpl.3 

M.  G. 

lOi 

None 

Goo<l 

62 

Sept.  3 

E.  G. 

IB 

Servant 

Good 

Good 

63 

Sepl.3 

F.  H. 

32 

nousework 

6( 

Sept.  3 

T.P. 

9 

School 

Good 

Bud 

Sq)t.4 

S.  D. 

7 

School 

Moderate 

66 

Sept.  4 

C.  U. 

37 

Hooscn'ork 

Moderate 

67 

SepLi 

ar.H, 

22 

Servant 

Good 

Good 

» 

Sept.  4 

E.  M. 

27 

Needleivoman 

69 

SepC4 

M.S. 

17 

Proatituto 

Good 

Good 

70 

Sept.  4 

L.  B. 

30 

Married 

Good 

Good 

n 

Sept.  4 

C.  T. 

19 

Servant 

Moderate 

73 

Sept.  4 

S.  C. 

3S 

HousETvorfc 

73 

Sept.  4 

T.W. 

16 

Servant 

Good 

Good 

74 

Sept.  4 

3.  K. 

70 

ilontJilj-  Nurse 

Good 

73 

Sepl.4 

E.  B. 

55 

Wiishenvoman 

Good 

Moderate 

76 

Septs 

31.  C. 

50 

Servant 

77 

Sept.  5 

A.  W. 

31 

None 

Bad 

7S 

Sept.S 

S.  D. 

42 

Cbarwomun 

Bod 

79 

Sept.  5 

B.  M. 

16 

Servant 

80 

SepLS 

E.  S. 

19 

Servant 

Good 

Good 

81 

Sept.  6 

T.C. 

18 

Servant 

S! 

Sept,  5 

F.D. 

45 

Bouscivork 

Good 

13 

SepL7 

A,B. 

30 

St 

Sept.  7 

B.  M. 

13 

Boot  Closer 

Good 

Good 

S5 

Sept.  7 

T.  S. 

64 

Servant 

Good 

as 

SerLe 

C.  P. 

41 

Servant 

187 

Sept.  8 

H.  C. 

34 

UUktroman 

Good 

les 

SepL8 

M.  S. 

32 

Bouse  n'ork 

Fair 

Good 

89 

Sqit.8 

S.  IT. 

53 

Clmnvoman 

Bod 

Bad 

30 

Sept.  8 

E.  W. 

28 

Ilouseivork 

Fair 

sroderate 

91 

Sept.  9 

M.  C. 

4 

None 

Good 

Good 

S«jt.9 

M.W. 

50 

Servant 

S3 

S<pL9 

S.P. 

IS 

Servant 

Good 

Good 

M 

Sq.t.9 

A.C. 

35 

Sen'ont 

Good 

193 

Sept.  9 

A.S. 

21 

Tassel-maker 

Fair 

Good 

196 

Housework 

197 

Sepl.  10 

K.H. 

22 

Housework 

Good 

Bad 

m 

Sept.li 

11.  C. 

34 

Housewort 

Good 

Good 

199 

Sept.  (1 

E.  W. 

43 

Housework 

Bad 

IW 

Sept.  11 

E.  T. 

31 

Housework 

Good 

Good 

01 

SepL  11 

7 

None 

AIPENDIX  (I.)— FEMALES— co«<iB«ei. 


BEFORE  ADSnSSIOX. 


Beer 
Sober 
Consldcrablo 


Ver3-  Gooil 

Gockl 
Tory  Dirty 
Mudcrale 
Very  Dlrly 
Very  Dlrly 
Good 
Dlrly 
Average 


Dlrly 
Good 

F:Ur 
Veo"  Dirty 

Dlrly 
Ycrj'  Dlrl.v 

Dirly 

GOfnl 


Sober        ;  Good 

  j  Very  Dirty 

  j  Dirty 


Cousfderablc  j  Mwlerntc 
Sober  ,  Very  Dirly 
  I      Dl  ny 


Beer 
Setter 


J  DeIli_ii.Til 
^  YcryDiri 
Dirly 


24  Hours 
24  Hours 


2  Days 


3  Days,  Violent 

4  Days,  Violent 
2  Daya,  ProfUsc 

3  Daj-3,  Considerable 
2  Days,  Moderate 
7  Hours,  Moderate 
4  Days,  Profaso 
J  Hours,  Conslderaljle 
2  Days,  Moderate 
3  Days 


