HISTORY AND TREATMENT OF THE MALIGNANT CHOLERA AT VIENNA.

393

HISTORY AND TREATMENT OF THE

MALIGNANT CHOLERA AT VIENNA. tCPFLEMENTARY TABLES TO THE PAPER OF MR. FERGUS, PUBLISHED AT PAGE

353.

TABLE OF THE RELATIVE MORTALITY FROM MALIGNANT CHOLERA IN GALITZIA, AMONGST THE POLES AND GERMAN COLONISTS.*

i

Taken ill in Population. Duration. Population.

Inhabitants.

PLACE.

Flosrow .....Poles ........

Gergnia ...., Poles,

’

Sec.....

Woloskat ... Kmazalnka .. Poles..... N awoselica .. German Nawosyn.....Poles ........ Weldsiz ..... Poles, Jews, &c. Pacskow....Poles ........ Solyn ....... Poles, &c..... Stizow .......Poles, Bollcbow .....Poles..... Poles..... .

Colony

&c.....

En.-elsberg.. .

German Colony

752 414 145’T 910 355 419

65 26

1—35

49 68

1-9 1-13 1—7 1 - 11 2—19 z ---19 1—46

days.

57’ 90

47 36 62 114

Dead to

1 in 25

lin 9 1- 7 1—14 2—13

80

1021 207 356 1227 708 175

iBI

Dendia

Population. taken ill. 3 in 8 5—8

1 - 17 1—27 1—13 1 -177 1—23 1 - 35

5—7 7—6 1—4 2 1— 2 1 1 - 3 1 - 4 1—2 2—5

1—29 1 - 59 1 - 14

1 - 33 1 - 92

1—1

In Debelawka, a German colony, two miles from Kmazalnka, there were cases; one died. New Babylon, a large German suburb, had only one or two GENERAL TABLE OF DEATHS IN VIENNA, FROM

Proportion

to Year

preceding.

Year.

Summary of

1805

16,742

1806 1807 1808

12,359 13,764 14,924 20,218 17,445

Deaths.

1809 1810 1811 1812 1813 1814 1815 1816 1817 1818

15,309 11,520

1820 1821 1822 1823 1824

1825

Ii

1829 1830 1831

5294

I

3789 786 436

784

254

1529 433 390

116 73 57 8 47 100

679 411

1231 173 1401

j!

529

’376

i

! 296

240 3076

tery, and Cholera.

1382

405 480 466 449 5 375 371

i !i

Diarrhoea, Dysen- Scarlatina.

12 123

431

422

’

592 1358 1963 733 624

1672

668 623

Small

Pox.

193 367 340

))

Fergus by Dr. Flechner, sanitary laws strongly enforced here.

... Given to Mr.

+

.

2338

1417

INCLUSIVE.

193 2330 54

776

6595

12,190 12,363 13,764 13,468 13,708 16,784

1828I

886 2163

1160

12,306 12,742 11,070 11,501 10,822 10,411 11,828 11,160 10,537 10,959

1831,

i

Nervous Fever.

Less.

2773 2086 952 1436

TO

Most Prevalent Diseases.

3617

15,359 14,407 12,971

1819

1826 1827

More.

I

1805

only two cases.

439 496 502 532 669 658 893

502 147 71

589 560 145

58 176 238 92 8 46

465959 342 256 280 195

513 909 357 242

234 122 90 119 94 552 121 101 132 344 124 106 J 63 167 2198

Director of Quarantine at Podgorze.

56

-

-

48 131

394 GENERAL TABLE OF THE MORTALITY IN VIENNA IN EACH MONTH OF

January

1135 1179

.....

February

1087 July August ....................1213 2037 September ......................

June . . . . . . . . . . . 1257 ..................

M&rch......................

13.93

.....

October.................... 2186 November ..... 1464 December .................. 1119

April ......................1363 May.... 1301

1830

GENERAL PROPORTIONS OF DEAD IN

Men.

Died in 1830

1831

1831.

AND

1831.

Girls Boys under 10. under i0.

