om India; nor in
Egypt, nor Persia, with which communication is so frequent; much less in
any other part of the world. Canton in China, Muscat and Mecca in Arabia,
lie nearly in the same degree of latitude as Calcutta, in which cholera is
always existent; yet these places only have cholera occasionally, and then
only after arrivals of it from Hindostan.
3. The arrival of cholera in other countries is often involved in some
easily removable obscurity, which is deepened only by the ignorance and
want of veracity of quarantine and other officials.
4. Cholera is almost always preceded by a premonitory diarrhoea, which
lasts from one or two to three or four or more days before urgent and
characteristic symptoms show themselves. Of 6,213 cases, no less than
5,786 had preceding diarrhoea. The sufferers from this sow the germs of
the disease in numerous, often distant and obscure, places, to which no
choleraic person is supposed to have come.
5. The discharges swarm with infective bacteria of various kinds, some of
which, especially Koch's comma bacilli, seem to be specific.
6. The disease has been reproduced in men and some few animals by their
swallowing the discharges.
7. The discharges, according to the experiments of Thiersch,
Burdon-Sanderson, and Macnamara, are not virulent and poisonous for the
first twenty-four hours; on the second day eleven per cent. of those who
swallow them will suffer; on the third day, thirty-six per cent.; on the
fourth day, ninety per cent.; on the fifth day, seventy-one per cent.; on
the sixth day, forty per cent.; and after that the discharges have no
effect--the bacteria die, and the poison becomes inert.
Professor Robin reproduced cholera in dogs, and the celebrated dog Juno
died of cholera in Egypt last year. Professor Botkin, of the University of
Dorpat, reproduced cholera in dogs by the subcutaneous injection of the
urine of cholera patients. Even if the comma bacilli are not found in the
urine, other bacteria are; and even Koch supposes that they secrete a
virulent poison similar to that of some insects, which may be absorbed
into the blood and escape from the kidneys.
8. Some of the manners and customs of the Hindoos are very peculiar. They
always defecate upon the open ground, and will not use privies or latrines
This is a matter of religious obligation with them. It is also obligatory
upon them to go to stool every morning; to use the left hand only in
wiping themselves
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