History of the epidemic of cholera in Chatham, Rochester, and Strood, in 1849 / by Thomas Stratton ... in a letter to Sir Wm. Burnett ... Medical-Director of the Navy.
- Date:
- 1851
Licence: Public Domain Mark
Credit: History of the epidemic of cholera in Chatham, Rochester, and Strood, in 1849 / by Thomas Stratton ... in a letter to Sir Wm. Burnett ... Medical-Director of the Navy. Source: Wellcome Collection.
Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.
26/44 (page 28)
![bid anatomy.J In 1848 the extent of diarrhoea prevalence is re- presented by 40, and in 1S49 the extent of the diarrhoea and cholera prevalence is represented by 135 ; of which 40 represents the usual diarrhoea, and 95 the cholera and the epidemic diarrhoea. The diarrhoea of 1849 was isotypic and heteropathic. [In Dr Hays1 American Journal of the Medical Sciences for 1844, is an excellent paper by Dr Harden, in which he describes some diseases as being isotypic and heteropathic, and others as being hetero- typic and isopathic.] Form of a Register for Cholera Cases. When noting down the cases of the epidemic occurring among the marines, I used a pocket blank book, ruled with twenty seven columns, for :—the number of the case, patient’s name, rank, age, number of the barrack room from which he was admitted, name of barracks, whether the marine or Brompton, day and hour of ad- mission, number of ward in hospital, whether already a patient in the hospital, coldness, lividity, nausea, vomiting, rice-water vomit- ing, purging, rice-water purging, chalky stools, griping, spasms, if urination natural, if consecutive fever (or secondary fever), whether cholera or diarrhoea, to be marked in the column by C or D ; result and date, duration of attack, in four columns for, 1. premonitory diarrhoea; 2. cholera; 3. consecutive fever (or se- condary fever); 4. total duration. In each column, under each heading a single mark showed whether the patient had or had not such a symptom, and security was taken that no symptom could be omitted to be noted. These columns filled two opposite pages, and over the leaf, the patient’s name written in the ruled line in its place, left space for some further particulars. In this way it was easy to find what proportion of cases were complete in all the symptoms, and what symptoms were less frequently met with. This plan does not interfere with keeping more detailed and full accounts of the more important cases and of all the cases of cholera. Noting the number of the barrack-room may lead to discovering that certain rooms or certain parts of a barrack furnish more cases than others. Localities of the Cholera Cases in the Marine Barracks. It has been already mentioned that the main body of the men’s barrack is a building of four floors, of which the lowest is in front, a sunk floor, a passage of four feet wide going along in front of the windows, and separating these rooms from any dampness in the bank of earth ; the wall keeping up this bank is as high as the top of the windows. In the building there is a double row of rooms, one with windows to the front, and the other with windows looking to the rear and the Medway. The front rooms in the](https://iiif.wellcomecollection.org/image/b28041987_0028.jp2/full/800%2C/0/default.jpg)
