ring the summer and autumn, cholera infantum with children in large
towns, diarrhoea, cholera morbus, dysentery, intermittent and
remittent bilious fevers prevail. The intermittent assumes various
forms, and has acquired several names amongst the country people, where
it prevails more generally than in large towns. It is called the "chill
and fever,"--"ague,"--"dumb ague," &c., according to its form of attack.

The remittent fever is the most formidable of our autumnal diseases,
especially when of a highly bilious type. In most seasons, these
diseases are easily managed, and yield to a dose or two of medicine.
Sore eyes, especially in autumn, is a common complaint in the frontier
settlements, and when neglected or improperly managed, have terminated
in total blindness.

The "milk sickness," as it is called, occasionally prevails in some
localities, some particulars of which will be found in another place.
There is a disease that afflicts many frontier people, called by some
"sick stomach," by others, "water brash," from its symptoms of sudden
nausea, with vomiting, especially after meals.

In 1832, the cholera made its appearance in the West. In many places,
its first approach was attended with great mortality, but its second
visit to a place has been in a milder and more manageable form. It has
visited various parts of the West on each returning season since,
especially along the great rivers and about the steamboats. It appears
to have changed somewhat the characteristics of our western diseases,
and will probably become a modified and manageable disease. Since its
visit, our fevers are more congestive, less bile is secreted, and the
stomach more affected. The subject will doubtless be noticed by our
physicians, and observations made, how far this new disease will become
assimilated to the ordinary diseases of the country.

We are satisfied, after a long course of observations, much travelling,
and conversing with many hundreds of families with the view of arriving
at correct conclusions on these subjects, _that there is no such
operation as that of emigrants undergoing a seasoning, or becoming
acclimated_, in the states of Ohio, Indiana, Illinois, Missouri,
Kentucky, Tennessee, Michigan, or the Wisconsin Territory. _Nor does it
make the least difference from what part of the United States, or
Europe, they come, nor whether they arrive here in the spring or
autumn._ There is an erroneous notion prevailing in some o