i; v- Is' *.-■*: 'is; IS: LIBRARY OF MEDICINE NLM DDimD7T A ~C< C «3^<£ *CT c< c: oc: — C c^cr 4r^k ^K-~^ JOC* «* £«m <& ^7 'CT '—CO*^ §7C1 ' ^* CC v ijg.-c c.^cctc,, «5C4C"C' " < Cv< fc*iC (C ccc ' r cc^^C^C^- ADOPTED BY THE MUNICIPALITY DURING THE ADMINISTRATION OF HON. J. F. WHEATON, MAYOR. BY JAMES J. WARING, CHAIRMAN DRY CULTURE COMMITTEE. "Let every one physician or not freely declare his own sentiments about it; let him assign any credible account of its rise, or the causes strong enough, in his opinion, to introduce so terrible a scene."—Thucydides, "Plague at Athens." The history of yellow fever teaches that the mortality is great, even under the most favorable circumstances. When recording the eighteenth case I also recorded the thirteenth death. This would seem to indicate a necessity of turning our attention from the vain endeavor to combat the disease, or to try any improved treatment of the sick, to the other alternative, prevention.—Page 4, Analysis of Record of TeUow Fever in 1870, by Joseph HoU, M. D., Sanitary Inspector for the Fourth District, New Orleans. SAVANNAH, GA. : MOBNING NEWS STEAM PRINTING HOUSE. 1879, C/6^^'si 'Si'jn ^U' ;/ 8459 I £7 9 DEDICATION. IN THE BELIEF THAT A MORE EXTENDED AND CORRECT KNOWLEDGE OF THE NATURE AND CAUSES OF EPIDEMICS IS THE SUREST MEANS OF THEIR PREVENTION, THIS COLLECTION OF SCIENTIFIC DATA IS HUMBLY DEDICATED TO THE PEOPLE OF SAVANNAH. A VIEW UF SAVANNAH as it stood the 29" of Mar.-lx 1734 . To the Honorable Trustees for establishing the Colony of Georgin in America, This view of the town of Savannah is humbly dedicated by their Honour*s Obliged and most obedient servant, PETER GORDON. " It was known that whilst these lands remained in a state of nature they were unproductive of disease, and that some seventy- five years ago, as I have been informed by Dr. Jones, Savannah was resorted to in Summer by some of the inhabitants of Charles- ton on account of its salubrity."—Autumnal Fevers of Savannah, page 20, W. C. Daniel, M. D., 1826. F<-nlllaji'r.fcih.l+W DESCRIPTION OF MAP OF SAVANNAH. Green—Elevated sand plateau upon which the city is built. Red—Zone of dryness upon surrounding lowlands, created by dry culture contract in 1817-20, and perfected in 1877. Blue—Rice lands subject to irrigation. Yellow—Back swamps, now drained. ***—Atlantic and Gulf Railroad wharves, upon which was deposited the Cuban ballast. 00—Deposit of dredge mud in 1854. *} *s *—On green, first cases of yellow fever within seven days, in 1876. oo, oo—On Springfield, points of deposit of scavenger's garbage from 1865 to 1877. The map also shows the relations of the elevated plateau of the city to the surrounding low lands, which have been in every epidemic (1820, 1854, 1876) and (in lesser epidemics of 1817, 1819, 1821, 1858, 1864), in exceptionally bad condition and in- tensely malarial, a condition which existed when yellow fever be- tween 1780 and 1820 occurred annually. The red shows the effective labors of the municipality in creating the zoDe of dryness originally projected by the dry culture contracts of 1817-20, and the blue shows the present rice lands subject to irrigation. TOPOGRAPHY AND DESCRIPTION OF SAVANNAH. Savannah is a city of 28,000 inhabitants, one-half of whom are white and one-half colored, covering an area of two miles square, standing on a plateau fifty feet above tide water, flanked on each side by low lands three feet below high water mark of tides, and fronted by a long island of the same low alluvium. It stands on the 32d parallel of latitude, having a mean tem- perature of sixty-eight degrees, Fahrenheit, being the same as the Bermudas. The winter is a short one of six weeks duration, extending from the middle of December to the first of February, with occasional light frosts and rarely a film of ice—never snow. The immediate proximity of the Gulf Stream affects the temperature, and hence the cold and cold dry winds come from the north and west. In summer the prevailing winds are south and south- east, and are the cooling sea breezes. It is within the circle of West India hurricanes, which have struck this city with great violence several times since the close of the war, notably in 1871-73-75-78. The tropical rains which fall in June, July and August are marvelous for the quantity of water which falls. The rainfall of June, 1876, reached the enormous amount of sixteen and one-half inches, and was the indirect cause of the epidemic, converting Springfield low lands on the west into an unbroken sheet of water. The accompanying map will show at a glance the influences surround- ing the town iu 1876. The green represents the elevated plateau upon which the town is built; the red the low lands placed under dry culture in is 17-20, but which during the epidemic were intensely malarial, in June, and July and August soaking wet, and a large part ef that period partially submerged and offensive. (See official report of John B. Hogg, City Surveyor, p. —.) The yellow represents the back swamps recently drained. The yellow and red represent those lands which this administration has thoroughly drained and dried, amounting to 1,200 acres. The blue represents the rice lands still subject to irrigation and harvest water. The three crosses on the green show the points at which the first cases of yellow fever occurred, August 21st, 22d, 26th. The three stars (***) on the left mark the Atlantic and Gulf railroad wharves, upon which were deposited the Regla ballast from Cuba, supposed to have been the possible cause of introducing yellow fever. Immediately back of this point are the 130 acres of dangerous harvest water lands in close proximity to the city, successfully drained by this administration. A little to the right of the three stars are two ciphers, marking the point of deposit of dredged mud, supposed cause of yellow fever in 18.">4. The yellow border on the east side of Springfield low lands is the point of extensive deposit of all the garbage and scavenger debris of the city during the epidemic and for several years before it. This slope was unusually wet and reeking with water, and cov- ered by hundreds of turkey buzzards seeking their food in the offal during the whole period of the epidemic. (See letter addressed to Health Officer during epidemic.) PKEFACE. The existence of an epidemic at Savannah was not known to its absent citizens uutil September 1st. Upon learning of its exis- tence the writer returned to Savannah and had the honor to sub- mit to the Mayor and Council, in an interview with them, the following : September 20th, 1876. Gentlemen : I have the honor to lay before you a practical method of arresting the epidemic which is now visiting Savannah with fatal effects. It is an accepted fact that such diseases as yellow fever, bilious fever and their congeners are produced by the seeds of living organisms. These living organisms are classed as cryptogamic plants, and their seeds are called spores. * * * It will be observed that this work necessarily divides itself into two parts—first, to clear and clean, and put in perfect working order the drains around Savannah, which are now keeping back large masses of water ; second, to attack every particle of green mould wherever found in the interior of the town. The trunk of every tree should be whitewashed, so also every wooden fence and old wooden house, scrape old shingle roofs and whitewash them ; this will last till frost. Pour the gas washings (diluted carbolic acid1) upon all damp, mouldy yards, and rake them well with iron rakes. * * * (Carbolic acid to privies and its free use was not mentioned.) * *^ * I predict with absolute confidence that if this work is finished by October 1st the disease will have so far ceased that with the first light frost on October 10th or 15th, everybody will be returning home. * * * James J. Waring. The proposition was accepted, money by private subscription was raised, the drainage was fairly done, but whilst Alderman DoUglas was organizing a large force for disinfection, divided counsels discouraged the municipal authorities. The work was arrested at this point, and disinfection by the New Orleans method abandoned. Whilst malarial fevers markedly subsided in Octo- ber, no perceptible impression was produced upon the progress of yellow fever until frost and cold closed the painful scenes of the epidemic. WHAT SHALL THE PEOPLE OF SAVANNAH NOW DO TO PREVENT IN ALL FUTURE TIME THE REPETITION OF THE DISASTERS OF 1820, 1854 AND 1876? And, incidentally, what has this administration done towards the accomplishment of so desirable a result. To this end, in this report have been gathered together material and facts which, if fairly considered, become a guide to an intel- ligent and vigilant protection of the public health. To this end, have been gathered in readable form, material to make up, for the reasonable mind, answers to these questions : 1. Can these epidemics originate in Savannah ? 2. Is importation essential to the existence of yellow fever in Savannah ? 3. What is the poison of yellow fever ? To this end is submitted herewith : 1. An analysis of the epidemic of 1876, and other papers bear- ing upon the epidemic of 1854 and 1820. 2. Considering the exceptional causes and the general predis- posing causes of the epidemic of 1876. 3. The malarial element of that epidemic, and 4. The question of its importation, Embodying in a brief report the labors of the present admin- istration, both as to possible importation and possible local origin ; a condensed report of the most approved opinion upon the sub- ject of water closets and privies ; a condensed history of the development of knowledge of the germ theory of disease ; and, finally, a translation from the German of F. Cohn upon bacteria, a subject attracting much attention at the present time. First, these papers will show : 1. That there is no proof of importation in 1820,1854 and 1876. 2. That yellow fever occurred annually up to 1820. 3. That yellow fever can occur in Savannah at the most dan- gerous period of the year, as in 1877, without the spread or propa- gation of the vital organisms, (bacteria), and without spread of the infection and consequent sickness or death of the people. 10 the epidemic at savannah. 4. That the recent discoveries of science leave little doubt as to the nature of the poison of yellow fever—indeed, of all pesti- lential diseases ; that they assimilate in form to the lowest algse, (see Cohn page), and in function to the lowest fungi (see Cohn page) ; that they are for convenience called bacteria, and are classified by F. Cohn according to their forms, and by Pasteur according to their functions ; that they cannot abstract carbonic acid and other elements from the air, but abstract elements of their structure from organic matter, both dead and living, produc- ing putrefaction in dead organic matter, and disease in lying mat- ter, both vegetable and animal ; that they live without air, and must live on organic matter because they have no chlorophyl like the algae ; that hence the removal of dead organic matters, result- ing in cleanliness, is the certain prevention of their existence and propagation. 5. That there is the amplest evidence that bacteria, like all other plants, can be transplanted from place to place, and have persis- tent forms and persistent functions ; hence the necessity of quarantine, if towns have within their limits any quantity of putre- faction materials, and as certainly quarantine is needless if clean- liness is assured. 6. That there is nothing more certain than that innocent forms of bacteria can rapidly expand into varieties or culture races (Cohn), like all other plants in proportion to the rapidity of their propagation and the intensity of their vitality and the consequent shortness of their life, according to a well recognized law that the greater the intensity of vitality the shorter the life. This is the polymorphism which renders reasonable the theory of domestic origin, and which necessarily admits the possibility of the trans- planting or importation of these bacteria, especially when intense- ly active and virulent. To paragraph second, page 11, add— A Sanitary Commission was also created which has carefully watched the appearance of any contagious diseases or of any conditions threatening epidemic sickness, and vigorously applied all well recognised methods of relief and prevention. The Coun- cil has also had the advantage of the active cooperation of a Commission of Drainage, created by State law, which has faith- fully and effectively expended an appropriation by the State for the proper drainage of this county. This commission has left a monument of its wisdom in the admirable work it has done upon Springfield low lands, and the southeastern swamps. REPORT ON THE LIBORS OF THE ADMINISTRATION \\ 1877 AND 1878. When the present Board of Common Council took charge of the municipal government on January 22, 1877, it was their duty to admit the possibility of importation and guard the city from this possible danger, but at the same time to respect the traditions and experiences of this town, and pursue the invariable policy of the wisest and best legislators the people of Savannah have ever had, and treating the possible cause of epidemic yellow fever as of local origin. For these reasons : It entrusted the danger of importation to the committee known as Health and Cemetery, and entrusted the danger of a possible local origin to the committee known as Dry Culture, created in 1821. The following was the condition of the city and its sur- roundings at this date, and which it has been the aim of the proper departments to remove or ameliorate : 1st All the low tide lands around the city were intensely mala- rial and imperfectly drained, or not drained at all. 2d. The western and eastern slopes nearer still to the city were sobbed and dripping. 3d. The western slopes and Springfield lowland were the places of deposit of almost the entire garbage and refuse of the city for the past twelve years. 4th. Two hundred acres of the western lowlands, including these garbage slopes, within the corporate limits, had been, just before the epidemic, the scene of one vast overflow, resulting in the con- version of this large area into an extensive rotting surface of the most offensive character. (See report of John B. Hogg, page —). Though relieved of this, an important work was necessary to prevent a similar disaster by the raising of dams, opening drains and establishing a new system of brow drainage for the western slopes. 5th. The dry culture contract lands on Hutchinson's Island had been neglected for fifty years, and these were to be restored. 12 THE EPIDEMIC AT SAVANNAH. 6th. The power to enforce upon property-holders the drainage and drying of their lands around the city being a doubtful one, it was necessary to obtain from the Legislature a public act em- powering Council to enforce it. This was obtained. 