The Express.
London, England, 1853-10-22 00:00:00

SCOTLAND.

In the epidemic of ISlt;:tisome of the larger
towns of Scotland were the first attacked, among
the dense populations of which the disease spread
with appalling rapidity, and proved met destructive.
In the present visitation there his ns yet ben no
similar outbreak. In numerous I..acce, indeed,
sporadic cases have occurred; and in seine few, as
in Iluuse, Bathgate, and Coldirghatn, the attacks
have occurred in groups. Detitl.s hcve idso been
recorded from the malignant form cf the disease in
Edinburgh, Leith, Glasgow, Dundee, Annandale,
Rothbury, and Featherstonehaugh; but in none of
:these places has there been any general outbreak,
nor, as far as appears, has there been any extensive
prevalence of diarrlicea, though some deaths have
been produced by the latter disease. It would seem
that the dreadful visitation of 1818.9 has in some
instances left a salutary impression on the minds of
the people. Dr. Lyon Playfair refers particularly
to St. Andrews as an examp!e of this.
Iu 1819,;cholera broke out in a virulent form in this
city. On that occasion Dr. Lyon Plat fair, at the
request of the local authorities, superintended the
application of the measures then cdopted for pre-
venting the spread of the epidemic. From a recent
personal inspection of the town, and particularly of
the old haunts of the pestilence, Dr. Playfair is
satisfied that the town, owing in a great measure to
the judicious and energetic course taken by its pro-
vost. is is a much better state for resisting an attack
of cholera than it was in 1849, and that were it not
for the abominable condition of its apologies fur
sewers, in all human probability S:. Andrew's would
remain exempt from attack.
He states iu a communication that, 't With regard
to Edinburgh, Dundee, arid one cc wo other towns,
with respect to which I bad dilL et communication
with the provost, I found active measures in pro-
gress; though in the case of some of the smaller
towns, where, however, my information was only
indirect, it struck me that the operations were
sluggish. But what will be the ul•imate advantage
of this temporary zeal, unless you rut the townsin a
, position to benefit by permanent sanitary works,
which, in the present state of the law, they arc not
likely to do ?"
Numerous applications have beer, received from
Scotland, for increased powers for carrying into
effect sanitary improvements; and w 'he instance of
the Board of Supervision at lidinntrgli, and on con-
, sultation with the Lord Advocate, supplementary
, regulations specially adapted for the Scotch towns
have been issued.

GATESELEAD.—Death—Cholera, 1. Da. (Ileworth)
—Cholera, 1.
KlNGsros-urox-lieLL.—Oztobcr 17.—Death—
Cholera, 1.
NEWCASTLE.—October 20.—D,aths—Cholera, 2;
diarrhcca, 2.
The total number of deaths from cholera and
diar+haa in Newcastle daring the present outbreak
has I,een 1,521. In the same period (viz., the first
50 days) during the prevalence of epidemic cholera in
1831-2 the number of deaths was 291.
It may be remarked that, although there were but
lain fatal cases of cholera and three of cliarrhoma in
Newcastle on the 18th inst., and three deaths from
cholera on the 19th, the visitors during their house-
to-houso visitation discovered on the former day 71
new cases of diarrhoea and ou the 19th 68.
hcattered cases of attack and death arc from time
to time reported as occurring on shipboard in port as
well as at sea, some of the latter under remarkable
circumstances of apparent spontaneous development
away from all infected places. Ili most of these
cases there is no medical man on bead, but plan in-
structions for dealing with premonitory diarrhea are
widely circulated by custom-house officers and pilots,
to whom, as well as to captaius, special instructions
have been addressed.