Wompn.

Old People,

from 90 to 100.

..............

4076

3633

3131

S868

30

..............

5240

5181

3327

3036

40+

1548 196 1164. 104, and aged 103,

168

-

Increase in 1831

............

t One of these was

one

14 -

one

108..

TABLE OF DISEASES TREATED IN THE GENERAL HOSPITAL,

_

.

VIENNA,

From 12th of August till end of October 18:31. j Attacked.

I

I

Cured.

Died.

Men. Women. Men. Women.. Men. Women.

Came with cholera 98

134

43

Fevers.......... 22 Nervous Diseases 4 Inflammations .. 2 Skin Diseases.... 5 Ex.

47

9

12

12 7 4

1 1

3

5

4

&: Secretion 1 25 26

Diseases.....} Cachexies

55-’

4

50

66

13

35

31

9 3 0

0

14

6

.5

9

26

9

9

9

17

17

Insane..........

16

28

6

8

10

208

Surgical Diseases. Childbed and Preg. Puerperal Fever..

8

10

1

5

7

New Born.......

44

30 4 34

......

-

20 1 1

1

43

5

Nervous, Gastric, Intermittent, &c.

9

Convulsions; 3 Palsy;

3 Colic. Peritonitis. 2 Scarlatina; 1 Small2 Tenia.

Pneumonitis &

4 Itch; Pox ; Diarrhœa; 5 Hæmoptysis, 5 (-’out; 6 Obbsrrutions, &c. 12 Phthisis ; 9 Dropsy; 6 Marasmus, &c. ; Syphtlis.

1

(10

Of all kinds. Chronic Ulcers, mostly fulous11 of these died.

12

10 3 33

Cured. Sept. l5th,

......

..................

The cholera

......

......

..........

..................

NOTES ON THE PRECEDING TABLE.

developed itself,

in most

course

commenced. The intermittents

were

tians ;

the cholera broke out

......

during the in-

termission, and did not prevent the

occur.

of the succeeding paroxsym. The cases of small’ pox and scarlatina were in the last stage when attacked with almost all ter. cholera.

of the fever ; in a very few cases, when the convalescence r xd

part, during the

Died.

till the end of Oct.... 100 35 6.5 from end of Oct. till 12th of Dec. :... 42..... 34...... 8 Stimulants, and hot frictions.......... 292 ...... 128 ...... 164. 21 9 ......1l Ipecacuanha alone 3T .....12 .....25 Ipecacuanha and stimulants 58 ...... 19 29 Ice and stimulants

Treated with ice from Ditto Ditto Ditto Ditto Ditto

scro-

rence

395 One who had the itch was taking sulphur. dead children duringthe attack; three of The syphilis is no protection against them had livingchildren during the recholera, in any form. Some patients had covery, tevo of which, however, died of the taken mercury up to the moment of beingcholera. In seven the csesarean section was made immediately after death, but always attacked with cholera. Dropsies disappeared during, but re- unsuccessfully. In some the lochia stopped, but returned turned eight or fourteen days after, the cessation of the cholera. However, in one caseafter the cholera ; in others they continued of hydrothorax the water disappeared, andl to flow. The secretion of milk was diminished in did not return. The cholera had no effect whatever on all. In some it ceased altogether, and did not again return.* the state of mind of the insane. Eight pregnant women brought forth

TABLE OF

THE SICK TREATED

From

IN

THE CHOLFRA HOSPITAL No. 3 IN

October 31, 1831.

September 18 till Taken ill.

Cured.

Age.

Men.

Women.

Men.

From 10 to 20.... 20 to 30 ....

14 20 13 14

10 26

7 12 6 6 2 3 0 0

50 two 40

....

40 to 50....

50 to 60.... 60 to 70.... 70 to 80 .... 80 to 90 ....

16

’

12 11 6 3

7 6 1 0

1

I 75

Total....

:

85

VIENNA,

36

160

Women.

8

26

.....

13

....

10 ....

21st ditto..... 22nd ditto..... 23rd ditto..... 24th ditto..............