7th. The Bilbo canal was fouled and silted up, its dams protect- ing the adjoining lowlands were entirely too low, and the pro- vision by trunks to drain these low lands into this canal was a constant mischief. Moreover, the Atlantic and Gulf Railroad had planted itself upon one of these drains—the eastern one—and it was necessary to bind, by agreement and contract, this road to take care of, and keep up to grade, this dam. All this has been thoroughly remedied and the needed contract with this road executed. 8th. Within the area of dry culture, established in 1817, were cer- tain lands of John Waters, upon which the Mayor (Daniels), in 1826, had failed to enforce the measure in a law suit. These dan- gerous lowlands, amounting to 130 acres, yearly covered with harvest water, have been placed under dry culture contract, by purchase, for the sum of $5,200. 9th. The southeastern swamps, in close proximity to the city and in the direction of the prevailing winds of summer, had never been drained, were intensely malarial and indescribably desolate and dismal. These have been thoroughly drained and fitted for agriculture. 10th. Certain ponds, formed by excavations of brickyards, were offensive masses of stagnant water, covered always with a green film. These have been dried by partial filling. 11th. The privies of Savannah are a sore evil, always offensive and foul, simply because left to the private citizens to keep clean. After the failure of very many schemes, this administration has placed the cleansing of them on a footing with the scavenger de- partment, and the public authorities will do the work, charging an annual tax upon every privy. 12th. The scavenger has been compelled, by a change of con- tract, to remove the garbage to a distance of one mile. 13th. The ventilation of waste pipes and sewers, so much needed* has been enforced by ordinance. 14th. The Bilbo canal had never been properly flushed bv the high tides. Since the dams have been raised to a proper high grade and strengthened, the tides are now fearlessly turned in on this receptacle of filth. REPORT ON THE LABORS OF THE ADMINISTRATION. 13 In few words, by reference to the map accompanying, the eye at once appreciates the work done by this administration. The area of sweet and healthful dry lands has been expanded into a broad zone one mile in width, extending around the whole circuit of the city, and to accomplish this, 1,200 acres of land have been redeemed within this zone of dryness, which had never been properly redeemed, and, indeed, it may be safely said no citizen believed, two years ago, could have been redeemed. We allude more particularly to the John Waters' rice land on the east and Hutchinson Island on the north. By reference to the map also, the blue coloring will show the source of malaria now existing and its distance from the town, whilst the red shows the work of this administration and the state of things existing here preceding and during the epidemic. THE HISTORY OF DRY CULTURE. The late Dr. W. C. Daniell published in 1826 a little volume on fever. On page 21 is the following extract : " In 1817, at a town meeting, it was resolved that about seventy thousand dollars should be appropriated by the city to the pur- chase of the right of cultivation, in wet culture, of such of the tide swamps as were adjacent to the city. These lands were accordingly subjected to a dry culture, by contract, at the price of forty dollars per acre ; and the system went into operation the following year. Its success at first surpassed the expectations of its warmest friends. The want of attention to the cleanliness of the city, the introduction of a laboring class of whites unaccus- tomed to our climate, the great mortality of 1820, the reputed unproductiveness of the dry culture lands, with other circum- stances, gradually brought the system into considerable disrepute, and in 1821 it was determined that the propriety of continuing it should be decided by a vote of the citizens. Upon counting the ballots the majority in favor of its continuance was only sixty-nine votes. Those opposed to the dry culture system now became more clamorous than ever. About this time new efforts were made to sustain the system ; a new train of measures was adopted ; a Board of Health, which had been previously established, took under its special care the condition of our streets, lanes, etc., and great attention was paid to cleanliness. 14 THE EPIDEMIC AT SAVANNAH. " The proprietors of the dry culture lands were gradually in- duced to pay more regard to their contracts. One of the largest tracts, and immediately opposite to the city, came into the pos- session of T. Spalding, Esq., of Darien, who placed it, at great labor and expense, in very fine order. His example was followed by several of the other contractors, and most of these lands are now in good condition. Its benefits being most obvious, public opinion is now almost unanimous in favor of the dry culture system. " Elevated above the adjacent country, situated upon a dry sandy soil, and the cultivation of rice in its immediate vicinity restrained, Savannah will be considered as enjoying advantages for health superior to any Southern city, and it must become a place of summer retreat for those residing in its vicinity, whether upon the sea shore or in the interior, as it was some seventy years ago. " Subjoined is an extract from a report made by the Dry Culture Committee to the City Council early in 1824 : " Six years have now passed away under the operation of the dry culture system. Imperfectly as that system has been enforced, it has given proofs the most conclusive of a favorable influence upon the health of Savannah. It is the object of your committee, in their report, to refer to these facts, and to show by them how important it is that the City Council should persevere in rigidly enforcing the dry culture contracts ; and, to pursue, by all lawful ymeans, those who, alike regardless of their engagements with the ' city and the dictates of humanity, set at naught the deep and permanent interest of the community in which they live, and to which they are indebted for the protection of their property. It cannot have escaped the attention of the most careless observer, that since the introduction of the dry culture system our summer and autumnal atmosphere have undergone a great and favorable change in its sensible qualities. The fogs which heretofore rising from the lands, now subjected to the dry culture system, and penetrating to the heart of our city, gave a high degree of humidity to our atmosphere, have since disappeared, and with them that humidity. Heavy fogs may now occasionally, in an autumn morning, be seen rising from lands cultivated in rice. Sometimes they approach the eastern and western ends of the city, but do not advance further. During the long flow which was made the last season upon the rice fields recently opened upon REPORT ON THE LABORS OP THE ADMINISTRATION. 15 the southwest extremity of the city, the atmosphere became more heavy and damp, and in a short time a very disagreeable stench was remarked by the inhabitants of that portion of the city ; the trunks conveying the water to the rice suddenly gave way, and the putrid water escaped its confinement before the trunks could be repaired. The offensive stench was not perceived after this. Previous to the introduction of the dry culture system, such was the humidity of the atmosphere of this city during the long flow upon the rice, that a person being exposed for a short time at night, could wring water from the locks of hair hanging below his hat. Now, throughout the whole season there is a dryness and an elasticity of atmosphere, the very reverse of what existed pre- viously. It will be obvious that this great improvement in the sensible qualities of our atmosphere must be salutary to those who breathe it." In the same report is a comparative table of the proportion of deaths to population. Here is the published testimony of 1824 : 1815, 1 in 15 ) 1816, 1 in 18 [■ Wet culture. 1817, lin9 1-2) 1818, 1 in 62 3-4. 1819, 1 in 13—(Dry culture contracts violated.) 1820, 1 in 5 1-10—(Epidemic.) 1821, 1 in 37 ) 1822, 1 in 33 4-5 J- Dry culture. 1823, 1 in 32 1-6 ) In 1817 the dry culture contracts were made and carried into effect, and in their ordinance the city authorities said : " It does appear to Council that these measures recommended will have the effect of so ameliorating the health of this city as to check, if not to prevent, the ravages heretofore produced by autumnal fevers, and to render it a safe and healthy residence, which, from its high, dry and advantageous situation, nature intended it to be." In 1818, when the rice-field system of drainage with trunks, and gates, and ditches were in perfect order, the mortality fell to one in sixty-two. Every rice planter knows the rapidity of decay and ruin to the drainage of rice lands by one season of neglect; and the second condition of Springfield, two years after the neglect by the owners, became worse than the first. The epidemic of 1820 succeeded as a consequence, and in 1822 our fathers created the now well-known Committee on Dry Culture, in order to enforce the observance of these contracts. 16 THE EPIDEMIC AT SAVANNAH. When the dry culture contracts were made in 1817-1820, Vale Royal plantation, 250 acres low land (see map), was subjected to dry culture, but Springfield plantation, 142 acres low land, was not so contracted for, and not subjected to dry culture. These were rice plantations, and the latter continued to be a rice plan- tation until 1850, when the city authorities purchased it from the heirs of Joseph Stiles. These 1 wo bodies of land were the property of this Joseph Stiles, an emigrant from the Bermuda. The Springfield tract consisted of 963 acres, 142 acres of which were low tide lands, below the level of high water in the Savannah river. The Vale Royal tract consisted of one thousand acres, 250 acres of which were low tide lands below the level of high water in Savannah river. In Feb- ruary, 1762, second year of George III, the plantation of Royal Vale, in the province of Georgia, 1,000 acres in extent, was granted to Pickering Robinson, Esq., upon condition that he clear and cultivate three acres for every fifty acres granted, and by him sold to Laclan McGilliveay for five shillings, and by him sold to a Ber- muda family, by name Stiles. In 1850, Springfield had become such a public nuisance, in consequence of the obstruction to its drainage, caused by (in 1826) the digging and embanking across the line of its drainage of the Ogeechee canal, and in 1830 the building of the Central Railroad embankments, that in that year the city was induced by Dr. James P. Screven to purchase the whole tract, and the generation of men who have just passed away enacted an ordinance, dated 29th of August, 1850, with this solemn and authoritative declaration : '' Whereas, The city of Savannah has recently become the pur- chaser in fee simple of that tract of land called Springfield, lying on the southwestern border of the city, which purchase was made for the sole purpose of reducing to and keeping in a state of dry x culture the said tract of land, which is low and swampy and has been, in its wet state, the cause of disease to the people of Savan- nah ; and, whereas, it is the duty of the City Council to remove the said cause of disease, and to place the said tract of land in a dry and healthful state ; and, whereas, the Legislature of the State have conferred upon the city government ample power for the dis- charge of that duty ; and, whereas, it is essential to the dryness of the said lands and to the protection of the health of the citi- zens that the said tract of land should be perfectly drained in the natural course of the water, to the extent of its drainage capacity REPORT ON THE LABORS OF THE ADMINISTRATION. 17 and that the flow of the water through the said drains should not be impeded." In 1864 it is well known that Springfield was overflowed for defensive purposes, and the Andersonville prisoners were placed on the parade ground, General Lafayette McLaws being in com- mand of Savannah. It is well known that there was a marked outbreak of yellow fever in that year. In 1871 Springfield was overflowed and made one vast sheet of water by the breaking of the banks of the Ogeechee canal during the cyclone of August 18 ; and, though the city authorities made vigor- ous efforts to drain and restore to a dry condition these lands, a marked outbreak of yellow fever occurred in the middle of October, the first victims being the three members of the Garroway family, who had been three weeks in Savannah, and had come from Augusta. In 1876 Springfield was again overflowed by that wonderful rainfall of sixteen and a half inches, which fell between the 9th and 18th of June, and these waters were allowed to leak off and be evap- orated slowly as best they might, during this past unprecedent- edly hot summer. The drains had not been touched for one year, and the wild growth of Springfield during and after the epidemic, covered by the water grass, asmart, instead of, as in eight years pre- viously,;by the kesina weeds, which only grow on very dry ground, is the best evidence of what existed during this summer of epidemic. The officials and passengers of the Central Railroad bear testi- mony to the offensive odor of Springfield during June and July. John McGrath is the lessee of the tract bordering on Gwinnett street; he testifies that his land wis useless to him until I drained it on September 25th, and that a party of pleasure, which he con- veyed on July 23d to the residence of Captain Dooner, who lives on the western high ground of Springfield, refused to return that night until compelled by him to do so, because of the sickening and offensive atmosphere of this spot. Now couple together two more facts with this one : The late epidemic reached its height and prevailed in marked virulence only in the month of September, and the Signal Bureau report, which is herewith published, shows that the southwest wind, blowing from off this pestilential swamp, prevailed in this month, whereas, for the three years previously, the northeast wind had prevailed in each of those years. Can we shut our eyes to these facts ? The dispassionate observer will not fail to note them, and give them a proper consideration. 2 MMMI-ii-'l-'l-iHMI-il-'l-'MI-iMHI-'HKI-'MMI-'HI-'MMMMHHI-iHHI-ih'l-il-i OOOOCXOOOOOOOOQOOOOOOOOCOOOCOOOOOOOOOOOOOOQOOOOOOOOOOOOOOOOOOOODOOQOOCGOOOCX ^^WWOJCOWaCOMOSMtOtOlOtObiKlbOtOtObOHHHHHh'HHI-'h-OOOOOO riOOOOOOJCn^CObOMOOQC-aClOt^MbiHOOOO^I aOlU^ WtOHOCDCOi 00 O Pi MiM^O * #•#•*■*•*#•**#**** #######*#tttt**## -*•*** -i On ^-" CO CO *- CO i_ii—1>—'C I—'I—* ICC. M tO H-i H» I—1 H' tO H' CO ~1 tO :o cc ot c< i—' to co -i cc 01 en c< +- h* to ~i to co ~ --i to a -i Oi_©H cn~i o gi *o -i h m c oo to -i co eo to ob to 4- 4- co oi co co o< -i co co h- o< co to co In CO -1 ci c< ft- CC Oi +- _ _ cc HHIOMHHHMtOIOCC to be x en co ^i -i ^ d ci cc to to co to to * * * * * -X- Hi Hi Bilio Scar Scar Rem CfQ as c B 3 e*- re r-h t/J p P cd • B P P e<- et- P P cr P a P- PC P. rr o rr E3- 00 tri O c rii'ccDCDrtcDCD'-c;^ C rt-c-t-^t-i-t-i-t-^-^-D CO t >-i CD CD B B o o P P 00 00 P B Pj Total Deaths for Year, Fever. Yellow Fever, Inter., Itemit. and llil, Fevers, Hates of Fever Death; to Total Mortality, Meningitis, pi H -n o P) 0 o cc t» <1 >■ SI a mortuary statistics. 