The Express.
London, England, 1849-08-28 00:00:00

THE CHOLERA.

Return of ewes of cho!era reported to the General
'card of Health yesterday, August 27 :
Attacks. D•aths.
1a Lead= and vicinity, vie.
Lambeth lll 49
8 mihwark
Bethnal fireoli
Beesamitlsey
elkortilitch
Whtteehapel
Massa
Mciylobate
West Loudon Union 9 2
Sr. (hies in-the Fields l4 3
Greenwich l9 7
Clapham 3 3
Other lc.ealtti4e
In Beaten& and Wafts :
Liverpool 93 28
Merthyr Tydfil l4 7
. Plyisea
Goethe,ti 31 9
16 3
Brawl ll 6
Newmatbrmader-Lyme
Leeds
Wisbmieh
Tewkesbury
York
Birk. nhead 2 0
North Weide l2 14
He Word 2 3
tits. ernees
Mortlake 4 1
Other towns, &e.
In Scotland :
Dua.l4e
P. rth
Hawiek
Walton by Semi*
Inverness 6 2
Dunbst
Other town. Ike.

Total 1,215

691

THE BOARD OF HEALTH AND THE CHOLERA.
The Board of Health have issued a report en the saes.
sues adepts' for the saccades of the Nuisances R novel
sad Diseases Pr •vention Act, and the Public Health ket.
Is this dicument they give an account of their proceeding
up to July List, and the statement includes many interesting
particulars.
In referents te cholera they repent that in the great mss
jority of cases this disease gives distinct warning of its ap-
proach, in time for the adoption of remedies capable of
arresting Its progress. The report then proc.eds to state :
" In order to obtain authentic information, we decided on
tending our two medical inspectors to Hunburgh and Berlin,
the sourest cities on the continent in which the • pestilence
wee at that time prevailing. They were on their way to
Ilaaborgh, what they were stopped by an outbreak of
obelus a. Hull, which took place ening a Prussian crew
who had pseud through Hamburgh on their way to England,
whither they were coming to navigate a vessel which had
bees detained in the port of Hull owing to the Danish
bleskade. It appeared that then sailors had come
from a healthy port in the Baltic, and that they bad
teamed esly a single night near the town of Hamburgh,
where cholera had been for some time epidemic. The ap
parsec" of cholera in the port of Hull excited considerable
apnehensioa, which seemed to be justified by the position
of -the town as the east suet, in which cholera, in the year
1831, fiat broke est, namely, at Sunderland. The event
appeared to us to be of so threatenicg a nature as to require
a careful inquiry into the ciream•tances of the sue as well
an into the state of the town. This was undertaken by Dr.
Sutherland and Mr. Grainger, who reported that the gene-
ral unitary condition of Hall at that time, as compared to
homer periods, was favourable; and they gave it as their
opinion that, apart from the position of the town, it was
I. no particular easier of an outbreak of cholera; the car-
mum of which canclosion was confirmed by the fact that
these imported eu.• did not spread, and that they were not
followed by any appearance of the disease among the towns-
people.
While engaged with the authorities of the town in ad.
sling on such provisions as seemed practicable for prevent-
ing the extension of the disease, if fresh ewe of it should
occur, the attention of the inspectors was called to the sub-
ject of quarantioe, and particularly to the cruel position in
which certain quarantine regulations, as enforced at Hull,
placed passengers and crews coming from infected ports ; in-
stances being brought under their notice in which 'spiel-
enee had proved that it was Impossible to afford to vessels
under quarantine medical guidance until all hope of relief
had passed away. The peril in which considerable numbers
of persons were thus placed, and the lass of life which had
actually occurred, induced us to address a special report on
this subject to the privy enact'.
" Having suggested what promotions seemed available for
the town of Hull, the inspectors were on the point of em•
barki,g for Hamburg, when we received information that
an outbreak of cholera had occurred at Sunderland. This
circumstance induced us to direct Dr. Sutherland to proceed
to that town and Mr. Grainger to go on to Hamburg. Dr.
Sutherland was prevented from joining Mr. Grainger on the
continent, his presence, after his visit at Sunderland, being
urgently required at Edinburgh, and subsequently at other
hewn, in Scotland, where his labours have continued up to a
hunt period.
Meanwhile on arriving at Hamburg, one of the first eir-
camstanoes which attracted Mr. Urainger's notice was the
great severity of the epidemic among the crews of numerous
nods lying in the harbour, a large proportion of the ships
Ming English. He found that the number of English seamen
emanated to upwards of 800, among whom, being in a foreign
pert, sad often unable to obtain assistance until they were in
• born condition, the mortality was excessive. In order
toa orsi what assistance seemed available we requested
Ms. Grainger to consult with the naval °Moen, and with
their advice, to draw up instructions for the guidance co the
, masers and crews of the English traders, to ewe proper
medicines to be provided at convenient stations in Hamburg,
an to circulate notices of this among the brokers and others
so:teamed with nipping, as well as to the sauteing them-
selves.
"The seats and subjects of cholera, and the seen and
subteen of typhus being the name. we issued on the 3d of
November, 1848, among other regulations a special order to
the board of guardians requiring them to desire their clerks
to make out from the register of deaths, or from the district
medical relief books, and from an, public boos+ or other
riuftec, front which information might be obtained within
the union or parish, a list of places where epidemic, ende-
mic, and contagions diseases bad of late been frequent. We
further requested the guardians to cause th.oir sudieal oMeers
forthwith to visit and examine the localities contained is such

list, and to certify is writlag all inch places as they might
and in • state dangrrons to health, or which seeded frequent
sad 'Lanai draining, tovther with all each nutmeg" end
natters injurious to health, is ought to be abated, cleansed,
salt removed.

ID owl data tct cf Olugoa, oat of $96 emits of premonitory
airrebot which cants under treatment, 183 care so 'ex ad
traced se to have rice-water purging, yet ofthis whole num-
ber only tw3 wad into cholera; or one in 298.
" Examples are given in the Appendix of the testimony
borne by the medMl superintendents of the several dis-
tricts, from their own personal observation, as to the
'Stacy of this system; but it may Galilee to quote here
the statement of Dr. Dempster, the general superintendeat
of the Barony parish. Having served in India for a
period of 23 years, where the troops under his shame fro
quently suffered tram visitations of cholera, Dr. Demp-
ster had had ample opportunities of beaming sequaiatai
with the &mac He states that the military authorities in
India were so well nears of the general prevalence of pr►
monitory dierrhaii, and of the greet importance of early
attention to this symptom, that betides other stringent tau-
sures adopted by them to detest its very first eppearance, it
ass their custom to plain sentries over the privies, whose
duty it was isamediatrly to report any individual seen to visit
them atrium than once during the day.