, 1879-03-07
THE PLAGUE.
A Russian Army.Surgeon dag
noses the Disease.
Different Towns In Different localities
Notes from Injected Districts,

-, 49, t,,.'.'. "s"' ,s'',. o.ela' .clcit""'
....,", .,'.,.'...., ~, M@..' y. s 'nte't' 4"t1
tT,. n.. a"s,e"s, 49, nu's'.' -, ~ ns!laa'"'
al, oo., ,,os, ~ wn'...,,'' ~ teso so.s'e W." III
-, 49,, t.',,s,.., ~ .,,'., l''o' "'''o's Ho''s
n rr,,.r or,n,,s,,,nto, ~, s,s1.,'. -. ..u ."" "
nttcr sovo,, ~ n,ah+ ~ 1a"s ,, ] "n"'
..o,,t,". =, ~. ,.', .",' o.su' W uu'e'op
,,,o ,...s,,. w., 't'p''"te s'"us !"
,.noxi"Ina ~, @ III. ". NV at1,rt,s' "u'.E
,s,t, ~ No,o,,,o 49,, t, ~ ,, s., VI s'o
i, ,,,o f,,,1,,a.,.,,s e''A ps.suas
nm, a.,,,n,.a., - H., '', ".' m'l' uttl'e;
,,.t,,,o1 s.oa,, 49,, "5tssss' e"Jo,."
hall. at,saa." ~ H., -. @ .,'s
!' Aose'eSto " '"e '''np''tlc 5'asas W lug
ETolhs bf Under tic .nrnplts appeared. which
entitled rus. The duration Of tlle |seasu WIS
fran len tn twcntv t1nys. An thr tnvo,fts M
rto1 u, mn, H.. III 49,, a,.,,.1
~, sa, ~ "u ~. , ieeo'eieu.
ING bo'he MANIFESTATIONS ol hseKncsB hau been
observed by the and other physicians IN Alay ot
1871 at Cossack uu,Igr upou tlftrc,t inyalt.1s at
foremost Of forty n,en md up,n some Of thciuh
itatnis Of tho City Of Astrakhan. In nil cn.cs
tr tlereIonncnt nnl lin tnr,,,tfo,, NJ tho liz.
ons, ,y.. uso",, l., .,a.'.,ae, .,'. w., y. NV a
ense "us cAuct'y 'ae!tlca's ffo''t sof. Z, as was
reported 10 tile III Yiat!ankn, t!leru appeared
Kind Of sickness which attacked many, and
proycl fata, TO some. I'll Dcccmter I visited
Victlu,1to nppI,, mil 5n,,n,l twcntv.t,rcc IN.
'ut'""n" usH',t h"u io""a t"c"ts-tn'ee "
falh'8 WIN inc following sohptoins' lcFrible
pain through tho foscllead and temples, pain
through The lncmbers uf tho body: transient,
,rnt1crato rhtl1a ,vbIc,, wcre u,,xrpdct liz uro.
t.,'.aI 49, ,.',,.'s " 80, T., .n'. - r
tsaetca "'" Hte"se "eak ~ ''lt lAce hl'u eycai
Tue bowels were laard Slight Swelling III tllc
liver anh spleen, pulse 100 to l29,
which state continued two or three uays,
n,,a ortor ,,udrr fororot, cra,,tora of,,,n,,,,,'
wv, "a ""Ae' =, eoo'''' a,'"oas''
sucl' eases wefe lew iollowcu f'ersplFatioh UNI
lesscnlnE OF all The symptoms; but In ma
Iorlty ot the cases, after day Or twu, the par
',t.,,,,., .,.a.,,a.s,a. .s,,s....n s,nl',
-uelrauI', :. sieol"esshess, 1es,.ess'ess aeizea
ttio tatic9t; lieut. rear!,ed to ~ dcE. H.; dry
sar:Ss%Sa fssy,; ssaat; q s'sssIs?s% asiat;
death. rhe eNl foslowed after ttY rst Or see-
9nt, out rarely aftcr the thl'd pasoxilns:
oiiuef ordinary manifestations oi cloiIlsal
fanre Of t enr1t,cs s'11I hc ne snrn.c st,' sa"
r!EM III short lime, h'lt; spots u dceotnpo'
s1tioa appeasca alter Twelve or moro lloars.
How IT nsvK1orEp.