19 TABLE. MORTUARY FEVER RECORD—CONTINUED. « ea J§ ^ .-—■ t^ —— -r IS c3 ~C3 fa- o fc-l C3 'a £ p- to P=N ,--, '5b Remarks, &^ "S P3 1842 243 33,... * 34 1:3.6 * Scarlet. 1843 259 84 ... * 8 1:2.8 1844 ....... 248 35 ... * 22 1:4.3 1845 ....... 229 31i... * 25 1:4 1846 240 47 ... * 9 1:4.3 1847 195 23:... * 5 1:7 1848 295 16|... * 38 1:6.7 *Bilious. 1849 380 41,... * 30 1:5.3 1850 14,000 329 27l... * 25 1:6.3 *Bilious and remittent. 1851 330 28:... * 17; 1:7.3 ♦Bilious and remittent. 1852 298 16'... * 32! 1.6.2 ♦Malignant and bilious. 1853 302 24 .. . * 19J 1:7 *Malignant and bilious. 1854 1,111 639 *138 1:1.4 ♦Malignant and bilious. 1855 410 * 69 1:6 1856 434 * 96 1 vl.K 1857 .......; 646 5 * 38 1:15 ♦Malarial. 1858 ....... 514 114 * 83 1:2.6 1 * 65 1:11.3 ♦Bil., rnaiig. and cong. 1860 18.000, 775 * 97 1:8 ♦Bilious and scarlet. 1861 ......., 856 6 3 ♦131 1:6 ♦Intermit'nt and remit. 18654 ......: 966 4 ♦156 1:6 ♦Intermit'nt and remit. 1863 867 ♦124 1:7 *Intermit'nt and remit. 1864 1,236 18 11 * 87 1:10.6 4 * Bilious and malarial. 1865 1,985 4 1 *146 1:13 4 ♦Bilious and malarial. 1866 1,439 8 4 *106 1:10 9 *Bilious and malarial. 1867 1,039 8 * 94 1:10 4 *Bilious and malarial, 1868 1,114 10 1 * 95 1:10 17 *Bilious and malarial. 1869 845 4 1 * 66 1:11.9 *Bilious and malarial. 1870 28,000 1,026 10 . . ■ ♦ 91 1:10 ♦Remit, and intermit. 1871 1,132 11 3 *100 1:10 *Remit. and intermit. 1872 1,155 10 * 93 1:11 ♦Remit, and intermit. 1873 ........ 1,347 4 * 72 1:18 1874 1,036 4 1 * 83 1:11.8 ♦Bilious and malarial. 1875 996 .... 8 * 43 1:23 ♦Remittent and bilious. 1876 2,249 896 * 47 1:2.4 ♦Remittent and bilious. 1877 998 • • . 1 * 56 1:17.5 ♦Remittent and bilious. 1878 980 2 * 51 1:18 ^Remittent and bilious. 20 The epidemic at savannah1. TABLE. SEPARATING DEATHS OF WHITE AND COLORED. Years. 1866.............. 1867............... 1868............... 1869................ 1870................ 1871............... 1872................ 1873............... 1874................ 1875................ 1876................ 1877............... 1878, to December 1st Whites. Colored. 534 903 1,439 476 563 1,039 518 596 1,114 414 431 845 450 576 1,026 526 606 1,132 519 636 1,155 558 789 1,347 394 642 1,036 394 602 996 1,265 984 2,249 375 623 998 335 585 920 Total. On page 21— The rate of deaths to population steadily fell in each decade as 1 in 14, 1 in 17, 1 in 24, 1 in 33, 1 in 46; but since the late war and the emancipation of the colored people, the death rate has risen to 1 in 25, and 1 in 26. The death rate for all the decades, except the two last, were taken from Joseph Bancroft's Statistics of Savannah, 1848. He says: "It would be proper to remark, however, that the mortality among that class (blacks) of the population, who through the years set forth in the table have numbered but little less than one-half of the entire population, is but as 2 to 3 of whites; and the months of the greatest and least mortality, the reverse of the whites." On page 20, it is seen that the deaths of the colored people have risen to nearly double that of the whites, thus in 1877 there are 375 white deaths to 623 colored, and in 1878, 335 whites to 585 colored. THE EFFECTS OF DRY CULTURE. 21 THE FOLLOWING TABLE WILL SHOW THE EFFECTS OF DRY CULTURE SINCE 1804. DECADE. ^ A 4. O . -•a DECREASE OF FEVER DEATHS. P o v, p, O o Oh 1st.—1800 to 1810. 2d.—1810 to 1820. 3d.—1820 to 1830. 4th.—1830 to 1840. 5th.—1840 to 1850. 6th.—1850 to 1860. 7th.—1860 to 1870. 8th.—1870 to 1879. 1 in 2.6 1 in 2.3 1 in 4.1 J 1 in 4.7 | 1 in 4.4 | f 1 1 in 6.7 | 1 f 1 in 9.2 -j l 1 in 15 \ This decrease of fever deaths is under influence of the dry culture contracts 1817-20. No further labors, no fur-ther results. No further labors, no fur-ther results. This decrease of fever deaths is under influence of dry cul-ture labors of Aldermen Dr. Scriven, Dr. Saussy and Dr. Posey. This decrease of fever deaths is under the influence of the dry culture labors of Alder-man Dr. James J. Waring. Is under the influence of la-bors of Mayor Screven and Alderman Haywood, 1871-4; and for 1871 to '79 under influence of dry culture com-mittee, J. J. Waring chair-man, and State Commission-ers of Drainage. lin 14 lin 17 1 in 24 lin 33 1 in 46 1 in 25 1 in 26 TABLE. SHOWING THE EFFECTS OF DRY CULTURE ON THE NUMBER OF PRESCRIPTIONS MADE UP AT CITY DISPENSARY FOR THE POOR. 1875..........................September Prescriptions, 1,947 1876..........................September Prescriptions, 3,670 1877............... ...........September Prescriptions, 2,600 1878..........................September Prescriptions, 1,697 THE EPIDEMIC OF 1876. A MALARIAL AND YELLOW FEVER—A FEVER OF INTERMITTENT, REMIT- TENT AND CONTINUED (MONOPAROXYSMAL) MALIGNANT TYPE. In the month of August, 1876, a fever of intermittent, remit- tent and continued malignant (yellow fever) type gradually developed itself into an epidemic of the utmost fatality at Savan- nah. The language of the report to the City Council upon the epidemic of 1820, of Dr. Wm. R. Waring, is the exact language applicable to this epidemic of 1876 : " The epidemic began then as mild and manageable intermittent and remittent bilious fever. In the course of its march it became a remittent, more severe and fatal; at another step, a continued fever, most ungovernable and destructive, at first of short, but afterwards, in some instances, of considerable duration, and, finally, concluded with a relapse into the primary intermittent and remittent types." The epidemics of 1820 and 1854 can alone be compared to it. In 1820 there were 729 deaths in an average population of 3,000 for the period of seven months of its duration, or a death rate of one to four of the population. In 1854 there were 1,040 deaths in an average population of 6,000 for the period of four months, or a death rate of one to six. (See Mayor's report, John E. Ward, 1854.) In 1876 there were 1,594 deaths in an average population of 20,561 for the period of five months of its duration, or a death rate of one to thirteen. The first case, the sailor Schull, July 26th ; last case, Mrs. M----, December 5th ; height of the epidemic September 20 ; mortality 48 ; temperature at mid-day 92 degrees ; wind southwest. In that brief period, the population was diminished from 28,000 to 20,561. In 1854, the diminution of population was from 14,000 to 6,000, and in 1820 from 7,500 to 3,000, and, for a short period, to 1,500. Thefmonthly mortality and comparative table of the three epidemics is as follows : A MALARIAL AND YELLOW FEVER. 23 COMPARATIVE TABLE OF MORTALITY IN THREE EPIDEMICS. Year. 1820. 1854. 1876. Mortality...... Death rate..... 3,0 7 1 00 29 in 4 Other Diseases 6,000 1,040 1 in 6 20,000 1,591 1 in 13 Months. Yellow fever. Yellow fever. Other Diseases Yellow fever. Other Diseases May........... 3 13 14 15 July........... 39 111 214 196 10 3 14 8 18 32 19 24 September..... October........ November..... December..... 133 390 71 12 124 256 66 501 37 533 287 64 1 139 227 187 81 35 The epidemic of 1876 did not spread from foci, and became general and all-pervading within seven days from August 21st, date of the first pronounced case of the continuous disease. Though con- veyed to distant points by currants of air, e. g.: along the clean cut swathes of the forests around the city, made by the Savannahs Skidaway and Seaboard Railroad and Central Railroad ; though conveyed by box and passenger cars, or by boxes of merchandise to Isle of Hope, Macon and points intermediate, as Whitesville, etc., yet in no instance did this epidemic exist, propagate itself, and thrive, except within the corporate limits of the town. The Atlantic and Gulf Railroad passes out upon open fields and marshes, and the Charleston Railroad crosses the Savannah river and a short open country, hence the occurrence of cases along their routes was rare, whilst on the Central Railroad cases occurred in persons who had not been exposed in Savannah. On the other hand, the orphan school at Bethesda is located two miles from Isle of Hope and seven from Savannah, isolated in the midst of a forest, and though I cannot ascertain that a special quarantine was kept up during the epidemic, not a case occurred in this large school of 100 persons. At least 500 citizens lived at Isle of Hope, going in and out morning and evening, enjoying excellent health during the epidemic, showing that the place in itself was healthy, though the 24 THE EPIDEMIC AT SAVANNAH. poison, carried out, plainly and strikingly attacked several persons who had not been to Savannah for a long period. The only explanation here is that the poison was conveyed from Savannah, but did not propagate itself. The summer opened with an extraordinary rainfall of 16^ inches, and afterward the rainfall exceeded the rainfall of previous years ; the summer was hotter than for several years, and the winds prevailed from the southwest in September, across the low rotting fields of Springfield, (see report of J. R. Hogg), whilst for the three years previous the northeast winds had prevailed. The atmosphere was so loaded with spores of fungi and algse that all surfaces were attacked. Brick walls, wooden structures, both new and old, paths untrodden were attacked by mould and algse, not weeds and grass. Paint oxidized and blackened; milk soured so rapidly that it was with difficulty carried around unchanged to customers ; meat spoiled so rapidly and kept upon ice with such difficulty as to be matter of common comment ; rain water fresh fallen in gutters, and puddles, were covered by a green film in twenty-four hours. In happy contrast, all this is changed in 1878 ; even the ditches and drains in the low grounds around the town have remained free of all green coloring film in 1878. The all-pervading and irresistible character of the poison, what- ever that might be, in the epidemic of 1876, could not fail to be noted. During the month of September, not a household escaped illness, and generally two, three, five or more were sick at one time. The uniform character of the attacks was remarkable. In all cases, whether of malarial or of the malignant type, the illness was invariably fever, fever, and yet no class of diseases are so varied and protean as the malarial. THE MALARIAL CHARACTER OF THE EPIDEMIC. It is an error to term this epidemic " a yellow fever epidemic." The unvarying testimony thus far given by both professional and non-professional observers, defines it as a most extensive and fatal epidemic of malarial fevers, merging, by undefined lines, into yellow fever. For one case of yellow fever there occurred a hundred cases of malarial intermittent and remittent. This feature of the epidemic of 1876, and of every other epidemic which has visited Savannah is of great importance in considering the question of importation, for malarial germs are not portable, A MALARIAL AND YELLOW FEVER. 25 whilst yellow fever germs are overwhelmingly proved to be portable. Remove the thousand cases of yellow fever from the epidemic of 1876, and you still have the ten thousand cases of malarial fever to constitute a formidable epidemic; and this is true of the epidemic of 1854 and 1820. It is safe, therefore, to say these essential and greater parts of the three epidemics were not im- ported, but were of local origin. Opinions in confirmation of this view of the epidemic are here given : Opinion of Dr. O. A. White, of New York, who came to Savan- nah and was present during the continuance of the epidemic. In the New York Medical Journal, March, 1877, Dr. White reports : " An epidemic of a similar nature, however-, to that which pre- vailed last summer in Savannah, with such destructive effect, is not without precedent in this country. The posted student of the literature of this subject cannot fail to recall the detailed expe- rience of Dr. Lewis, of Alabama, in the hybrid epidemic, which he describes as having appeared in 1842, in Mobile. In that epidemic quite a number of cases were distinguished, marked by- evident blending together of malarial with specific yellow fever poison, as ' congestive, simulating yellow fever ;' and M. Thomas, in his very interesting 'Traite sur la Fievre Jaune observee a New Orleans,' also affirms he had detected ' a remittent pyrexia' in several instances among the hosts of cases he so critically passed in review." The reporter of the Savannah Morning News interviewed Dr. White, and on September 26th, 1876, reported him as follows : " Dr. White thinks that the present epidemic is different in very many essentials from yellow fever, as that fever has heretofore come under his medical observation. That it is mixed largely with the type of malarial fever, and assimilates to what was known years ago in Charleston as the neck fever. " He is satisfied that the ordinary treatment for yellow fever cannot be pursued with effect in the fever now ravaging our cityj and that the good results following the quinine treatment pursued generally by the profession, indicates that the malaria enters largely into the diagnosis of the disease. " The Georgia State Board of Health, in their report of their investigation into the epidemic, (page 121 of Second Annual Report, 1876) say: "That an epidemic of malarial disorders of an exceedingly acute grade, was prevalent in the city of Savannah, 26 THE EPIDEMIC AT SAVANNAH. prior to and subsequent to the month of August, 1876, is shown by the testimony of Dr. J. C. LeHardy and others, and the Board is strongly of opinion," etc., etc. Opinion of Dr. Wm. Duncan, of Savannah (page 17, appendix to idem.) : "I have no doubt that the local conditions of the city of Savannah were favorable to the spread of the disease, and I think that the malarial element prevailed to a great extent during the epidemic." The identity of the epidemic of 1820 with this of 1876, as to the malarial intermittent and remittent character, has been already given in the words of Dr. Wm. R. Waring. The record of deaths from this epidemic of 1876 is the best evidence of its mixed character ; 922 are yellow fever, whilst the the total of deaths is 1,591. Thus one half the deaths are placed to the credit of yellow fever, and the other half, being placed to the credit of other diseases, is a mortality in itself sufficiently great to constitute an epidemic. It has never been claimed for quinine that it is a remedy for yellow fever ; yet the indiscrimi- nate resort to this remedy, and the benefits derived from its use, as well even in convalescence from yellow fever, is evidence of the universality of the malarial element in the epidemic. THE CAUSES OF THE EPIDEMIC OF 1876. THE DIRECT OR EXCITING CAUSE : TWO HUNDRED ACRES OF SURFACE PUTREFACTIONS WITHIN THE CORPORATE LIMITS OF SAVANNAH. The indirect or proximate causes (not in themselves capable of producing an epidemic) : 1st. Exceptional meteorological conditions. 