109 9 4

6 8 7 7 5 2

2 7 7 4 8 6

1 0

3

0

45

36

3S

7 8 2 0 0

80‘

....

1

74

Died. 14

6 4

Recovered.

12 7 6 5 3 ..... 4 2 .....

....

....

....

5

....

6 5

....

2

....

Women.

Men.

19

Came.

On the 18th of September ...... 19th ditto .............. 20th ditto.....

Died.

After this the number gradually diminished, with occasional Remained under treatment three men and three women.

....

....

slight exacerbations.

Four nurses and four porters were taken ill ; two of each died. The treatment varied considerably. It consisted for the most part of bleeding, leeches, and ipecacuanha. Stimulants were employed only at the commencement. Towards the end a few experiments were made with ice, which proved its efficacy. * Extracted from

a

paper

Vienna. + Under the Primar

published by

Guntner,

Dr.

in the "Medicinische

Physicians, Drs. Shifner, Reider, Czikaneck. and Saxiager.

protocols of the hospital.

Jahrbuch ’B

Reduced from the .

_

of

396 VIVENOT’S CHOLERA 15 till October 20,1831.

TABLE REDUCED FROM THE PROTOCOLS OF DR.

From

September

Cured.

Taken ill.

Men.

Age.

From 10 to 20 .... 20 to 30 to 40 to 50 to 60 to

30.... 40 ....

70 to 80....

6 6 3 3 0

Total ......

28

50.... 60 .... 70.... I

Men.

Women.

5 5

HOSPITAL IN THE CITY,

Died.

Men.

Women.

4 4 2

5

Women.

1 1 4 3 2 2 0

1 4 2 3

1

2 1 0 1

9 7 1 2 0 0

48

14

24

13

17

6 14 10 8 6

3

On the l5th of September...... 16th ditto.............. 17th ditto.............. 18th ditto..............

Came. 2 9 28 12

.... .... .... ....

Died. 0 4 16

5

3 3 1

Recovered. ....2

....

12

....7

After this the epidemic diminished most rapidly in this part ofthe town, that in these three days more were seized than in the thirty following.

as we see

Remained under treatment, two men and seven women. Four nurses and two porters were taken ill. The former all recovered ; the latter both died. The treatment was very antiphlogistic-viz. bleeding, leeches, acids, ipecacuanha, Ice I believe and sinapisms. Stimulants were seldom, and then sparingly, used, &c. never.

IN THE MILITARY HOSPITAL FOR CHOLERA.

Patients arrived.

Recovered. Died.

100

55

Oct..... 169 33

112 23

45 57 10

302

190

112

During Sept... Nov...

September,

From 5th tilll7th of of 21 treated with stimulants, 7 recovered, and 14 died. After this they were treated almost exclusively with ipecacuanha and moderate warmth during the cholera; with bleeding, leeches, and sinapisms during the reaction ; and with large doses of musk, camphor,

and

punch, when the patient fell into typhoid fever, with muttering delirium, black tongue, &c.

These patients were all robust, and were attacked with choiera, mostly after having committed excesses in eating, drinking, and being then obliged to mount guard. Owing to these causes relapses were very frequent and often fatal. In two cases the patients had a return of most violent cholera, and yet escaped. No nurse was taken ill. One young surgeon died three days after having come to the hospital in the beginning of December, when instances of contagion were seen in other parts of the town.

On entering her apartment, I was in. formed that the waters had already broke, VENTRAL PREGNANCY. of which there was a great and By J. DICKSON, M. D., Armagh. that the pains were apparently strong and frequent. It was feared the pains were of Ov Thursday, the 17th of May, about little service. In the appearance of the three o’clock p.m., I was called upon as woman at this time, there was nothing redispensary physician, to visit Mrs. Walker, markable ; she was extremely anxious, and wife of a tradesman in this place, and who expressed her fears for the result. She had been in labour since the preceding mentioned that her full time had passed; that the motions of the child were strong, night. CASE OF

quantity ;