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27 > Page 27 of Account of spasmodic cholera as it appeared in the city of Lexington in June 1833 / by Lunsford P. Yandell, M.D.

DUDLEY on Epidemic Cholera. fore and during the epidemic, yet it was at no time so gene- ral, as to constitute the characteristic condition of the popu- lation. The ravages of the disease have been most extensive in the black population, and among those of the whites who failed to secure the advantages of nursing, appropriate food, and professional attendance; yet among the easy and affluent, those of sober and temperate habits, it has been attended by great mortality, as has been observed in the obituary list. The regular brandy drinker has been peculiarly fortunate. The maintenance of his powers of digestion by the aid of this stimulus, in almost every instance preserved him safe. Confiding too much in our great elevation above the beds of our rivers, in the absence of all collections of water, favorable to vegetable decomposition, and in the undulating nature of the face of the surrounding country, it had been presumed we should escape the consequences of the scourge. The entire want of all those arrangements on the part of the city authories to avert this evil, or to mitigate as far as practicable, the consequences of the epidemic, added no lit- tle to its fatality; but independent of all premonitions, and of every arrangement that might have been made for its re- ception, it came among us with a type so malignant, and its march in the work of death was so rapid and unhesitating, that extensive mortality was the inevitable result of its visit. To compare the disease, as it existed here for the first twelve days after its appearance, with what it has shown itself to be in most other quarters of the United States, would be like placing the tiger by the side of the lamb with a view to an estimate of strength and danger. No remarkable variety of symptoms appeared in the dif- ferent periods of the epidemic among us. Coldness of sur- face, excessive perspiration, and spasms, were more charac- teristic of the early, than of the latter period of its history. Severe spasms, profuse perspiration, with an icy coldness of the skin, characterised most of the fatal cases, I had an op- portunity of seeing for the first twelve days. After that time, death took place in many cases, without either cramps, 27