2nd. Exceptional neglect and decay of the elaborate and expen- sive system of drainage, carried out in former years by the city authorities. 3d. Exceptional neglect of the canal known as the Bilbo Canal, the large open conduit which conducts all the sewage of the town to the river, and which flanks the entire eastern side of the town. 4th. The usual but objectionable condition of 3,360 (privy) vaults. THE DIRECT CAUSE : The low or rice lands of Springfield plantation, will be seen by reference to the " map of Savannah," to lie to the south of the Central Railroad embankments. These cover 143 acres. The eastern slopes to this tract, marked yellow, which were peculiarly wet and undrained preceding and during the epidemic, and covered with the scavenger's garbage and refuse, are twenty acres or more. The Vale Royal land, within the corporate limits, that is bounded on the west by Musgrove canal, is an area of sixty acres. The total acreage of this tract is therefore 223 acres. It had been thoroughly drained, dried and cultivated for eight years ; but a singularly unusual rainfall of sixteen and a half inches, occurring between the 11th and 18th June, resulted in the conversion of this tract into an inland lake, which was neglected and not properly drained until the following October. When these lands were undrained and covered with water-grasses, any extensive and accidental overflow of them, aggravated the ordi- nary malarial diseases and sporadic yellow fever of the first 28 THE EPIDEMIC AT SAVANNAH. quarter of the century, as is evidenced by the fever record table we publish, and the report of Dr. Wm. R. Waring, in 1821, confirmed by Dr. Lemuel Kollock. But Vale Royal and Springfield lowlands had been dry for eight years, the soil was interlaced by the roots of plants, which must have and did die and rot when subjected to an overflow, whilst the surface was covered with luxuriant crops, as oats, just harvested, whose stacks could never be removed, and rotted on the ground, growing corn, potatoes and pea-vines. These all died and became notoriously offensive, so much so that the officials of the railroad and citizens made complaint to the municipal authorities, and through the press, to the public. Such extensive putrefactions within the corporate limits, must have been the result of a growth of bacteria, fungi and algse, so great that the mind cannot possibly take in its myriads. The significance of such in the production of pestilence will be fully appreciated by any one reading the " Researches " of Ferdinand Cohn, which we publish, and the Twelfth and Seventeenth Re- ports of the Medical Officer of H. B. M.'s Privy Council A stranger would suppose that the drainage of Springfield would be very simple ; but the formidable dangers to these low lands were well known to our fathers, and are well known to many of their children. The first danger is the tremendous body of water accumulated in the great swamps of the Ogeechee, which occurs in the won- derful falls of rain to which we are occasionally subject in the summer months ; such as fell between the 9th and 18th of June, 1876, to the depth of sixteen and a half inches (see Signal Bureau reports which will appear farther on); and which rainfalls were alluded to in 1817, by Dr. Wm. R. Waring in the following language when advocating dry culture : " There is a periodical recurrence of heavy rains in the months of July and August which may be emphatically entitled the rainy season, although the quantity of water is irregular, being much greater sometimes than it is at others. " The amount of a single fall of water is frequently astonishing. The ground, after it, looks like a sea. It does not drop as in higher latitudes, but pours in torrents. This sometimes continues for ten or twelve days, as in 1820, without the interruption of an hour's clear sky." THE DIRECT OR EXCITING CAUSE. 29 At these times the backwater dam and Springfield canal dam are liable to overflow and crevasse. The second danger is the crossing of the Ogeechee canal mid- way of the natural drainage of Springfield at a level six feet above the level of the land. The outlet at the present time to the Springfield land was put in by the City Surveyor under my super- vision, when an Alderman, in 1867, and is a syphon trunk under the canal, unfortunately unable to do the work as thoroughly as it ought. The Ogeechee canal is liable to great gluts of water in the great rains, and has frequently burst its banks and submerged Springfield. Moreover, the Springfield canal passes under the Ogeechee canal by two culverts, which are too small and not low enough for the drainage. The third danger is the crossing of the embankment of the Central Railroad, and the unavoidable culvert under the embank- ment to let off the waters. Springfield, when neglected, becomes a pestilential swamp great in size and close in proximity, and is the great danger to Savannah, enhanced by the prevalence of southwestern winds, and amongst many lesser causes, was the great potential cause of the epidemic of 1876. Could our forefathers rise from their graves they would affirm what I have just said, and their public acts spread upon the book of city ordinances point unerr- ingly to this opinion. The official report of John B. Hogg, City Surveyor, testifies to the correctness of the above facts : City Surveyor's Office, Savannah, Ga., December 11, 1878. To the Honorable the Mayor and Aldermen of the City of Savannah : Gentlemen : In accordance with the resolution of Council re- quiring an official statement of the condition of the western low- lands, known as Springfield and Vale Royal Plantations, during the epidemic of 1876, and the causes leading thereto, I respect- fully report: 1st. That the condition of these lands during the months of June, July and August, 1876, preceding the epidemic and at its height was very exceptional as compared with previous years. 1st. Be- cause during the years of the war, and also during 1865 and 1866, they were subject to a steady and continuous overflow, which 30 THE EPIDEMIC AT SAVANNAH. covered them with water grasses and water growth of every description. 2d. Because subsequent to 1867 they were, with the exception of a brief overflow in 1871, in continuous dry culture, the soil covered with highland grasses and cultivated in high land crops. 3d. Because from 1864 to 1876 certain portions of the lands had been the depository of garbage and offal of the city, but kept dry, and therefore harmless ; and 4th. Because in the year 1876, by providential causes, which are explained below, these lands were overflowed in June, and, to a great extent, reverted to their former bad condition, and were not drained off effectually until October of that year. Decay of the growing crops, weeds and grasses and garbage was the result, and an offensiveness which was very noticeable. In relation to the causes producing the overflow of these lands a brief description of their character and location is necessary to convey a correct idea to those unacquainted with them. The Springfield plantation as a body consists of 960 acres of land situated on the western side of the city. About 230 aci-es of the tract are swamp land, of which 150 acres have been cleared, and were formerly planted in rice. This portion had never been embraced in the dry culture contract, and the object of the pur- chase of the Springfield property in 1850 by the city of Savannah was to bring these lowlands under the conditions appertaining to other dry culture lands. The 150 acres alluded to lie at the base of the western slope of the city, and extend along the south- ern half of the western boundary. The low lands of the Vale Royal plantation are a continuation of the same swamp and occupy the northern half. They contain about----acres. All this lowland is of alluvial formation, and known as tide lands. Were the tide admitted they would be covered to the depth of one foot at high water. They are protected from inun- dation by embankments or levees along the river. This body of land is two miles in length and about one-quarter of a mile in width. The uncleared portion of this swamp extends in a southerly direction a distance of a mile and a quarter, where it unites with a series of swamps having a fall toward the Ogeechee river, the whole length of the portion draining into the Savannah being three and one-quarter miles. The drainage originally was throuo-h a natural channel or creek meandering through the land, but is now conveyed to the river by means of a canal located on the THE DIRECT OR EXCITING CAUSE. 31 western margin, and known as the Springfield canal, and used only to carry off the waters of the uncleared swamp, a sewer com- menced in 1860, but not completed until 1868, and known as the Springfield sewer, being the medium through which the cleared lands, both of Springfield and a large portion of Vale Royal, are drained. This sewer was a covered wooden box, rectangular in shape, but for some time previous to, and during the epidemic, the covering had, to a great extent, been removed. It extends from the river, through the Vale Royal tract, up to Springfield, the open ditches draining the Springfield lands connecting with and draining into it. The extraordinary rainfall preceding the epidemic of 1876, which caused the inundation of these lands, commenced on the 11th of June and continued until the 20th, as follows: On the lltb, 2:47 inches; on the 12th, 3:34 inches; on the 13th, 0:42 inch; on the 14th, 4:16 inches; on the 15th, 2:04 inches; on the 16th, 0:37 inch; on the 17th, 1:37 inches; on the 20th, 2:54 inches; total, 17:74 inches. From the 20th to the end of the month the rainfall was one and one-half inches. A word or two in relation to the system of draining the lands described is necessary to a clear understanding of the causes leading to the overflow which occurred during the prevalence of these rains. The Springfield canal has an average width of about thirty feet, is two miles in length, and, as previously stated, is the outlet for the waters of the uncleared swamp lands lying above. To pre- vent the influx of tide water up this canal two trunks were placed in an embankment, closing up the canal at a point distant about three hundred miles from its mouth. The gates of these trunks are self-acting, opening riverwards when the tide is out, thereby giving vent to the waters of the swamp which have accumulated, and closing as soon as the returning tide has reached a level higher than the water in the canal. The canal, therefore, becomes a reservoir for the swamp waters, which can only escape when the tide has fallen to a lower level. The Springfield sewer operates in substantially the same manner, being provided with a similar trunk at the river end. A short time previous to the setting in of the rains one of the trunks connected with the canal blew out, giving free ingress and egress to the tides. In order to prevent this, and at the same time give an opportunity of replacing the trunk, an embankment 32 THE EPIDEMIC AT SAVANNAH. was thrown across the canal. This embankment had just been completed, and the work of replacing the trunk begun when the rain set in, as will be seen by reference to the rainfall above. Nearly six inches of rain fell on the first two days. The accumu- lation of water within the canal was therefore very great, and it became necessary on the third day (Tuesday) to cut away the embankment to permit this water to escape. On the fourth day (Wednesday) the rainfall amounted to 4.16 inches. Backed up twice every twenty-four hours by the incoming tide the accumula- tion of water became so great after this day's rain that the em- bankment of the canal next to the lowland was tapped in many places, more especially between the mouth of the canal and the Central railroad, which crosses it by an open bridge at a point about three-fourths of a mile above. This portion of the embank- ment was not in good order, and became quickly broken in sev- eral places. The bank once broken no impediment remained to prevent the constant overflow of the portion of the Vale Royal plantation adjoining, not only from the waters of the swamp, but during every high water from the river. The open Springfield sewer at once received and conducted these waters to the Spring- field lowlands, inundating the greater portion. I would here call attention to the want of capacity in the two culverts under the Savannah and Ogeechee canal, which crosses the Springfield canal a short distance above the point at which the Central railroad crosses, and to the effect produced thereby. During any heavy rainfall, even when the canal is in other respects in good working order, the water above these culverts is found at a higher level than below. The difference of level on the present occasion amounted to nearly two feet, and resulted in producing a slight overflow of the embankments next to Springfield, which here were in much better condition than next to the Vale Royal tract. The condition of things described above continued during the whole period of the rains, which lasted until Monday, the 21st eight days, as also for nearly a week after they ceased. The amount of water which had accumulated in the swamps above was so great that no work could be done on the embankments, and the tide continued to ebb and flow over the lands. As soon as possible the banks were repaired and the tide shut out, but in the meantime, an injury had been done to the drainage of these lands, which was not entirely relieved until the epidemic had THE DIRECT OR EXCITING CAUSE. 33 nearly ceased. The extensive putrefaction of animal and vegeta- ble matters caused an offensiveness noticeable and publicly com- mented on. I remain, gentlemen, your obedient servant, John B. Hogg, City Surveyor. The following paper was published in the Savannah Morning News, immediately after the close of the epidemic, December 20th, 1876. The paper herewith published, leaves little to change and little to add to the views then expressed : THE EPIDEMIC OF SAVANNAH, 1876—ITS CAUSES—CONTRIBUTIONS TO THE STATE BOARD OF HEALTH—PAPER NO. 6. The reasonable and unprejudiced man will always account for an exceptional epidemic of sickness in any country by seeking those conditions and circumstances which, not existing before, were in full force just before and during that exceptional epidemic. The man so reasonably inclined will be forcibly led to conclude that that epidemic, and those new and unusual conditions and circumstances, stand in the relation of effect and cause. The causes of the late epidemic may be divided into meteoro- logical, administrative and topographical. METEOROLOGICAL CAUSES. The exceptional meteorological causes will be seen at a glance in the following table of averages for the months of July, August and September, in 1873, 1874, 1875, 1876. Mean average tem- perature for June, July, August and September, condensed from Signal Bureau reports: Tempei *ature. Rainfall. 