10  Hours 
7J  Hours,  Profuse 
4  Hours,  Considerable 
17  Hours,  CoiislJetablc 
I  Hour,  Sllfjlit 
7i  Hours 
6  Hours 
21  Hours 
3i  Hours 
40  Hours,  Moderate 
17  HourB 
12  Hours 
12  Hours 
lOi  Hours,  Conslileralilo 
5  Hours,  Sll^-lit 


5  Hours,  Conslder.i!ile 


50  Horn 
a  Dajs 


2  Days,  Violent 
2  Hours,  Violent 
MoJcrate 
1  Hours,  Coiiildcrnlile 
2  Days,  :iIodemte 


8  Hours,  Coiisidornlilc 
8j  Hoiir^,  Modcralc 


5j  Hours,  Profuse 
4  Hours,  Cousldernblc 
17  Hours,  Considerable 
1  Hour,  Considerable 

7J  Hours 

C  Hours 

5i  Hours 

3j  Hours 

40  Hnui'S 

9i  Hours 

7  Hours 


lOi  Hours,  Coiisldfir.able 


24  Houi-s 
Hours,  Profuse 


■  Hours,  ConsWernblo 


4  Hours,  Estremo 
Moderate 


4  Hours,  Severe 
Consiilcrable 


lOi  Hours 
3  Hours,  Considerable 
Moderate 


91  Hours,  Sovcro 
3  Hours 

IPi  Hours,  Considerable 


Aitnck 

of 
Cbolurn. 


Collapre  oi.  Adnfj»ion. 


Illcoiiipit  le 
Extruiii  I 
Complete— E;  Irer 
Extrcrab 
Incouiplc  le 
Exirejii ! 


11 

Xticoiiiplete 

4 

Coni]ilcta 

JnderSO 

\trcruo 

14 

Incon^plcto 

1 

lifXtreme 

22 

Eitreino 

2 

iicomp  cle  pinplete 

0 

Ciioli  Dlarrli. — -Cotnplet 

4 

IncompWe 

ncomp  e  e— anipleto 

14 

nconip^eto-^^mplcto 

4 

Iiicompifite 

3i 

Incon^plelo 

8 

IncoiDjiIeto 

)1 

Es  I  re  tub 

2i 

Extreme 

■''1 

Oomjiielc 

4 

R»treinc 

3 

CoTiiploto 

1 

Iricompwtc 

74 

Ineomjiltto 

6 

Iricompleto 

fll 

(Complete 

31 

EstreniB 

9 

E>treino 

H 

lutyjmplcfe-  doitipleto 

3 

Eilrotne 

12 

Ejfrcnjo 

101 

Incomiikte— Extreme 

In  HQ]  pic  to 

21 

Can  pic  le 

151 

1 

InDuijtlctc 

5 

Cmploto 

AFTER  ADSUSSIOX, 


Considerable 
Profuse 
Profuse 
Profliso 

Moderate 
Proftisc 

Moderate 
ProAise 
Profuso 
PiolUso 
ProfUso 
Proftiso 
Profliae 
Profuse 
Proflise 
Considerable 

Moderate 
Pro  (Use 

4  Motions 
Sllftbt 

Moderate 
Severe 

Proniso 
Sligbt 
Prol\iso 
Sllglkt 
Proftiso 
Profuso 
Moderate 
Nono 
Consldcrablo 
Profuse 
Profliso 
Profliso 
Considerable 

SUgbt 
Considerable 
Considerable 
Considerable 


Moderate 
Considerable 

Profliso 
Considerable 

Ontx) 
Considerable 

tlodcrato 
Considerable 
Profuso 
Severe 


Excessive 
Profliso 
Censiderablo 
Considerable 
Moderate 
Profliso 
Sliglit 
Slight 
Klodcrate 
Very  Severe 

I'rofusc 
E.'itrctno 
Incessant 
Proflise 
Profliso 
Profuso 
Moderate 
Considerable 

