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10 11 3d. Infected ships are especially to be dreaded. congested, and irregular in its distribution and there is a great tendency to fall of temperature, in parts of the body left un- 4th. To abandon Quarantine restraints against yellow fever, covered for a short time. This point is of exceeding import- is to put a price on human life and barter it for trade. ance in the treatment. To the febrile stage, succeeds that of calm or apyrexia, in Symptons.-Yellow fever may attack suddenly, and this, which many or all serious symptoms may seem to subside-this commonly, is the case : or it may have the usual prodromata may be the commencement of true convalescence, but it is too of febrile affections. Generally, a chill is the forerunner of the often the prelude to the third stage-that of collapse and death. violent pains in the eye-balls, over the forehead or in the neck, Sometimes, a fever of reaction follows the second stage, termi- back and limbs; neuralgic symptoms which, in part or assem- nating in recovery or death, as may be. In yellow fever, the bled, are scarcely ever absent. It will often be observed that pulse is accelerated, but not, according to general experience, to the first manifestations of the fever occur in persons during the same degree as in nearly all other serious diseases of febrile their sleep, having gone to bed in apparent good health. In or inflammatory nature. In different epidemics it varies in 11 alarious affections, the immense majority of cases commence regard to strength, sometimes being full, hard and bounding: during the day, thus affording another element in which they at others, small, soft and easily compressed. During the post- differ from " the peculiar fever of a single paroxysm" considered febrile stage, it is typically adynamic-often feeling as though in this paper. the artery werê filled with gas, instead of blood, so remarkably When premonitory symptoms exist, they are either neuralgic- unresisting is it to the pressure of the finger-extreme slowness generally headache-or the patient complains of languor, an- is often conjoined with these latter characteristics. In the last orexia, furred tongue, or of *chilly feelings-these disordered case treated by a member of the committee, it was only forty conditions preceding, it may be by two or three days, the almost to the minute, for several days; having previously been as bigh inevitable chill. as one hundred and twenty. Great muscular soreness is often After this succeeds the febrile stage, furnishing, as a rule, no compained of. extreme heat of body nor quickness of pulse-in fact, in many The state of the tongue varies, in different epidemics-it is instances, the ordinary pyrexial phenomena are so slightly usually furred, with whitish or yellowish white coating of epi- manifested, as to afford no indication of the real gravity of the thelium until the latter stages, when it may be red and case, Even should there be undue heat of skin, it rarely lasts smooth-the papillae having seemingly disappeared. Sometimes beyond twenty-four or forty-eight hours-to be follow.ed, on ces- it is natural in shape, with the coating already described, and sation of the fever, by a decided diminution of temperature with a red narrow margin and tip. At others, large, flabby, below the healthy standard. Not often strikingly dry, the milk white and bearing marks of the teeth against which it has cutaneous surface may be gently moist or profusely perspiring. pressed. Sordes around the teeth are rarely observed. In the Many observers have recordel the common fact that the skin late stages, the tongue may present the dry and brown appear- seems to be in an atonicstate The capillary circulation is easily ance of typhus. Anorexia generally characterizes the disease

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This item is a report issued by a committee of associate medical members of the U.S. Sanitary Commission regarding the occurrence, transmission, and treatment of yellow fever.

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    "ocrText": "10\n11\n3d. Infected ships are especially to be dreaded.\ncongested, and irregular in its distribution and there is a great\ntendency to fall of temperature, in parts of the body left un-\n4th. To abandon Quarantine restraints against yellow fever,\ncovered for a short time. This point is of exceeding import-\nis to put a price on human life and barter it for trade.\nance in the treatment.\nTo the febrile stage, succeeds that of calm or apyrexia, in\nSymptons.-Yellow fever may attack suddenly, and this,\nwhich many or all serious symptoms may seem to subside-this\ncommonly, is the case : or it may have the usual prodromata\nmay be the commencement of true convalescence, but it is too\nof febrile affections. Generally, a chill is the forerunner of the\noften the prelude to the third stage-that of collapse and death.\nviolent pains in the eye-balls, over the forehead or in the neck,\nSometimes, a fever of reaction follows the second stage, termi-\nback and limbs; neuralgic symptoms which, in part or assem-\nnating in recovery or death, as may be. In yellow fever, the\nbled, are scarcely ever absent. It will often be observed that\npulse is accelerated, but not, according to general experience, to\nthe first manifestations of the fever occur in persons during\nthe same degree as in nearly all other serious diseases of febrile\ntheir sleep, having gone to bed in apparent good health. In\nor inflammatory nature. In different epidemics it varies in\n11 alarious affections, the immense majority of cases commence\nregard to strength, sometimes being full, hard and bounding:\nduring the day, thus affording another element in which they\nat others, small, soft and easily compressed. During the post-\ndiffer from \" the peculiar fever of a single paroxysm\" considered\nfebrile stage, it is typically adynamic-often feeling as though\nin this paper.\nthe artery werê filled with gas, instead of blood, so remarkably\nWhen premonitory symptoms exist, they are either neuralgic-\nunresisting is it to the pressure of the finger-extreme slowness\ngenerally headache-or the patient complains of languor, an-\nis often conjoined with these latter characteristics. In the last\norexia, furred tongue, or of *chilly feelings-these disordered\ncase treated by a member of the committee, it was only forty\nconditions preceding, it may be by two or three days, the almost\nto the minute, for several days; having previously been as bigh\ninevitable chill.\nas one hundred and twenty. Great muscular soreness is often\nAfter this succeeds the febrile stage, furnishing, as a rule, no\ncompained of.\nextreme heat of body nor quickness of pulse-in fact, in many\nThe state of the tongue varies, in different epidemics-it is\ninstances, the ordinary pyrexial phenomena are so slightly\nusually furred, with whitish or yellowish white coating of epi-\nmanifested, as to afford no indication of the real gravity of the\nthelium until the latter stages, when it may be red and\ncase, Even should there be undue heat of skin, it rarely lasts\nsmooth-the papillae having seemingly disappeared. Sometimes\nbeyond twenty-four or forty-eight hours-to be follow.ed, on ces-\nit is natural in shape, with the coating already described, and\nsation of the fever, by a decided diminution of temperature\nwith a red narrow margin and tip. At others, large, flabby,\nbelow the healthy standard. Not often strikingly dry, the\nmilk white and bearing marks of the teeth against which it has\ncutaneous surface may be gently moist or profusely perspiring.\npressed. Sordes around the teeth are rarely observed. In the\nMany observers have recordel the common fact that the skin\nlate stages, the tongue may present the dry and brown appear-\nseems to be in an atonicstate The capillary circulation is easily\nance of typhus. Anorexia generally characterizes the disease"
}