4.89 7.61 3.92 8.60 Wind. Wind. Sept. NE NE NE SW Year. Highest. Mid-night. 75.7 75.4 74 4 78 0 June, July, Aug. Velocity. 1873 1874 1875 1876 95.2 94.0 95.2 98.0 SW SE S SW 3.9 4.4 4.4 2.7 It will be seen that this summer has been hotter by day and hotter by night than for four years ; that the rainfall has been considerably greater ; indeed, that last June the rain fall during 3 CO ©*£ £ 03 Jh ■+31 J3 00 S .2 B .2 ^ '55 *0 -fa B & o h cc ^ b B ° 2 « B CD 0) cfl be fl m ~ O ^5^B be & H3 CO ^ -fa 2 n -B O o3 .SP-J CC CJ © ^ © S 2 o .2 * Ph -fa © CQ 03 " « is © © B PH Total number of miles traveled.......... Number of days on which rain fell.... Total rainfall during month........... Prevailing direction of wind for month. Monthly mean humid- ity ............... Monthly mean ther- mometer .......... Lowest thermometer during month..... 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Ten years ago a reform in the drainage and sewerage systems of the town was commenced, and vigor- ously pressed to a very fairly complete system. This system for eight years has been under the charge of Mr. J. K. Munner- lyn, the Dry Culture Inspector, and he has in each of these years, until this year, kept these systems of drains, canals and sewers in thorough order by constant and frequent workings, the Cedar Grove and Springfield lowlands and the Bilbo canal being con- stantly worked and the latter canal flowed and disinfected twice a week. This year not a drain has been touched nor the Bilbo canal flowed. The whole system upon which the people of Savan- nah had cheerfully spent such large sums was as unfit for the purposes intended as if it had never existed. Had this been a dry j'ear and there had been no rains nothing would have hap- pened ; but the floods came and the unusual heat prevailed and the sirocco blew from the southwest, with deadly result. " Still another fact cannot be overlooked. The traps to our sewers, and the sewers themselves, were not supplied with water, watched carefully and properly washed out during June, July and August, and their offensiveness was notorious. At a later date, toward the end of August, the water was turned on and the evil remedied. TOPOGRAPHICAL CAUSES. " The topographical causes are the legitimate sequence of the meteorological and the administrative. " The heavy rains of summer raised the water level upon the city plateau. Mr. Alfred Kent, the pump contractor, had found it difficult for several years to keep the pumps in order, and for several years his work has been severe in deepening the wells all over the town. But in 1876 not a well after June gave any trouble. The effect of this rise of water was to keep all the privy vaults soaked and peculiarly offensive from their putrefaction, a thing wholly different from former years. "Lured into security by years of immunity from disease, the wise precautions of former years were neglected and exposed to the deadly result of a season of excessive rainfall, unusual heat and unfavorable winds. The consequent pestilential miasms were in some degree deadly and excessive beyond the record of years, 36 THE EPIDEMIC AT SAVANNAH. and the animal putrefactions in our sewers, and in their great single outlet, were confessedly offensive and excessive. "We all now confess and know the exceptional &n& excessive putrefactions of animal and vegetable matters in and around this town before and during our epidemic. These putrefactions could not exist at all without the plant growths and their spores, the proven contagium or poison of all forms of malarial diseases, fever, etc. And the contagia or spores or germs of the yellow fever of this epidemic of 1876 are to be found in the putrefaction ferments of the Bilbo canal, Springfield lowlands, the scavenger offal beds, the privy vaults and unclean sewers." In few words, the epidemic of malignant malarial fever and genuine yellow fever in Savannah, 1876, has been caused by the EXCEPTIONALLY GREAT MASSES OF PUTREFACTION, AND THE INDISSOLUBLE AND ESSENTIAL CRYPTO- GAMIC FERMENT PLANT GROWTH, WHOSE SPORES WERE THE PUTREFACTIVE CONTAGIUM OF THE EPI- DEMIC. LETTER FROM DR. WARING TO DR. McFARLAND. THE SCAVENGER DEPOSITS OF OFFAL AND GARBAGE IN THE MOST DANGEROUS PART OF THE CITY.--OCTOBER 23, 1876. Dr. J. T. McFarland, Health Officer and Chairman of Committee on Sanitary Measures : Dear Sir: I had occasion, on the 18th inst., to refer you to Alderman Douglass for information of a very serious nature affecting the health of Savannah. I asked you then if your com- mittee had visited and inspected the slope of the hill stretching westward to Springfield plantation and extending from the Ark- wright Cotton Factory to the fence of Laural Grove Cemetery. The water springs out upon this slope at every point, making it intensely malarial. It is upon this slope, amid water, mud and maggots, that the City Scavenger has deposited the offal and Gar- bage of Savannah, a feast for buzzards and a home for the yellow fever fiend. Trust me, I do not use too strong language. By THE DIRECT OR EXCITING CAUSE. 37 reference to the Signal Bureau reports of prevailing winds it would appear that no more unfortunate spot could have been selected: | 1873. | 1874. 1875. | 1876. September..................... S. W. S. s. w. N. E. S. E. S. E. N. E. N. E. S. S. W. s. N. E. s. w. s. w. s. s. w. It is to the windward of the town, on a western slope, soaking wet, and fully exposed to the hot western sun. This spot smells like a butcher pen; and throughout the last summer these putrescent exhalations have mingled with the rotting and stinking vegetation of neglected Springfield, only separated by a narrow drain full of water. All the conditions for yellow fever poison, it must be evi- dent, are and have been since June 10th, the date of the overflow, in full force here, to be wafted steadily into and on this devoted town by the south and southwest winds. For this there can be no excuse. The President of the Central Railroad, I am credibly informed, as far back as July, complained to the authorities of the annoyance. I myself called on the Mayor on the 16th of Septem- ber and told him I had driven off the buzzards and intercepted the carts at these heaps. He said he had sent a policeman to see about this matter. And yet, as I have before intimated to you, Alderman Douglass ordered these carts away on the 17th of October. The slope for these deposits is well known to be a quarter of a mile within the city limits, and on the edge of a dense population of poor people. It seems to me a sad inconsistency that you close your report with these words: "In concluding, the com- mittee would simply add that the city authorities and the officers have our entire confidence," &c, &c. Though differing with you in relation to these public matters, I have the honor to assure you of my personal regard and respect. Very truly yours, James J. Waring. UPON QUARANTINE. UPON THE POSSIBILITY OR PROBABILITY OF IMPORTATION OF YELLOW FEVER EPIDEMICS. IF THESE EPIDEMICS ARE IMPORTED FROM HAVANA OR OTHER TOWNS OF CUBA, THEN THE ONLY PROTECTION IS NOT QUARANTINE, BUT A COMMERCIAL TREATY WITH SPAIN CREATING A JOINT SANITARY COMMISSION TO EN- FORCE SANITARY LAWS, AND A REFORM OF STREETS, SCAVENGERING, VENTILATION, ETC., IN THAT ISLAND. UPON QUARANTINE. There seems to me to be much confusion in the minds of the various advocates of, on the one side the exotic or foreign origin of yellow fever, and on the other of the domestic or local origin. The facts of the history of epidemics are these: 1st. It has been the universal experience of human observa- tion that pestilences, and amongst these eminently the plague and yellow fever, are filth or putrefaction diseases. Admitted. What is filth ? What is putrefaction ? Organic matters are filth so soon as putrefaction begins, not before. When they become offensive to the senses of sight and smell, they are filth. Now what is putrefaction ? Putrefaction is one form of fermentation, and the fermentations are— 1. Alcoholic, 1 2. Acetic, j 3. Butyric or Lactic, and \- Fermentation. 4. Ammoniacal, 5. Putrefactive, J And fermentation. What is fermentation ? With the death of Liebio1 has passed away the chemical school with its catalytic, nas- sent and atomic theories, and it would be a bold scientist who would deny the crucial evidence of M. Pasteur (Ann. Chimie Phys,, 4th series, vol. 25, p. 145, 1872) that fermentation is a change of chemical composition, in organic compounds, brought about by a certain class of plants which deprived of the power of drawing the essential elements of their composition from the air, propagate themselves in the very substance of organic matters of all kinds bv breaking up these matters and appropriating such elements as are necessary to their own growth. Chlorophyl (green coloring of plants) endows plants with the power to live on air. A certain class of plants—the fungi—having no chlorophyl cannot live on air and, therefore, live on organic matters already brought into existence by higher orders of beings, whether animal or plant. Fermentation is, therefore, "life without air," and science has ad- vanced far enough to say: "This plant, seen and plated, invariably makes alcoholic fermentation; that plant, seen and plated, as in- 42 THE EPIDEMIC AT SAVANNAH. variably makes acetic vinegar fermentation, and the alcoholic fer- ment plant will not make vinegar fermentation, nor the vinegar fer- ment plant make alcoholic fermentation." Further, all organic matters remain unchanged indefinitely, or forever if unattacked by this class of plants. (See Pasteur's ex- periments.) And further, these plants attack living organic mat- ter with as much vigor and power as dead organic matter. The Isaria will destroy spiders, the Perinosporum Infestaws will destroy potato vines, and the Spirochsete Obermeiri destroys man by ap- propriating into their bodies, and without air the very building ma- terial and elements of living structure. Further, these plants, though living without air, can live in the air, and though able to attack living beings, can nevertheless live on dead organic matter and multiply inimitably, prepared at any moment to attack the living. Still further, these plants have in certain instances two forms ; living in one form in or on one living structure, and its seeds or germs developing into another form upon other living structure. The Eurosium of the Barbury plant is the rust of wheat. Just as the bitter almond is the sport or variety of the sweet almond, not distinguishable to the eye, the one deadly and the other innocent, so the Bacillus Anthracis is the sport or variety of the Bacillus Subtilis, undistinguishable to the microscopic eye, one the inno- cent cause of decay in swamp water, the other the deadly poison of living animals. This is polymorphism. The atmosphere is at ail times loaded with the seeds or spores of these plants. Their botany is still in its infancy; nevertheless this is elicited. The more elevated above the level of the sea is the atmosphere, the freer is it of these seeds, or germs, or spores. The atmosphere of the Jura was found destitute of spores by ex- periment. (SeeTyndall.) So also atmospheres differ at times and by circumstances in the amount of these spores, and atmospheres otherwise loaded can be readily filtered of spores through cotton. Certain, the large majority of these fungi and their spores are cosmo- politan, found everywhere, but certain well defined species are found in certain localities—can readily be transplanted, but to develop or propagate in other localities must be transported. But certain varieties, or sports, from innocent to deadly varie- ties, are more readily possible in these low forms of life than in the higher. Here is a broad and reasonably possible field for the polymorphism of cosmopolitan species. UPON QUARANTINE. 43 If putrefactions are putrefactive fermentations, and hence are the result of the growth of living beings, how the mind is startled by the paradox, "decay is another form of life." "Putrefaction is a corelative phenomenon, not of death, but of life." Ferdinand Cohn's Biologie der Pflanzen, vol. 2d. Pasteur thus defines putrefaction. Comp. Rend., June, 1863: "When, in a putrescible liquid, containing albuminoid organic matter, the dissolved oxygen has been absorbed, and has com- pletely disappeared under the influence of the first infusoria de- veloped, such as the Monas crepusculum, and the Bacterum termo, 'the vibrio ferments, which do not require this gas to sustain their life, begin to show themselves, and putrefaction is immediately set up. It is accelerated by degrees, following the progressive increase of the vibrios. As to the putridity, it becomes so intense, that the examination of a single drop of the liquid, under the microscope, is a very painful task.' " It follows, from what has been said, that contact of air is by no means necessary for the development of putrefaction. On the contrary, if the oxygen dissolved in a putrescible liquid was not at once removed by the action ol special organism, putrefaction would not take place ; the oxygen would destroy the vibrios which would try to develop at first." If yellow fever and putrefaction, are closely related as cause and effect, then there is a similar indissoluble link between, or relation as cause and effect, between yellow fever and the Bacteria of Cohn (or vibrios of Pasteur) of putrefaction, etc. All this being true and admitted, in what respect are the putrefaction bacteria of the West India Islands different from the putrefaction bacteria of the American coast, and does history and experience prove this difference ? The violent assertion of the necessity of importation of the bac- teria is as unreasonable as the equally violent assertion of the exclusively local origin of these bacteria on the American coast, are not these theories both right and both wrong ? It did not need the sad evidence of the epidemic up the Mississippi valley in 1878 to prove the possibility of the transplanting of these bacteria from one point to another, the common sense of all botany proved that long ago. That is not the question which presses home upon the people of Savannah. That other botanical question concerns them. Can innocent cosmopolitan varieties of bacteria be rapidly cultured into deadly sports or varieties ? 44 THE EPIDEMIC AT SAVANNAH. That is the tradition of this town ; that has been the belief of its ablest men, and its remarkable sanitary laws and sanitary efforts have been based upon that belief. That other common sense result of all botanical experience that a plant will languish and die if it has not food to live on, is evi- denced in the death of the late Wm. H. Tison. There cannot be a doubt that the bacteria which killed him lived through the hot months of the summer of 1877 in the house on Jones street, and were as effective for propagation as any imported bacteria, and yet no one was alarmed and no spread or epidemic resulted through the hot months of 1877. In this connection the language of Dr. Cunningham, the Sani- tary Commissioner with the government of India, is reasonable upon the irrational methods of quarantine.