The Milroy Lectures : On epidemic influences; on the epidemiological aspects of yellow fever; on the epidemiological aspects of cholera / by Robert Lawson.

Date:
1888
Catalogue details

Licence: Public Domain Mark

Credit: The Milroy Lectures : On epidemic influences; on the epidemiological aspects of yellow fever; on the epidemiological aspects of cholera / by Robert Lawson. 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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    and were inclined to attribute the extension of the epidemics, to a considerable extent at least, to communication from man to man. Both parties were of opinion that the outbreaks in Ceylon were derived from those of the neighbouring districts of the Madras Presidency. In 1873 the deaths from cholera in the Madras and Bombay Presidencies, and in the Central Provinces, and Berar, were very few, and in 1874 there were only 360 registered in all these together. In 1873 there had been 64,366 deaths from cholera in Bengal, and 15,416 in the North-western Provinces and Oudh; in 1874 the deaths in Bengal fell to 56,866, and in the North-west Provinces and Oudh to 6,464 ; the e]3idemic field this year reached a line from Ganjam on the coast to Benares, and from that a little east of Fyzabad to the base of the Himalayas. In 1875 this was altogether changed, the deaths from cholera were, in North-west Provinces and Oudh ... 64,427 Bengal ... ... 109,938 Central Provinces ... 14,643 Berar ... 22,465 Bombay... ... 47,573 Madras and Mysore ... 97,051 The disease was experienced to the north-west, as far as Lahore, and the whole peninsula was covered by it from 24° north to Cape Comorin, except a portion of the Central Provinces, and the Vizagapatam, Godavery, and Kistna districts, on the east coast, and that of Kanara, on the west coast. In Ceylon there had been no death from cholera in 1874, but in 1875, 1,817 were registered ; these commenced in January at Colombo, where there were 16 deaths that month, in February occurred 57 there, 9 at Negombo, a little north of Colombo, and 1 at Galle, the packet station at the south-west of the island ; in March there were 194 deaths at Colombo, 48 at Galle, 25 at Negombo, and 14 at other points. During these months there were only 30 deaths from cholera in the whole of the Madras Presidency, 23 of which were in the districts of Tangore, Trichinopoly, and South Arcot, on the east coast, but to the north of, and not in communication with, Ceylon; of these 7 occurred in January, 13 in February, and 3 in March. It would occupy too much time to detail the steps by whieh cholera spread over the immense area it covered in 1875, it may be stated, in general terms, to have manifested increasing intensity in