Enteric fever : its prevalence and modifications, ætiology, pathology and treatment as illustrated by Army data at home and abroad / by Francis H. Welch.

  • Welch, Francis H.
Date:
1883
Catalogue details

Licence: Public Domain Mark

Credit: Enteric fever : its prevalence and modifications, ætiology, pathology and treatment as illustrated by Army data at home and abroad / by Francis H. Welch. Source: Wellcome Collection.

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    admissions per 1000 of strength was only 4*9, and the deaths -8 ; at Malta, for the same period, the ratios are 4*2 and ’02; at Jamaica, 129*9 and 2'32> but here it is especially noted that these fevers are all but limited to the plain stations and rarely occur at Newcastle from which the term typho-malarial is returned; at the Cape, 25*1 and *17; in Bengal, 462*6 and 2*08 ; in Madras, 164*6 and *69 ; in Bom- bay, 439*2 and i*68. So that looking to the coun- tries or stations from which the hybrid disease is returned, the only one which gives a basis in the statistics for assuming the probability of such occur- rence is India; yet the country “par excellence ” in which the designation occurs is the Mediterranean. On the other hand, the paludal countries are :—the Windward and Leeward Islands, 257*4 and 1*85 ratios per 1000 of strength ; China, 676*3 and 6*20 ; Mauri- tius, 264*1 and 2*62, and for late years much in ex- cess of this ; Ceylon, 115*5 and i*6g, and the Straits Settlements ; from all of these enteric fever has been returned, and yet the hybrid disease has received no recognition, and the same may be noted of individual stations. It is strange, at least, that the term typho- malarial should be more frequently met with in those countries where the paludal fevers are far from com- mon, and where the remark in the yearly statistics is far from uncommon, that the cases of paroxysmal fever in the returns “originated elsewhere.” It is hardly necessary to remark that the paludal poison cannot per se give rise to enteric fever, nor the enteric causation to paroxysmal fevers, nor can they have a common origin ; the statistics alone suffice to negative these points. If enteric fever were depen-