—Journal of the Society of Arts, April 28, 1876, p. 528. " The year 1872 was an epidemic year in India of cholera." * * * " This outbreak was carefully studied by Dr. Cunningham." * * * * * * " In respect to the effect of quarantine in stopping the progress of cholera in this epidemic, Dr. Cunningham states that quaran- tine was tried in the hope of protecting a number of the canton- ments in Upper India, that in many of them it signally failed, and that in no single instance is there any ground for believing that it was productive of any good; and he further observes that the direct evils of quarantine in stopping commerce and intercourse are great in themselves, but many indirect evils arise from it, and among these by no means the least is, that so long as men believe that they can escape from cholera by such means, they will never be fully alive to the importance of the greatest safeguard, sanitary improvement; and he adds that whatever opinion may be held on theoretrical questions, the great work to be done is to perfect and extend sanitary improvements among the population." At a meeting of the India section of the Society of Arts, Edwin Chad wick, C. B., in the chair. * * The Chairman said: * * * "A reactionary course, that has threatened interference with the course of sanitation in India, has been in directing attention to personal contagion as the chief means of preventing the spread of disease, by the re-enforcement of quarantines, the working of which we had examined, and upon that examination had declared them to be useless and mischievous, even upon the hypothesis on which they were maintained. In the illustration of the different doctrines and of the courses of action upon them, I may mention UPON QUARANTINE. 45 that on my first sanitary inquiries, on occasions of severe visita- tions of typhus fever in towns and villages, I found people—medi- cal men as well as others—overlooking the stagnant marshes and cesspools, and disregarding the evolution of the foul gases amidst which they were living, maintaining positively that the disease had been imported by tramps—for had not the first outbreak been in the common lodging house?—which was true; but it was also true that the common lodging house was more overcrowded and in a worse sanitary condition than ordinary dwellings, and was just the place in which, on current sanitary principles, any such pestilence might be expected to appear. The remedy, however, then held to be was just the same as in the plague, and now in the cholera a cordon sanitaire against the beggars, " stamping " out the disease by burning the clothes of the infected, and so on. Now, by the sanitary course taken under Lord Shaftesbury's Act, when properly executed, the " stamping " out has been effective by the drainage of the common lodging houses, by the introduction of pure supplies of water, by the introduction of the water closet, for the immediate removal of all fouled waste water and excreta, by ventilation, and by the prevention of overcrowding, and by cleaned bedding. By these means, common lodging houses in- stead of being the first, are the last to be attacked, and are in a sanitary condition and exemption from epidemic visitations, which contrast strongly with the conditions of the wage classes and their dwellings. The like has been the course in India, where it has been held to be an undoubted fact there, as well as here, that epidemics, and especially the cholera, were carried solely by human communications, as by pilgrims. Is not its first develop- ment displayed at the great fairs in India where they assemble ? Truly so. But those vast fairs are fairs of vast filth, of vast over- crowding, of bad feeding, of depression, and susceptibility, from weakness from these causes. The operations first conducted against these causes at a great fair at Congeum, by Mr. Robert Ellis, of Madras, were by the enforcement of cleanliness, by sup- plies of pure water, by pure and sufficient supplies of food, by the prevention of overcrowding, by separation. By such means the regular outbreaks of cholera, then and since, have been " stamped out " at those fairs, and the people now hold them with the same immunity from such epidemics that the tramps have here in well regulated common lodging houses—the disease continuing its 46 THE EPIDEMIC AT SAVANNAH1. ravages on the unregulated and ill-conditioned dwellings of the stationary wage classes of the population." It is certainly true that the bacteria of yellow fever, propagated year after year in Havana, can be transplanted to the American coast, and are transplanted, though hard to prove. The rational method of relief from this quarter is not quarantine, but a com- mercial treaty with Spain, which would enable commissioners to enforce and remodel the Spanish towns, and enforce, through an effective police, sanitary laws. Havana is only another Indian fair, and only needs similar treatment for final relief. "The Indian Government has placed these assemblies under strict sanitary supervision. Before the assembling of the multi- tudes the encampment is marked out, the water supplies are protected from pollution, surface cleanliness is enforced, and arrangements made for deposit in safe places of all refuse. The good results of these arrangements were illustrated in a fair at Manickpur in Oudh, attended by 125,000 persons, accompanied by at least 40,000 bullocks; cholera was prevalent in the district at the time, but there was an entire absence of cholera at the fair."— Journal of the Society of Arts, p. 529. Whilst the evidence of transportation from town to town is overwhelming in this country, it is equally remarkable that in Savannah the importation from abroad stands entirely unproven. See the testimony of Dr. Wm. R. Waring in 1820, John E. Ward, Mayor, in 1854, and Edward C. Anderson, Mayor, and Dr. Mc- Farland, Health Officer, 1876. On the contrary, Dr. Wm. R. Waring testifies, in 1820, and is corroborated by Dr. Lemuel Kol- loch, as his experience since 1780, that the yellow fever occurred continuously in all these years up to 1820, without importation^ The history of the fever record placed side by side with the sani- tary efforts of the town corroborates this view. See comparative table on page 23. DIRECT EVIDENCE OF NON-IMPORTATION. 1. The testimony of Mayor E. C. Anderson before State Board of Health, 1876. (See appendix, p. v., of report of State Board of Health.) " No cases of yellow fever on vessels arriving here were brought to my official notice; the quarantine was in force and vessels from infected ports were kept in quarantine. Some were UPON QUARANTINE. 47 detained so long that the Spanish Consul became impatient and made complaint about the delay." 2. The testimony before same, 1876, of Dr. J. T. McFarland, Health Officer, page viii., idem: "Don't believe yellow fever was brought here at all." 3. The letter of Consul General Henry C. Hall, upon the impos- sibility of importation, dated October 21st, 1876, and on file in the custom house at Savannah: * * * "Its (the yellow fever) prevalence in Havana has been to no greater extent than during other years. It prevailed also in other places, but to a very limited extent. At Matanzas there were a few cases; at Cardenas no cases; at Cienfuegos, Trin- idad, and Santiago de Cuba there were several cases. In all of these places yellow fever has prevailed in other years to as great extent, proportionately, as in Havana." 4. The following letter is also significant. It was addressed to Thomas Gadsden, Cashier of the Merchants' National Bank, by LeBaron & Son, of Pensacola, and dated October 7, 1876: "Dear Sir: * * * I am desirous of knowing how the yel- low fever got to Savannah. " The enclosed slip says it was taken there by vessels from Havana. We have had a number of vessels here from Havana and have had no sickness on board of any of them, and though we have a quarantine it is stupidly managed. This city has been and continues remarkably healthy." 5. The arrival and record of Spanish vessels. In the report of Dr. G. H. Stone to the United States Marine Hospital Service Department, Washington, will be found the following, well au- thenticated: First case—A sailor named Schull, of schooner Severs, from New York, perfectly well on arrival, taken sick July 26, fourteen days after; admitted to hospital July 28, died July 30. Second case—Thomas Cleary; date of attack August 6. Third case—Patrick Cleary; date of attack August 17. Fourth case—Child of John Lynch, attended by Dr. Read; date of attack and death only one day later. By the records of quarantine and custom house all vessels arriv- ing after June 1st had clean bills of health, excepting the Maria Carlina, which arrived at Tybee August 2nd; came up to city August 16th. Her record reads thus : One man died on the voyage ; Captain is familiar with yellow fever ; says it was not 48 THE EPIDEMIC AT SAVANNAH. yellow fever ; the man was old; did not turn yellow after death ; did not have black vomit; the vessel was in quarantine till August 15th ; one man was taken sick at quarantine, not with yellow fever ; had yellow fever in hospital four weeks afterward. The Maria Carlina arriving as late as the 16th could not have pro- duced the disease in either one of the four first cases reported. The Olympia arrivrd September 27. THE INDIRECT EVIDENCE. 1st. The importation of the epidemics of 1820-1854 are formally denied in the official reports of Dr. Wm. R. Waring for 1820 and Mayor John E. Ward for 1854. Report to Council, 1820, by Dr. Wm. R. Waring: * * * "It was said by some individuals to have been brought from the coast of Africa in a brig called the Raminez, which had on board a cargo of new negroes. Unfortunately, however, for this hypothesis the Raminez did not only arrive with a healthy crew and entire freedom from any malignant disease, but she arrived some time after the fever had grown into considerable extent and severity. I have already stated that some rapid and insidious cases occurred in June, and that fourteen deaths took place in that month. I have stated that Mr. Patrick Stanton even died of black vomit on the 16th July. The Raminez came into p jrt on the 22d. It was not, and could not be, an African disease. From the 23d of May to the 20th of July there came five vessels from the West Indies and one from New Orleans. I have not been able to learn of any others. On the 23d of May brig Rover, Captain James, from Havana; on 2d of June schooner Phantom, Havansi; on the 13th of June schooner Charles, New Orleans; on the 24th of June sloop Darien, St. Domingo; on the 27th of June schooner Isabella, Matanzas; and on July 20th a vessel to Green & Lippit, from St. Domingo. '' It appears from inquiry, as to the state of these vessels, that the crews were healthy, and there was nothing in relation to them which could authorize a belief of their either having severe disease on board, or the power of propagating any disease whatever." * * * Mayor Ward, report 1854, says: * * * " Various causes have been assigned by different indi- viduals for the existence of the disease during the past season. I UPON QUARANTINE. 49 have felt it my duty to carefully investigate them. The first cause assigned was the introduction of the fever into our city from the brig Charlotte Hague, which put into Cockspur Roads about the 29th of June. She was a Danish brig, bound from Havana to Copenhagen. She was visited on the 30th by the Port Physician, Dr. Mackall, who reported two slight cases of sickness on board. It having been asserted that some of the men brought from her to the city died of the yellow fever, I have used every effort to obtain evidence to prove the fact, but I have found no proof to satisfy my own mind that there was any case of yellow fever brought up to the city from that vessel, and I herewith submit for your consideration a letter from Dr. Mackall and one from Dr. Wragg, the attending physicians of the Savannah Infirmary, to which all the men were carried. Dr. Chartres being absent I have been unable to obtain an answer from him." The nature of the poison of yellow fever is such, nevertheless, that it can be imported if the views of the germ theory of disease be admitted in explanation. 2d. The deposit of certain stone ballast at the Atlantic and Gulf railroad wharf from Spanish vessels has been charged with being the medium of importation, just as the deposit of dredge mud in this very neighborhood in 1854 was also believed to have been a cause of production. This ballast was used to macadamize the roadways of the wharf, and came from a locality southwest of Regla and about two miles from the harbor. See Woodhull's report, The American Journal of Medical Sciences, page 37: * * * "At that place are low (' little') hills which are dry, and in no way subject to drainage from human habitations, of which there are few in that neighborhood, the nearest being a fourth of a mile distant. The ballast is dug from these hills, and is carried from the quarries to the ships, by which it is bought as needed. Regla, the nearest town, is thought to be healthier than Havana, and in summer many families move to the neighborhood of the hills from that city. This is entirely confirmed by Dr. Belot, who says: ' The gray ballast referred to is a native rock taken from the side of a hill in West Regla, about forty feet above the level of the sea,' and that it does not contain any debris or organic matter whatever. That excellent authority further says: ' I do not believe that the fresh ballast referred to will, of itself, in any way influence the development of yellow fever. If such 4 50 THE EPIDEMIC AT SAVANNAH. were the case the disease would manifest itself as soon as the bal- last is taken in.'" 3d. Yellow fever existed in Savannah every year of the first quarter of the present century ; see table of Mortuary Fever rec- ord, taken from the records in the Clerk's office of the city council. The bitter controversies which existed in the first half of the last century upon the question of importation of yellow fever from the East Indies to the West Indies, is certainly significant, and suggests doubt as to the probability of importation when filth and nastiness prevail in towns. [A treatise on Plague and Yellow Fever, by James Tytler, compiler of the Medical Part of Encyclopaedia Britannica, 1779 ; pages 372, 373, 374.] * * * "When Columbus first visited the West India islands, we hear nothing of his having found such a disease exisiting there ; nor does it appear that it was known among the many Spanish adventurers who succeeded him, and who subdued such immense tracts on the southern continent. Soon after the settle- ment of some of the West India islands, however, by other Euro- pean nations, this disease began to make its appearance, though at what time is still uncertain. Dr. Hillary says, that " as we have no accounts of this disease in the ancients, nor even in the Arabian writers, who lived and practiced in the hot climate, we must give it some name ; " and he calls it the putrid bilious fever. "From the best and most authentic account, (adds he) that I can obtain, and also from the nature and symptoms of the disease, it appears to be a disease that is indigenous [naturally belonging to the climate] to the West India islands and the continent of America, which is situated between the tropics, and most probably to all other countries within the torrid zone. But I cannot con- ceive what were the motives which induced Dr. Warren to think that this fever was first brought from Palestine to Marseilles, and from thence to Martinique, and so to Barbadoes, about thirty- seven years since (1721 or 1722). A better inquir}7 would have informed him, that this fever had frequently appeared in this and other West India islands, many years before ; for several judi- cious practioners, who were then, and are now living here, whose business was visiting the sick the greater part of their life time, some of them almost eighty years of age, remember to have seen this fever frequently in this island, not only many years before that time, but many years before that learned gentleman came to it. UPON QUARANTINE. 