Slight 
Considerable 
Severe 
Severe 
Consldoralile 
Considerable 

Profliso 
Cousldernblc 
Considerable 


CoQfliderablc  Coualdernb!( 


Slight 
Slight 
Severe 
Severe 
Slight 
Severe 


Sovcro 
Severe 

Moll  orate 
Severe 
G.Ktrome 
Moderate 
Severe 
Severe 
SUght 
Slight 
Severe 
Severe 


Considerable 
Severe 
Sloderato 
Severe 

E.Ktrcmo 
Nono 
Severe 
Sovcro 
Slight 
Severe 
Slight 
Slight 
Sovcro 
Slight 


ilico  Water 
Rice  Water 
Rice  Water 
Rite  Water 
Rice  Walcr 
Rico  Water 
Rice  Water 
nice  Wotcr 
nico  Water 
Rico  Water 
EIco  Water 
Bice  Water— Blood 
nice  Water 
Rico  Water 
Rico  Water 
Riec  Water 
Rleo  Water 
Rlee  Water 
Rice  Water 
Rico  Water 
Rice  Water 
Rico  Water 


Yellowish 


Rico  Water 
Rice  Water 
nice  Water 
Rico  Water 
VeUow 


Phik  Motions 
Pluk  Motions 
Rico  Water 
Rico  Water 
Rico  Water 
Rico  Water 
Rico  Water 
nice  Wulcr 
nice  Water 


Rice  Water 
nice  Water 
Rice  Water 
nice  Walcr 
Rico  Water 
Rice  Water 
nice  Wilier 
Rice  Water 
nice  Water 
Rice  Water 
Iticc  Water 
Rice  Water 

Rice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Water 
nice  Wnler 
Rice  Water 

Green 
Rico  Water 

Coffee  Grounds 

Rice  Water 
Bice  Water 
Jtlco  Water 
Rico  Water 
nice  Walcr 
nice  Water 
nice  Water 
Rice  Water 
Rice  Wotcr 
nice  Water 
nice  Walcr 
Rico  Water 
nico  Wulcr 
Rice  Water 
Ilico  Water 


12  Hours 

Few  Houn 
i'ciF  Houn 
24  Honrs 
3  Hours 


48  Hours 
24  HouTj 
24  lloiu^  - 

Fc\T  Houn 
20  Hour; 
Partial,  CO  lloprs 


24  llouxs 
21  lluiirs 


43  Hoiiii 
18  Hours 


None 
Sligiit 

Moderate,  much  Vomiting 
SUght 


Severe  Vomiting— Delirium,  &;c. 
Siiglit 
Moderate 


Adynamic— Vomiting,  &c. 


Slight 
Slight  Vomlthis 


Jlueh  VoiuiUng- 


Slight 
Slight 


None 
Kono 


Castor  Oil 
Cantor  OH 
Sllxed  Solhio 
Mixed  SiUlno 
Mixed  Saline 
Mixed  Salluo 
SUxod  Saline 
Mixed  Sallno 
Mlicd  Sallno 
Mixed  Saline 
Mixed  Saline 
Sulphuric  Acid 
Suiphurle  Acid 
Sulpiiiirlo  Acid— Snllno 
Sulphuric  Acid 
Calomel 
Saline 
Stimutunts 
Coionicl 
SiilpliurloAcld 
Cuioinci 
Sltroua  OxIJoGiis— Salliio 
Calomel 
Calomel 
Jllxcd  Salltio 
Sallno 
Sidlrio 
Salhio 
Saline 
Saline 
Sallno 
Soitno 
Sallno 
Snliiie 
Lead  and  Oiiioinel 
Mixed  Saline 

