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22 > Page 22 of Account of spasmodic cholera as it appeared in the city of Lexington in June 1833 / by Lunsford P. Yandell, M.D.

YANDELL on Spasmodic Cholera. state of things more favorable to its production than exists in the north and east, where it first touched upon our continent. Its ravages were considerable in Quebec and Montreal, and local causes were discovered which were deemed by medi- cal observers sufficient to account for its malignity. In these cities the mortality was about one in 13. And it is worthy of remark, that, when from these points it spread into the sur- rounding villages, it assumed a mild form, while the country remained comparatively exempt. Of the cities on the Atlantic coast, New York- was most seriously affected. The mortality there in the whole population, with numerous causes tolend to its violence, was only 3000, or less than 2 per cent. And as remarked of Canada, the villages and country, with few and partial exceptions, experienced little of the visitation. In Phil- adelphia the form in which it appeared was yet more mild. Every circumstance was thought to be favorable to the health of that city, and for once, predictions in reference to the march of the epidemic were verified. In that population only 913 deaths occurred, or one in 10. Appearing in Cincinnati in October, it seemed to have as- sumed a more malignant character. In a population of 30,000 571 died, or about one in 50. In Louisville, which it attacked about the same time, ac- cording to the writers of that place, it scarcely acquired an epidemic character, being confined to a few districts in the city, peculiarly exposed to what were deemed exciting causes. The mortality in that place is not accurately known, but was much less than in Cincinnati. In Frankfort it broke out with violence, but disappeared in a short time. The mildness with which it appeared in this city, for a few days, has already been alluded to. If the ratio of mortality, observed by the disease in the At- lantic cities, had not been exceeded in its progress westward, what would have been the losses of our largest cities Lou- isville, with the largest population of the towns south of the Ohio, would have lost about 100, and Nashville and Lexington in the same proportion. But how different the actual state of 22