51 " To the same purpose Dr. Mosely says, " Warren, though he lived at Barbadoes in 1739, supposes it never appeared in that island till about the year 1721, and that it was then brought from Martinique in the Lynn, man-of-war. He says the second ap- pearance of it there was in 1733, and that it then came also from Martinique. He undertakes to show, that it is a disease of Asiatic extract ; and says that a Provencale fleet arrived at Port St. Pierre, in Martinique, from Marseilles, on board which were several bales of Levant goods which were taken in at Marseilles from a ship just arrived from St. Jean D'Acre (probably the Ptolemais of the ancients). Upon opening these bales of goods at Port St. Pierre, this distemper immediately shewed itself; many of the people were instantly seized, some died almost sud- denly, others in a few days, and some lingered longer ; and the contagion, still spreading, made great havoc at the beginning. He says he had this account from Mr. Nelson, an English surgeon, who was seized with the disease at Martinique, and died of it a few days after his arrival at Barbadoes. He says it is very prob- able that the same fever, or one of very near resemblance and affinity, may first have been carried among the American Spaniards (among whom it is now endemic) in somewhat a like manner ; and that possibly some peculiar qualities in the air and climate might have fostered and maintained it there ever since." Dr. Mosely at once concludes the whole of this account to be fabulous, but whether fabricated by Dr. Warren or the surgeon, he does not say. He then appeals to Dr. Towne, who wrote before Warren, in 1776, but takes no notice of this chimerical origin of the yellow fever, but considers it as an endemical disease in the West Indies Hillary's opinion already given is also quoted. " The next evidence is that of Mr. Hughes, who, though not a medical man, has written on the first appearance of the yellow fever in Barbadoes in the following terms : Dr. Gamble re- members that it was very fatal here in the year 1691, and that it was called the new distemper, and afterwards Kendal's fever, the pestilential fever, and the bilious fever. The same symptoms did not always appear in all patients, nor alike in every year when it visited us. It is most commonly rife and fatal in May, June, July and August, and then mostly among strangers ; though a great many of the inhabitants, in the year 1696, died of it; and a great many at different periods since." 52 The epidemic at savannah. " As to the first appearance of the disease in the West India islands we have no accounts which have been deemed suf- ficiently authentic, though indeed it must be confessed that the doubts seem to be derived as much from an attachment to theory as to the investigation of truth. " The endemical causus, or yellow fever (says Dr. Mosely) which is the terror of Europeans newly arrived in the West Indies, is called by the French la maladie de Siam. Monsieur Pouppe Desportes, who practiced physic at St. Dominique from 1732 to 1748, and who had more experience, and has written from better information on the diseases of that colony, than any of his countrymen, says that this fever was so called from its being first taken notice of in the island of Mar- tinique at a time when some vessels were there from Siam. This account, though probably true enough as to the time of its being first observed in the French colonies, is extremely incorrect in other respects ; for M. Desportes has not only admitted a suppo- sition that the disease originated among these East Indian mariners, but calls it pestilential, and says that the Europeans are almost the only victims to it. " HISTORY OF THE DISCOVERY AND TRUE NATURE or PATHOGENIC BACTERIA, THE GERM THEORY OF DISEASE. TWELFTH REPORT ---OF THE--- MED1C/IL OFFICER OF HEf^ MAJESTY'S PRIVY COUNCIL FOR 1869.—Page 243 INTRODUCTORY REPORT BY DR. BOURD N SANDERSON ON THE INTIMATE PATHOLOGY OF CONTAGIUM. There are two obvious objections which stand in the way of the acceptance of any chemical explanation of the phenomena of contagium. The first is that the multiplication of contagium is a process which cannot be compared to any which is brought about by chemical agencies independently of organic development. The second is, that all contagia possess the power of retaining their latent virulence for long periods (often resisting the most unfavorable chemical and physical conditions) and only show themselves to be what they are when they are brought into con- tact with living organisms. Outside of the body the contagious material withstands all those changes to which, on chemical grounds, we should expect it to be liable while in the body it manifests a degree of activity, and gives rise to an amount of molecular disturbance which is quite as unaccountable. Neither of these difficulties stand in the way, if we suppose that the contagious process is connected with the unfolding of organic forms. ****** SEVENTEENTH REPORT --OF-- THE MEDICAL OFFICER OF THE PRIVY COUNCIL TO HEF[ MAJESTY'S GOVERNMENT. 1874.-P. 5. Ten years ago we had not even a beginning of any true insight into the respective contagia which excite diseases. * * * * I think the fact noteworthy that the first of such studies were instituted, and the first steps of discovery made with reference to a contagious fever of horned cattle. I refer to the researches which were made under Her Majesty's Government in 1865, in aid of the Cattle Plague Commission, when Dr. Lionel Beale, working at the microscopy of the disease, drew attention to the swarms of extremely minute particles which he found invariably present in the texture and juices of the animals, and which he believed to be the contagium of the disease ; and when Dr. Bourdon Sanderson, working at the matter from a different point of view, succeeded in showing, experimentally, that the true con- tagium admits of being physically distinguished in the animal juices which contain it, and of being so separated from them as to leave them without infective power. In the next succeeding years the writings of Dr. Hallier, Professor of Botany in Jena, brought under animated discussion, as a branch of micro-phy- tology the nature and mode of origin of contagium particles in a great variety of diseases, human and brute ; new experimental knowledge of several contagia was set forth in the writings of Professor Chauveau, of the Veterinary Schools of Lyons ; and in 1870 I had the honor of presenting Dr. Sanderson's first report of researches made in the matter under your Lordship's direction. At that time these general conclusions already seemed justified; first, that the characteristic shaped elements which the microscope had shown abounding in various infective products, are self-multi- plying organic forms, not congeneric with the animal body in which 58 THE EPIDEMIC AT SAVANNAH. they are found, but apparently of the lowest vegstable kind ; and, secondly, that such living organisms are probably the essence, or an inseparable part of the essence, of all contagia of disease. The study of morbid contagia was thus brought into seeming affinity with that which had for some years before been made by Professor Schroder and M. Pasteur, in the ordinary processes of fermentation and putrefaction; and then began to become faintly visible to us a vast destructive laboratory of nature, wherein the diseases, which are most fatal to animal life and the changes to which dead organic matter is passively liable, appear bound together by what must at least be called a very close analogy of causation. This view of the matter has since then become greatly more distinct in consequence of investigations made under your Lordships by Dr. Sanderson, practically, in 1871 and 1872, with reference to the common septic contagia or ferment, for in that ferment, particulate as above described, there seems now to be identified a force which, acting disintegratively upon organic matter alike, whether dead or living, can on the one hand initiate putrefaction of what is dead, and on the other hand initiate febrile and inflammatory processes in what is living. Research of Dr. Bourdon Sanderson : Report of the medical officer of the Privy Council, page 30. There are four contagious diseases, in respect of which the presence in the contagious liquids of forms of vegetation differing from those met with either after death in the normal tissues or liquids of the body, or during life in the products of primary or secondary inflammation, has been established. These are small- pox, sheep-pox, splenic fever and relapsing fever. The first statement as to the existence of organisms in the lymph of cow-pox and small-pox were made by Dr. Keber, of Dantzic, 1868. In my first paper on pathology of contagion, published in 1870, I gave an account, accompanied by a wood cut, of certain bodies, to which I assigned the name of microzyms, the presence of which I found it was usually possible to demonstrate in vaccine liquid. Note.—In the twelfth report of the medical officer of Her Majesty's Privy Council, 1870, page —, Dr. Bourdon Sanderson's experiments upon the physical properties of vaccine virus, demon- strated that the contagious particles of the vaccine lymph settled to the bottom when put into water, and separated into two parts, HISTORY OF PATHOGENIC BACTERIA. 59 one of which could not reproduce the pustule, whilst the other did do so. On the contrary, the same lymph shaken up sharply in water was so diluted as to produce pustules in two out of twenty trials, whilst the lymph which had settle to the bottom, in water, produced pustules in sixteen out of twenty-two trials." Note.—1870, page 233.—"With this view I diffused liquids known to be infecting, derived from plague-stricken animals, by the ordinary method, i. e.: through parchment paper, and found that while the diffusate was wholly innocuous, the liquid that remained behind retained its activity. 1871, page 62.—* * * "So that we may conclude that the contamination of water by apparently dry surfaces happens only in those cases in which desiccation is incomplete. It thus appears that fully formed bacteria are deprived of their power of farther development by thorough desiccation." * * * Page 31.—Some months before tho appearance of the paper from which the above description is quoted, Dr. C. Weigert, of Breslau, published a short communication, founded on the micro- scopical examination of the skin in persons who had died of small- pox, in which he stated that he had found the lymphatic vessels of the cutis plugged with a granular mass, which exhibited all the characters of the micrococci." * * * Page 33.—" These communications led to Dr. Klein's being requested to undertake the investigation, of which the results are embodied in his paper on the pathology of sheep-pox. It will probably be admitted by most readers that even if the problem has not been completely solved, the investigation has yielded results of the highest pathological value. * * * (Page 33, idem). "The first infective disease, in respect of which it could be asserted with anything like probability, that a specific organism was present, either in the blood or the tissues, was splenic fever. The peculiar staff, or rod-shaped bodies which are always contained in the liquor sanguinis in this disease, was dis- covered in 1855, or perhaps earlier. * * * (Page 35, idem). The discovery that, in the blood of animals affected with splenic fever, rod-like bodies are found in the liquor sanguinis, was first, I believe, made by Pollander, who in the year 1855, described them as fine, apparently solid, straight, unbrancbed objects, ^ to ^ of a line in length and ^Vo of a line in width. He noted they possessed no motion, differing in that respect from ordinary bacteria. (Note.—The spirilla of 60 THE EPIDEMIC AT SAVANNAH. splenic fever will be given below from Cohn). A year or two after Brauell published the first of his very extensive series of researches on the contagium of splenic fever, in which he not only confirmed Pollander's discovery, but by experiments in which he communicated the disease to animals under a great variety of conditions,, acquired for pathologists the greater part of the accurate knowledge they now possess on the subject. * * * (Page 36, idem). "The following are the most important facts relating to the contagion of splenic fever, which have been ascer- tained either as the result of clinical or experimental inquiry : 1st. "The disease may be communicated by any means which involves the transference of a portion of the blood of a diseased animal, to the living tissue of an animal previously healthy. It is not known that it can be propagated in any other way, for animals kept in the closest proximity to diseased ones, and placed under the most favorable conditions for infection through the air, are not infected. 2nd. "Although the blood of animals affected with splenic fever always contain the staff-shaped bodies, if it be examined at a sufficiently advanced period, the disease can be communicated by the inoculation of blood in which these bodies are either not present, or at all events not in such numbers as to admit of their being made out microscopically. * * * (Page 37). "There are facts relating to splenic fever which show on the one hand that the contagious property, as it exists in the circulating blood, is very transient, aud on the other, that there must be a form or state of the contagium in which it is remarkably persistent. * * * (Page 39.) "The common ubiquitous bacteria, those which are concerned in putrefaction changes are known to be in their ordinary active state, easily destroyed. That they are unable to survive complete desicccation or a temperature higher than 80 deg. C. On the other hand, it is equally well ascertained that masses containing bacteria are not deprived of the power of originating new generations of these organisms by heat, unless they are either subjected to a temperature considerably higher than that of ebullition, or boiled for a very long period. The reason of the apparent discrepancy is to be found in the fact that the bacteria have two modes of existence, the one characterized by permanence and resistance, the other by rapid development and short duration ; thus in all bacteria masses, thei'e exists, in HISTORY OF PATHOGENIC BACTERIA. 