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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    after starting, 56 cases and 9 deaths, some, proba- bly all, were enteric in type ; 4 admissions and 3 deaths in a detachment to Calcutta ; two admissions “ among troops proceeding to the Eastone among troops to India and Ceylon, and this year (1865) 40 admissions and 8 deaths from continued fevers are returned, six of the latter on board one vessel, and most in one brigade, R.A., for India; 10 admissions and 6 deaths among troops to the East, and on one vessel the first case occurred four weeks after embarkation, the cause was be- lieved to be local, on the other “ after the ship had been two months at sea,” “ origin not to be traced.” From 1870, we have five cases in troopship to India the disease appearing eight days after embarkation ; two cases in separate vessels ; two admissions to the Cape ; one admission to Bom- bay ; two admissions among troops proceeding out- wards ; a case to Bombay, the disease probably con- tracted before embarkation and giving an interval of 21 days. So that in spite of all the care bestowed on medical inspections prior to embarkation, enteric fever in a latent state does evade our scrutiny to appear subsequently as developed recognized disease while at sea, and this is not a very uncommon occur- rence. Should the date of exposure to the cause be within a day or so of embarkation, there is nothing improbable or impossible in the disease remaining quiescent during the voyage to develop after land- ing in any of the Mediterranean stations, in Halifax, N.A., Bermuda, West Indies, or even the Cape; while with the voyage to India now done in 28 days, a man might be landed in Bombay in the first stage