, 1893-03-04

we'll = ate Was tSGu, and Il third after having
or,rexe ted himself III the work Of unloading
: vessel ladan with grain which had arrived
from BaIoum.
This weasel had been quarAntined and Venti-
lated. None of the g CIV and no other person
employed III unloading hep nd been taken ill.
Yet another sufferer WAS attacked aft, T work
ny IN a quarry some distance away from here,
and another after having been employed to
Clean the paint IN the hghthouse where the
cholera patients We're lodged during The epjde-
mic Of 1884
1t the closc Of January last there were some
Isolated Q ss 1T Aurioi, LoQuevalle aud
Aubagne, which might have been coutamina.-
ed by the river Ltveauns, bat without making
II a foyer of disease.
10 resume, causal Influences are multiple,
acting on he poor population, WHO were
without bread for several days and Who have
been drinking bad wa er, for during In, 10
cent cold sPSll the usual water supply wns
cut OH by frost, and the inhabitn i, finally
have been subjected to abnormal ta Iliou> "
tie mpelature.
Chol'ra here is MT an imror, i d., ',eei
o'e" ny the IevIvifcatipn Of tte "a u, I%cfuail-
mE ION the previous epidgm,, AID tho
Gteakl'g out IN isolated cases. 5, cvIl y Tie
"'Sease has attacked nobody outside jfo very
NIU AZ tuOS6 cases OlI\ q tEi S"ti
exhausted by over work and taking no hygiS
NC pseta lsions.
ne hrst fatal case occurred on January 81.
ne maximum of deaths in one day has been
twelve. ~
he disease is not following the course of
imported cholera, the march Of which can be
''"ced from It's point Of departure, and all cas-
IS ot winch are creative Of as many new iopi,
winch eventually unite in a sort Of general
t'AoAl.h, and the progress of which is ex-
FSmely ia pld and unattended BY any tenn
T'lary decrease in mortality.
Etehce | conclude that there arc cases OF
rsSl cholera at Marseillss. but that up to the
present there is no epidemic in the real sense
0fthe word.
Very good sanitary measu4 es have been :
taKrh and a special Vigilance Committee has
been formed.
Eight deaths from cholera occurred ysster-
day and to day, but none of these were new
oas"A. a patient saw yesterday seriously i'll died
ms morning. There are no new cases at the
cholera bun eau since noon. the 10th inst, aud
no fresh case, reported ip the town to-
day.
The s~tatistios furnished blythe Hospital dc
Ia Conception show that from the beginning
OF The outbreak there have been thirty cas-
S""OHCy AOUl men ana Six women. j ne
deaths have ~nunbeted fifteen, exactly fifty
per cent. The absence Of any new cases
during the last sixty houls confirms my opin-
ion as to the falling of Of the outbreak. which
Is not likely to return IN a violent, offensive
form.
A careful study Of the distribution Of the
cases according to then otigin also confirms
my opinion that the disease has not been i'm
ported. The map of Mars lies, on which
each case is marked by q red spot shows. NJ.
centre OF infection; each case is isolated. No
two successive cases have occurred in the
same house. A further proof of the endemic
origin of the outbreak is to be found In thu
fact that on consulting the death statistics
during the last six months a number will be
found reported as due to enteritis. such cases
are more numerous during this period than
during that which preceded the outbreak of
cholera last year.
It would seem that Marseilles has remained
since that time under a very much attenuated
cholera form, the influence of which has sud
denly received an impetus from the following.
causes:- Contamination of the water Of the
canal and the necessity of using well water:
for drinking purposes and for making bread;
the fact that the poor were deprived Of bread
for several dsys; he use of bad -four. and the