Castor  Oil 
Mixed  Sidlno 
Sallno 
Sollito 

SuUtio 


Worn 
tliiilnlilBRiI 

No, 

Dr.  Hawkins 

ICl 

ea 

Dr.  Hawkins 

103 

Dr,  Hawkins 

m 

Vm 

Dr.  HuivfciiLs 

m 

Yes 

Dr.  Hawkins 

165 

Dr.  Hawkins 

I6G 

Dr.  Hawkins 

1G7 

No 

Dr.  Haivklns 

I6S 

Dr.  Hawkins 

169 

No 

Dr.  Ilawhhis 

170 

Ur.  Hawkins 

171 

No 

Dr.  S  to  wart 

172 

No 

Dr.  Stewart 

173 

No 

Dr.  Stowurt 

174 

No 

Br,  llu^vkltis 

175 

No 

Dr.  Stowurt 

176 

No 

Dr.  Slowort 

177 

Yen 

Dr*  Stewart 

178 

No 

Dr»  Stewart 

179 

No 

Dr.  Stewart 

IBO 

Ko 

Dr.  Stewart 

181 

No 

Dr.  Stewart 

182 

No 

Dr,  Stewart 

183 

No 

Dr.  Stewart 

184 

No 

r.  towart 

185 

No 

Dr.  Stewart 

186 

No 

Dr.  Stewart 

187 

No 

Dr»  Stewart 

188 

No 

Dr.  Stewart 

1H9 

No 

Dr.  Stewart 

ISO 

No 

Dr.  Slewart 

191 

No 

Dr.  Stewart 

192 

No 

Dr.  Stewart 

193 

No 

Dr.  Stewart 

194 

No 

Dr.  Stewart 

195 

Ko 

Dr.  Stewart 

I9lj 

No 

Dr.  Stewart 

197 

No 

Dr.Thompsou 

198 

No 

Dr.  Stewart 

199 

No 

Dr.  Slewart 

200 

No 

Dr.  Tliomjiaou 

201 

APPENDIX  (I.)— PEMALBS— co»&«ed. 


Sept.  11 
Sept.  12 
Sept.  IS 
Sepl.  12 
Sept  13 
Sept.  13 
Sept.  13 
Sept.  14 
Sept  M 
Sept  15 
Sept  16 
Sept.  16 
Sept  17 
Sept.  13 
Sqit  IB 
Sept  18 
Sept  19 
Sept  19 
Sept  SO 
Sept  24 
Sept2S 
Sept  30 
Oct  3 
Oct3 
Oct9 
Oct  IS 
Xov.  U 


&^t4 


CF. 
S.  G. 
M.  H. 

E.  G. 
W.  H. 
L.E. 

F.  Q. 
A.  R. 
E.  E. 
E.F. 

A.  C. 

sr.  B. 

E.  G. 

B.  P. 
E.  S. 
L.  T. 
E.S. 
A.S. 

C.  B. 
SI.  E. 
E.B. 
S.A.W. 
E.  B. 
C.  C. 

31.  A.  W. 
L.H. 


L.  L. 
ILS. 


■Washerwomtm 
31Ukm3miin 
House  >vork 

School 
Ho  Use  work 

Servant 
House  vrort 
HoQSCTTort 

Housekeeper 
CtaATWonum 
Housework 
Housoirork 
Homework 
Housework 
Housework 

Servant 
HooscwDrk 

SeedJewonmn 
Xone 

Houjework 


Clmrwoman 
Houseworfc 
Serront 


Sick  Suise 
Servant 


Good 
Strong 

Good 
Bail 
Good 
Very  Good 
Good 
Good 


Good 
FhUUsis 

Good 
Not  Good 
Good 
Good 
Good 
Good 
Good 

Good 
Good 
Bod 
Good 


Good 
SufGdcnt 


Good 
Good 
Good 
Good 


Good 
Fair 
Good 

Good 
Moderate 
Moderate 

Good 
Good 
Good 
Good 


Sober 
Sober 

Water 
Moderate 
Sober 
Sober 
Beer 


Sober 
Moderate 
Moderate 
Sober 
Water 
Sober 
Sober 


Good 
Good 


Water 
Considerable 
Sober 
Sober 
Excessive 
Water 


Beer 
Water 


Very  Dirty 
Dlrly 

Good 
Moilcrate 

Good 
Moderate 


Moderate 
Moderate 

Good 

Foir 

Good 

Good 

Fair 
Verj-  Dirty 

Fair 
Moderate 
Average 

Fair 
Average 
Sfoderatc 


Good 
Good 


BEFOHB  ADMIiJSlOK. 


