Licence: Public Domain Mark
Credit: A treatise on relapsing or famine fever / by R.T. Lyons. 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.
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![native reports three fourtlis of those attacked died. At Faridpore, the police reported that, out of a popnlation of five hundred families, nearly two hundred individuals died within six weeks. At Pakism, two hundred and thirty are said to have died within twenty-seven days out of a population of one thousand: in one division of the village almost every one died who was attacked. At Bhow, Mr. Shirreff saw the head of a family who congratulated him- self on having lost only seven out of sixteen inmates of his house within a month, while, he said, others in the same village had lost all, or perhaps none were left to feel the loss. The disease was believed by the natives to be infectious : free ventilation, however, rendered it innocu- ous. A]jpendix to Banken's Report on the Pali Plague. 1839. In the year 1839, an epidemic occurred in the 22nd regiment Bombay Native Infantry. The account is by Dr. J. Inglis, the surgeon of the regiment. It is described as a remittent fever of a greater degree of intensity, and more malignant nature, than it is. seen to occur amongst natives in the Guzerat fever. In most of the cases the subjects were young men, Mahrattas, who had lately joined the regiment, and who never were in Gruzerat; nearly all the casualties took place amongst them. The symptoms were hot, dry, and harsh skin; tongue rough and furred, dry and hard like a piece of board, or loaded in the centre, with the edges and tip of a red colour; intense thirst; irritation of the stomach, with nausea and vomiting ; quick, small, and contracted pulse; great restlessness and jactitation; bowels generally costive; urine scanty and high coloured; no complaint was made of pain in the region of the liver (though jaundice was not uncommon), and only occasionally in other parts of the abdomen. A slight remission of all these symptoms occasionally took place, but without any regularity, and the disease continued for days without alteration. Some cases were complicated with inflammatory action in the thoracic viscera, inducing cough and dyspnoea. The most frequent complication was an inflammatory aflfection of the brain, approaching meningitis. In these E](https://iiif.wellcomecollection.org/image/b21987403_0065.jp2/full/800%2C/0/default.jpg)