"From the a7th ot Noycmbrr to the 9th Of
lad entirely recoycsca, Fron tic Vtj1 Ul H.
cet,,bcr tht chnractcr of lila Iisrasr lsranl,
noro violent. Unler general favorable sta.c
Of health new patients suddenly were seized
with violent ualptailuny Ut tlu heart, Tl,c
pu!se sYns too rand to bp countch; nnusun, dlz.
z!,ess, 1fitt:ltty of breathing splitting 0t blood,
Vomiting ot Eateff nlct'aEuanteu blood, col!nta'
nance pAic, cxpressu' npathet!c, eyes E!assy
and sllnken md ptlp!ls tlilated. Alter this st-
tack, Which cont'ucd three. tonrto sloru hours
the pnttcnt was Ia statu of entt1o exhaustion,
Nnu to this succeeded inteilse heat. slecp.
tsr.e, slight deri.ltt,, cessation ot urinr, nnl
c1ilstipusfon. Alter tl't loth o1 Dccetnbes' to
nll tic preceding symptoms were nt!dtd on
so'nc nccarons spots on llIe body q t''c elze of
grain Vi mtilct to 4 ten koprk tto cent! pecu
A1ll lurger PATIENTS emitted tro!t their hodlcs
pggt!ar stilcl, s'H!tIar to honey, nild dcnt1 en-
SUED durint; sleep Under s1tdtci 1aliurc ot et-
Two Of tslrGe hours decomposition tuok plnce.
From the 1th of December thu percentage OF
mostality, gradually fnSreasl''s, Fcached ,m mp
70 tic 18th Ut Dccc'nber to loo;
At my t}rst visit TO Viet1anku l
saw onsy paticnts suffering fron Il. re-
laxinG lever. with slight tn0ltY dwellings Of the
lyWl>atltc eln,nlS (GuzehEer), and tn tlmt In
etltlec reporten to tfe nuthoFit!es That tllat
10TH " ie'erisl nscass Sast9su's ~ onzumEsll
'ta,5, .'u5 m ~ ,.r,s" n,1. was = or nrva hs
,hr s',rm"t]no tcvrinninc,;t nf tin. Am" f,,I;
cascs s III, n v3oi"Ht n,,ii"nic. Nv soc,,i yist
,n,t IT," m III nyn str ~ fuvnat f's
tion nf tl,r fisoass wh,cll nnnenrr.i thrre viii,
IN v rn,,n,,ht.si rarartcr oT M r,,f,jr,nf sowrti
n,,s H." rnn11tv of lin rristsnr ~ n fcysr vii.
aymntou,a similar II, re,uittnrt lever. "a nrt,-
ie,,ui i1 , ] ~ r',,,,rt 80 wv
'''a''' ''1A Wv as.., ,,,,,,, ~ ,,,en.s,,, ..p
~ IT NE" ptsEAshi
gcons untlrr my ct'l,trol llie dlseaac which be-
tgan tle :s%$Stll VI November nppGarcd suddenly
uftes the prrcetltn9 DISEASE. when there wcru
already no 'hyuli!S wlt ti!e symptoms seen hy
MT on tllu 18TH Ut NuFcnlher nll, cYcn really
to n1nlt a rlosu relation tetwecn the a!scaso Of
the 18th Ut November and thu snrllc which up
pearc,l on t!c Vi tn Of November. rti!s rclatt0n
Ii Indicated by tlic appearances Of s%el'ngs md
inflammation Of tllr lymnhatie GlanIs with
reyclaloM tI.tu nbsccsses, unaccnsllpAcd ut !lrst
with typc lover, a,tl ,he appcaranru uf Tic
serun1nry llseasu nltcr sl!nc days with distinct
teihtfLuro run tslc oru'fiary 'ilie o stA'plu!s
- ~ utu ,., ...s t,,r"aa Ts' H., ~ ~ ,nu'.nr
- W. 49,, - s1rr.t. u..orIt,. ~ MI n.n-l, ~
~ ,t.ts MI w;thu fron, tv,.1vc m,rs !" ihr.s
.. tt,nr rim ha" ".ton rim ,sraait, ax,u,.
NY. .,s u' tt's" ,,, ~ ~
@ ~ y 's' ~ n s,aps ",,I M"ilnvnnt
tmnt,,s ~ ~ ucnnar im,mnu I'Io,,s fis.sH.
:.h H. ~" .v ntsas' s,t,"o,,, i.as ha
t .,, :" ,,sl ss 49,, -" ~. ,,io",,a 's'%7e oo
1"ee" y l'"ue a.''' a"'s ps"t.up.
THE RUSSIAN oltEsADA'
Before accounting for this Gauss Of the cpl.
drmlc link tl!at 1t is necessary to say few
words about ViettanKa. Vietlanlu is III
Ett,tatcysll District, nl1uilt lDl vursts fronl
Ablra!,Ilat, tcn yersts irnun the village Ut
Nclipluls. II i!es III the right bunk OF the River