1  Hour,  1  Motion 
15j  Hours,  Consldcrablo 

6  Hours,  Considerable 

7  Days,  Considerable 

2  Hours,  Moderate 
5  Hoiu^,  Moderate 

3  Da)-3 

1  Hour,  3  Motions 

4  Days 
lOi  Hours 

2  Hours,  4  Motlous 
14  Hours,  Considerable 
36  Hours,  Considerable 

Several  Days 
4  Hours 
2}  Hours,  Considerable 

3  Days 
24  Hours,  Considerable 

13  Hours,  OncQ 
22^  Hours,  3  ^loUons 
5  Hours,  10  Motions 

3  Days,  Considerable 
3  Days,  14  Motions 

6  Hours,  Considerable 
14  Days,  Considerable 
10  Honrs,  30  Motions 


IS  Hours,  Great 
U  Days,  Very  SiiaW 


i  Hour,  On  CO 
15J  Hours,  Considerable 
S  Hours,  Cousiderabio 

Considerable 
2  Hour^,  Moderate 
2  Houra,  Moderate 
3  Hours 
1  Hour,  Vomited  tliricc 
12  Houra 
10  J  Hours 
2  Hours 
5  Hours,  Cousiderabio 
None 


2^  Hours,  Coikslilcrabic 

3  Days 
9  Hours,  Considerable 
4  Hours,  SUglit 


10  Days,  Profuse 


4-1  Hours,  Considerable 
24  Hours,  Considerable 
4  Days,  Considerable 
0  Hours,  Considerable 
3  Days,  Considerable 
9}  Hours,  8  times 


12  Hours,  Great 

Kone 


1  Da}',  Considerable 


Considerable 
1  Hour 

Considerable 
Moderate 
Moderate 


12  Hours,  Severe 


Severe 
Extreme 
Severe 
Soue 
Severe 
Nono 


3  Days,  Cousiderabio 
Considerable 


H 


Extreme 

Compiclo 
Incomplete 

Extreme 

Extreme 

Eilremo 
Incomplete 
Incomplete 
rncomplete— Extreme 
Tncoinpiclo 

Complete 

Complete 
Sliglit 
Incomplete 

Extreme 
Incomplete 
Incomplete 
Incomplcto 

Eitrcnio 
Complete — Extreme 

Extreme 

Complete 
lucompleto 
Incomp  1  ete— Extreme 

Complete 

Dloderato 


None— Extreme 
None— Compieto 


AFTKR  ADiUSSIOX. 


Sllglit 
ProAiso 
Jlixlerate 
310 derate 
50  MoHons 
Prodis  c 
Sllgbt 
Considerable 
3  Motions 
Considerable 
Moil  crate 
Sloderate 
One 
Cousiderabio 
Sloderatc 
8  Motions 
1  Motion 
Slight 
Slight 
I'rofusu 
't  Motions 
Moderate 
Considerable 

Slight 
Cousiderabio 
Consldcrabio 

3  UotiOQS 


Slight 
Profuse 
Moderate 
Moderate 
Considerable 
Moderate 

Slight 
Moderate 
Once 
None 
Moderate 
Considcrablo 
Considerable 
Moderate 
Moderate 
Moderato 
Slight 
Slight 
Moderate 
Considerable 
Moderate 
Considerable 
Moderate 

Slight 
Moderate 
Considerable 
Siiglit 


Slight 
Extreme 
SUght 
Severe 
Slight 
Severe 
Moderato 
Slodorate 
Moderate 
Moderate 
Severe 
Severe 
Moderato 
Sovero 


Slight 
Slight 
Moderate 
Extreme 
Sovero 
Slight 
Severe 


ATTACKED  IN  THE  HOSPITAL. 


Proftisc 
Censldorablo 


Proftise 
Moderate 


Sovero 
Moderate 


Coloured 
Rico  Water 
nice  Water 
Rice  Water 
Rice  Water 
Itice  Water 
Rice  Water 
Rico  Water 
Rico  Water 
Bice  Water 

Coloured 
Rico  Water 
Rico  Water 
Bice  Water 
Itlco  Water 
Rico  ater 

Rice  Water 

YeUow 
Rico  Water 
Rico  Water 
Rico  Water 
Rico  Water 
Rfce  Water 
Rice  Water 
Rice  Water 
Rico  Water 


Rice  Water 
Rico  Water 


Rice  Water 
Rice  Water 
Rico  Water 
Itlcc  Water 
Rice  Water 
Itlco  Water 
Rice  Water 
Rice  Water 


Rice  Waier 
Rico  Water 
Rico  Water 
Rico  Water 
Itico  Water 


Rico  Water 
Rice  Water 
Rico  Water 
Rico  Water 
Rice  Water 
llico  Water 
Rice  Water 
Itlco  Water 


