The Express.
London, England, 1853-09-24 00:00:00

MANCLIESTER.

The Board of Guardians have reported to the Mayor of
Mancha to that they have made proper arrangements for
house-to-house visitation, es recommended b 1 the meeting
of the faculty, so aeon as that ceurse shell be deemed necea•
sary—a course which they say was found to be exceedingly
satisfactory in 1849.
A reference to the history of former visitations shows
that cholera did not reach Manchester in 1832 until the end
of May, when two eases only were reported. In June,
1832. there were 17 (fatal) cases; in July, 44; in August,
318; in September, 192; iu October, 146; in November.
11; and in December, 1 : total, 721. There was no re-
appearance until July, 1833, when there were in July 6
decks; August, 72; September, 74; and October, 9. One
reason why, apart from motives of humanity, the authori-
ties should du all they can to see that the visitation
falls as lightly as possible upon the public., is,
that cholera is an expensive vieitor. Mr. Ku Gardiner'
Superintendent Itegietrar of Manchester, in a history he
published of the first visit of the cholera, says that, " On
referring to the annual report of the churchwardens and
overseers for the year beginning the 26th of Marcie 1832,
and ending the 26th of March, 833, i find that the asouut
upended on accoutre of cholera was 5,0141. 3s. 7d." The
total expenditure on account of the poor was 42,637/. 35.,
which exceeded the expenditure of the previous year by
4,7631. 3.. 21d. Mr. Gardiner says, in reference to the ad-
vantage which may be derived from a proper attention to
the subject by the authorities:
" On the adveat of cholera in 1832 the alarm was so great
in the public mind that the parties having autbotity consi-
dered It not only necessary, but really indispen.able, that
those infected with the disuse should be isolated in hospi-
tal', to prevent the spread of the complaint. Experience
hss proved that those cholera patients only ehuuld be re
moved who may be totally without the necessary comforts
for its treatment. That, on the principle that it is better to
prevent than to cure, housa-to-house visitation is by far
the best means yet introduced ; that attacking the d scare
in its premonitory stages proves it to be an enemy much
more easily 'anguished by the medical practitioner then
many other infectious and contagious diseases."
Mr. Gardiner, and Mr. John Lee, surgeon, Manchester,
published a very able and elaborate history of the visitation
of 1849, from which it appears that the first death from
cholera in that year was on the Ilth Juno. In all there
were 3 eases (fatal) in June. In July there were two
cases, on the Ist and 2nd, after which an interval of three
weeks elapsed, when it broke out in widely separated die-
Wets of the town. The progress is thus marked in that
and the following months: July, 8 deaths from cholera;
August, 73; Sept., 635; Oct., 296; total, 514. Besides
these there were 556 cues of diarrhasa.
So far as the registry of deaths goes, we have only one
(fatal) case during the present visitation, so far, attributed
to Asiatic cholera, and that is the one mentioned yesterday,
which took place in Bt. Ourge's district. The registrars of
the other districts bad received no certificates of other cases
up to yesterday evening.