nd of Summer,
and in Autumn; but it is generally in a milder Degree than in Armies,
where Men are more exposed to the Vicissitudes of the Weather.
As we go further towards the South, this, as well as other bilious
Disorders, becomes more frequent.
This Fever is reckoned the endemic Distemper of the _West Indies_, of
the Coast of _Guinea_, and other Places in the Torrid Zone; but in
those warm Countries it appears in a more violent Degree; makes a much
more rapid Progress; and proves far more fatal than in our cooler and
more temperate Climate. And it is observed to be always most frequent
and most fatal where a Country is covered with Wood, or is marshy; and
where there are frequent Fogs, and much stagnating Water, which
corrupts by the Heat of Summer.
In _January_, _February_, and _March_ 1761, we had none of those
Remitting Fevers at _Paderborn_. In _April_, some few of the Soldiers,
on their Return from the Winter-Expedition into _Hesse-Cassel_, had
Fevers attended with bilious Symptoms; but they were rather of the
continued, inflammatory Kind, and tending to malignant, than such as
could be called remitting.
The first Time that I saw much of this Fever, was among the Sick sent
to _Bilifield_ in the End of _June_ 1761; soon after the Army took the
Field. The Remissions were short, and it partook much of the Nature of
the common Inflammatory Fever; and most of them were cured by the
antiphlogistic Method. A Day or two before we left this Place, it
began to change into the Malignant Hospital Fever, from the Sick being
too much crowded.
In the Middle of _July_, about Twelve Hundred Sick were sent to the
Hospital at _Munster_; and about one-third Part were ill of this
Remitting Fever. It did not partake near so much of the inflammatory
Nature as at _Bilifield_; the Remissions became much more evident; and
it was attended much oftener in the Beginning with bilious Vomiting
and Purging; and in some few the Disorder turned to a Dysentery. About
eight or nine had it changed into the Hospital Fever, from the Wards
in one of the Hospitals being too much crowded; and in some few the
Disorder terminated in regular Agues. In _November_ severals were
taken ill of it in the Garrison of _Bremen_, which mostly ended in a
regular Intermittent, the endemic Distemper of the Place. Towards the
End of _December_ we had none of these Remitting Fevers, the Disorders
turning more to the inflammatory Kind.
In _June_ 1762, this F
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