Rico  Water 
Rice  Water 


I 


Nona 
Slight 
Very  Slight 

Slight 
Kono 
None 

Ifono 

Sllgtit 
Very  Sllgiit 
None 
Slight 
Nono 
Kouo 


If  one 


Siighl,  With  much  Vomiting 
Sllfht  Vomiting 


2  Days 
231  Hours 

I  Days 

3  Days 

7  Daya 

8  rioiu-s 

02  Hours 

4  Days 

3  Days 
7  Do)-s 
14  Days 
3  Days 

3  Days 
7  Days 
C  Days 
ft  Days 

5  Days 
12  Days 
30  Houra 
as  Hours 

9  Days 

4  Days 
Hours 

34  Hours 
3  Days 


22)  Hours 
14  Days 


Recovery 
In  Collapse 
Recovery 
Recovery 
Hccovcry 
111  CoUupsD 
In  Coll ap so 
Recovory 
Recovery 
In  Collapse 
Recovery 
Itecovcry 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Recovory 
Recovery 
Recovery 
In  CoUapso 
In  Collapse 
Recovery 
Recovery 
In  Collapse 
In  CoiiapsD 
Recovery- 


In  Collapse 
Recovery 


TREATSIEVT 

1 

Dvforo  Adinluioij. 

Afkr  Admlulon, 

StliimlTnH 

riijiIcLou, 

No. 

oiliulHlilemlJ 

Snlluo 
Siihio  anil  In|ccllou 

No 

Dr.  Thompson 

2D2 

No 

Dr.  Tiiouipson 

203 

Salino 

No 

Dr.  Thompson 

204 

Yes 

Snllno 

No 

Lr.  Thompson 

205 

Snliiio  aiidCuJnputOU 

No 

Dr.  Tiioaipaon 

20G 

SnUiiD  Iiijcetiou 

No 

Dr.  Thompson 

207 

Salino  aaa  Cajnput  Oil 

No 

Dr.  Thompson 

3DS 

Castor  Oil 

No 

Dr.  Thorn  psou 

20Q 

Saline 

No 

Dr.  Thompson 

210 

SniliiuandCaJiipiitOil 

No 

Dr.  Tiiompson 

211 

Castor  OU 

No 

Dr.  Thompson 

2JS 

Cmtor  Oil 

No 

Dr.  Tiionii>son 

213 

Solhio  mill  Ci\japut  Oil 

No 

Dr.  Thoinpsou 

214 

Saline 

No 

Dr.  Tiiompsou 

!ie 

BaUno 

No 

Dr.  Thompson 

210 

Saline 

No 

Dr.  Thoiniison 

217 

Solinu 

No 

Dr.  Hawkins 

2IB 

Soliuo 

No 

Dr.  Hawkhis 

210 

Salino 

No 

Dr.  Ua>vkhiB 

220 

8  nil  no 

No 

Dr.  Stewart 

931 

Yea 

Salluo 

No 

Dr.  Sleivart 

222 

Salino 

No 

Dr.  Stovnrt 

223 

Gfliino 

Ho 

Dr.  Tlionipson 

224 

Yes 

SaUno 

No 

Dr.  Thompson 

225 

Balhio 

No 

Dr.  Qooilfeliuw 

m 

Yes 

Balino 
SoUuo 

No 
No 

Dr.  Stoivnrt 
Dr.  Thompson 

m 
m 

Mixed  Sallao 
Salino 


Dr.  Stewart 
Dr.  Thompson 


APPENDIX  II. 


TABLE  A. 


Table  of  those  Cases  in  which  the  Consecutive  Fever  was  slight  or 


MALES. 

FEMALES. 

No. 

Houn  In 
Collapse. 

Intensity  of 
CoUupso. 

Amount  of 
Purging. 

Boault. 

No. 

Hours  in 
Collapso. 

Intensity  of 
Collapse. 

Amount  of 
Purging. 

Iteault. 

15 

23 
30 
32 
41 
SO 
51 
65 
68 
60 
78 
85 
93 
101 
121 

80 

48 
15 
78 
9 
18 
83 

49 
28 
28 
19 
10 
20 
27 

Extreme 

Extreme 
Extreme 
Complete 
Complete 
Complete 
Comjilcto 
Incomplete 
Complete 
Extreme 
Complete 
Incomplete 
Incomplete 
Incomplete 
Complete 
u 

Proflise 

Considerable 

Considerable 
Profuse 

Considerable 
Profuse 
Profuse 
Profuse 

Considerable 
Profuse 
Profuse 
Moderate 

Moderate 
Profuse 

Death  fl-om 
Relnpse 
Recovery 
Recovery 
Recovery 
Kecovery 
Kecovery 
Kecovery 
Recovery 
Recovery 
Recovery 
Recovery 
Kecovery 

Kecovery 
Recovery 

127 
130 
132 

137 
148 
151 
153 

15G 
158 
161 
168 
170 
17o 
186 
187 
196 

203 
204 
206 

214 
215 
217 
221 

230 
231 

47 
11 

12(?) 

34 
42 
16 
28 

13 

8 

9 
12 
17 
28 
25 
32 
45 
12 

8 
53 
46 

12 
18 
10 
24 
12 
6 

Extreme 
Complete 
Complete 

Complete 
Complete 
Complete 
Complete 

Complete 
Complete 
Incomplete 
Complete 
Incomplete 
Incomplete 
Incomplete 
Incomplete 
Complete 
Incomplete 
Incomjilete 
Extreme 
Extreme 

Complete 

Slight 
Extreme 
Extreme 
Complete 
Complete 

Considerable 
Profuse 
Profuse 

Moderate 
Considerable 

Slight 
Considerable 

Considerable 

Profuse 
Considerable 
Profuse 
Profuse 
Profuse 
Slight 
Proftise 
Considerable 
Slight 
Moderate 
Profuse 
SUght 

Slight 
Considerable 
Moderate 

Profuse 
Considerable 

Profuse 

Recovery 
Recovery 
Death  from 
Uroimia 
Recovery 
Recovery 
Recovery 
Death  from 
Relapse 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Recovery 
Kecovery 
Recovery 
Recovery 
Death  from 
Relapse 
Recovery 
Recovery 
Recovery 
Kecovery 
Recovery 
Kecovery 

TABLE  B. 


Table  of  those  Cases  in  which  the  Consecutive  Fever  was  either  well  marked  or  severe. 


MALES. 

FEMALES. 

No. 

Hours  In 

Intensity  of 

Amount  of 

Besult. 

No. 

Hoiurs  in 

Intensity  of 

Amount  of 

Besult. 

Collapse. 

Collapse. 

Purging. 

Collapse. 

CoUapso. 

Purging. 

26 

53 

Extreme 

Profuse 

Death 

131 

48(?) 

Complete 

Proflise 

Death 

36 

31 

Extreme 

Severe 

Death 

133 

30 

Extreme 

Profuse 

Recovery 

39 

26 

Considerable 

Profuse 

Recovery 

136 

39 

Complete 

Considerable 

Recovery 

47 

70 

Extreme 

Moderate 

Recovery 

139 

24 

Extreme 

Profuse 

Recovery 

62 

82- 

Complete 

Profuse 

Recovery 

\U 

24 

Extreme 

Considerable 

Recovery 

63 

50 

Complete 

Profuse 

Recovery 

155 

11 

Extreme 

Considerable 

Recovery 

69 

72 

Complete 

Profuse 

Recovery 

169 

60  (?) 

Extreme 

Proftise 

Recovery 

70 

72 

Extreme 

Profuse 

Recovery 

173 

60 

Complete 

Profuse 

Death 

74 

48 

Complete 

Moderate 

Death  from 

177 

29 

Complete 

Moderate 

Recovery 

Epilepsy 

181 

72 

Extreme 

Severe 

Death 

77 

36 

Extreme 

Profuse 

Death  from 

195 

30 

1  Extreme 

Profuse 

Recovery 

Urasmia 

81 

58 

Complete 

Considerable 

Recovery 

95 

19 

Incomplete 

Blight 

Death  from 
Epilepsy 

97 

12 

Complete 

Slight 

Death 

112 

68 

Complete 

Profuse 

Kecovery 

116 

26 

Incomplete 

Slight 

Kecovery 

London : 

trlnted  by  James  Truscott,  Nelson  Square. 