61 addition to the ordinary forms of readily killed bacteria, other living particles of more stable structure. "The properties of such bodies to which Professor Cohn assigns the name of lasting spores (Durosporen) are only just now beginning to occupy the attention of mycologists. * * * (Page 33, idem.) The most striking feature of the disease (splenic fever in cattle) is its externally rapid progress. In the most rapid cases, those to which all writers refer as " apoplectic," the disease runs its course in a few hours at most. In the ordi- nary cases as they occur among cattle, it lasts a day or two. * ******** "Professor Buhl, at Munich, in 1868, discovered a rapidly fatal disease affecting the human subject which presents the characteris- tic of splenic fever, and turns out on investigation to be identical with it. The first case occurred in a man aged thirty-two years. Shortly after, two other cases were recorded by Professor Wal- deger, now of Strasbourg, and all doubts of the matter was removed by Dr. Munch, of Moscow, who, at the Workman's Hospital, discovered that in all men who died from infection from diseased animals, there existed all the characteristic internal changes and lesions of splenic fever. Relapsing fever, page 41.) "In the epidemic of relapsing fever, which prevailed in Berlin from November, 1867, to May, 1868, Dr. Obermeier, whose attention had been called to the question of the relation between specific organic forms and contagium, by the publications of Professor Hallier, investigated the blood micro- scopically in eighty-two cases. In general, the results were nega- tive. In some cases, however, he noted appearances, of which he did not fail at the time to understand the full significance." When relapsing fever again appeared in Berlin in 1872, the inquiry was resumed. In the very first case which was investiga- ted, the bodies to be referred to in the following paragraphs as " spirilla," were discovered. On the 26th of March Dr. Obermeier published a second series of observations. Twenty new cases were investigated in veins of which the blood had been examined daily. The result of these examinations showed that the presence of the organisms in the blood was associated with the morbid processes so closely that as soon as the pyrexia disappeared they disappear with it, reappearing when the patient was again found in the relapse. Soon after the death of Dr. Obermeier, in August, 1873, a third 62 THE EPIDEMIC AT SAVANNAH1. series of observations were communicated by Dr. Engel to the Berlin Medical Weekly Journal. During the same year the epidemic prevalence of relapsing fever in Breslau afforded additional opportunities for investigating the subject. The morphrological and botanical characters of the organisms were subsequently determined by Professor Ferdinand Cohn. Dr. Litten gave the history of the disease. It was infectious eminently from person to person in limited foci. Thus, in a hamlet called Wilhelmsruhe, fourteen persons, belonging to four families, all of which inhabited the same room, were attacked. Breslan was peculiarly exposed to overcrowding in that year. All the other inhabitants of the hamlet, although some of them occu- pied rooms in the same building, remained free from the disease. Twenty-one persons were attacked in the hospital. Poverty and want did not give rise to the disease. Dr. Litten further gives the following summary of his observa- tions: "The spirilla of Obermeier are found only in the blood of per- sons affected with the disease, and present themselves invariably during the paroxisms. The following is the course of relapsing fever: Six to seven days, fever; eight days, remission; five days, second fever; nine days after, rarely fever returns." Obermeier found in the blood of the sick very delicate, long, very rapidly moving spiral threads, seen only in the stage of fever paroxysm, not in the remission, nor in the period shortly before or after the crisis. Cohn saw them himself at Breslau, in " All Saints" Hospital. These threads are found exclusively in the blood, being never found in the secretions nor organs. They are found twenty-four hours, and leave two or three days after increase of temperature. On account of their delicacy of structure and rapid motion, they are easily overlooked The observer first detects them by the motion they give to the blood corpuscles. TLese threads or spirilla are never found in the dead body. Their number is various. They probably diminish toward the end of the paroxysm, and completely disappear before the crisis. The number of spirilla varies considerably. They can be best kept alive out of the body in serum. As soon as the temperature of 60 deg. C. was passed, the movements became languid; no effect to this degree. By the time 65 deg. was reached, they had entirely ceased. No effect was observed on cooling the prepara- HISTORY OE PATHOGENIC BACTERIA. ()3 tion to the temperature of freezing, but its continuance caused the movements to cease. Sometimes they are found in small numbers, and in others very abundant in the field of the micro- scope. According to Engel their number must be reckoned by millions. This fever was seen at Breslau in 1868. It came on in temporary and local epidemics, which probably were imported. As a rule, it attacked all the occupants of a room, one after another, and obviously was spread by personal infection. FORMS AND CLASSIFICATION OF BACTERIAS—1870, Page 241. The organic forms which are met with in contagious fluids are, according to Hallier, analogous. They are included by him under the general term hafe, scum or dregs. By Hallier it is understood to mean a form of fungus, which consists of minute single cells, which reproduce themselves with extraordinary rapidity, exist in all substances undergoing putrefaction or fermentation, and grow and multiply at the expense of these substances. As they never lose their unicellular character they cannot be said either to have spores or mycelium, each individual cell being alike an organ of growth and an organ of reproduction. Some of these organisms are already well known, especially those which belong to the true fermentations, as e. g.: The arborescent ferment plant, which exists in most hormiscium, consisting of branching series of glo- bules joined end to end; or the necklace-like ferment of common yeast (torula); or the still more remarkable sarcina ventriculi, in which the globules are set together in squares. These organisms may be divided into two groups; one comprising the ferment plants already mentioned, which have no direct relation to our present inquiry; the other contains those forms which are associ- ated with the commencement of decomposition of nitrogenous compounds, of which putrefaction is the continuation. The spheroidal particles which are observed under these conditions are much smaller than those which occur in fermenting liquid} and do not, in general, exceed ^T of an inch in diameter. They are known to be living organisms, and thereby distinguished from mere particles of protoplasm by the observed fact that they tend, under conditions which will hereafter be fully discussed, to elon- gate into rod-like bodies, endowed with a peculiar progressive and oscillatory movement. So long as they are still spheroids 64 THE EPIDEMIC AT SAVANNAH. they are called by Hallier micrococci, by others microspores. After they have become staff-shaped they are usually called bac- teria or bacteridia. (Page 245, idem, 1868.) "Du Barry's description of these living organisms: They consist of cells, each of which is roundish, or of the form of a short cylinder, and multiply by continuous division into two. They either occur isolated or are united into rows or small masses, which grow equally at all points by cell division. They include, adds Du Barry, forms of extreme minuteness, as yet insufficiently known as regards their organization, which are represented by the generic names vibrio, bacterium, zoogloa, (Cohn), nozema. (Nagele), sarcina, &c, &c. 1868. (1871, report, idem.) "When common microzyms grow on moist surfaces they, with their intervening jelly, form viscous masses of sufficient size to be cognizable by the unaided senses, these con- sisting of a material similar to scum which forms on the surface of liquids. (Page 50, idem.) 'As regards their action on liquids, the most important facts are these: 1st. That their growth is at- tended with absorption of oxygen and discharge of carbonic acid; 2d. That they are remarkably independent of the chemical constitution of the medium, provided they are supplied with oxy- gen; and 3d. That they take nitrogen from almost any source which contains it, and use it for the building up of their own pro- toplasm. (Nature—Page 328—August 16, 1877.) "In conclusion, Dr. Roberts pointed to the fact that there exists a remarkable morphological identity between the organism of certain infective diseases and other quite harmless saprophytes. "Thus bacillus anthracis of splenic fever only differs from bacillus subtilis in the fact that the rods are motionless, while the spirilla of relapsing fever are identical in form and botanical characters with spirochete plicatilis of Ehrenberg. May not these coincidences, he suggests, point to a natural explanation of the origin of con- tagia ? May not the harmful organisms be merely variations, or sports from the harmless saprophytes resembliug them, just as the bitter almond is a sport from the sweet, and the nectarine from the peach ? May not typhoid fever, for example, be explained as due to a variation from some common saprophyte of our stag- nant pools or sewers, which, under certain conditions within the human body, acquires a parasitic hold ? HISTORY OF PATHOGENIC BACTERIA. 65 (Journal of the Royal Jlicroscopical Society, Page 87—Bacteria as Parasites in Splenic Disease—May, 1878.) M. H. Toussaint has communicated fresh remarks on this sub- ject to the French Academy, his object being to show that those who have attributed the disease to a virus, and not to the bacteria, are in error. Referring to a previous paper, he states that a rabbit, dying after inoculation with blood containing the bacteria, dies in consequence of the obliteration of the capillaries of essential organs, such as lungs and brain. Most of the flexuous capillaries of the economy are filled with bacteria at the moment oi death. This effect is most readily observed in the choroid and retina of albin rabbits. He claims to have demonstrated that when fresh bacteria blood is received into tubes and preserved from contact with air and from putrefaction, it loses its contagious properties in six or eight days, or sooner, if kept at a temperature of 38 deg. to 40 deg., C. A virus does not behave in this way. Such a method would be adopted to preserve it. Filtration of bacteria blood, fresh and defibrinized, through a filter composed cf eight sheets of paper, suffices to deprive it of its contagious element. This filter allows the granulations, and even some white corpuscles, to pass, but it retains all the bacteria. Such a filtra- tion allows a considerable quantity of virus elements to pass, but completely deprives bacteria blood of its contagious properties. The time elapsing between bacterium inoculation and the death of an animal, may be regulated by the quantity injected, though the incubation period may be suppressed. * * * * ** * * * He describes many experiments, all confirming the belief that death is produced by the multiplication of the bacteria organ- isms and their obstructing the capillaries. In one animal was injected 1| cubic contents of the infected blood, containing fifteen hundred millions of bacteria, in another seventy-five mil- lions, and in a third fifteen hundred, the blood being diluted with water. The first died in seven hours, the second died in twelve or thirteen hours, and the third died in thirty-six hours. Nature—Page 327.—Dr. William Roberts, F. R. S., on Subject of Spontaneous Generation and the Doctrine of Contagium Vivum— August 16th, 1877. After alluding to the analogy, which may possibly be reah between contagious fever and tne action, say of yeast in fermen- 5 66 THE EPIDEMIC AT SAVANNAH. tation, he proceeded to consider two propositions. The first proposition is : That organic matter has no inherent power of generating bacteria, and no inherent power of passing into de- composition. To substantiate this, he exhibited specimens of decomposable organic fluids, which, having been sterilized, had remained in his possession, undecomposed, for many months, or even years. Sterilization had been effeccted in three ways : 1st. By prolonged boiling, the exclusion of germs being after- ward secured by plugs of cotton wool. 2d. By filtration through unglazed earthenware, previously heated to redness, into flasks, sterilized by the heat of boiling water. 3d. By transferring the organic decomposable fluid, such as blood, urine, pus, etc., directly from the interior of the body to well sterilized flasks, and subse- quently defending them from germs by plugs of cotton wool. The second proposition is : That bacteria are the actual agents of decomposition. This Dr. Roberts considers to be proved by the following considerations : a. That which originates decomposition comes from the air, since removal of the plugs in any of the above cases is infallibly followed by decomposition. b. That which originates decomposition consists of solid particles floating in the air, since filtration of the air, as above, is able to prevent decomposition, and air, which is optically pure, (Tyndall) has no fermentating power. c. That which originates decomposition has not the nature of a soluble ferment, since decomposable fluids, in which putrefaction has already set in, yield filtrates through earthenware, which do not decompose, while pepsin, diastase, etc., readily pass through the same medium. But it is, nevertheless, true, that certain liquids, as neutralized living infusions, and milk, often produce bacteria, even after they have been boiled for two or three hours, and when there is no possibility of subsequent infection ; and it is equally true that bacteria are invariably killed by exposure to a temperature of 140 deg. F, or more. Are not these facts strong evidence of abrogenesis ? No; and for the following reasons : 1st. Although bacteria invariably die at the above named tem- terpature, their spores may not; aud this is more than probable, since Dollinger and Drysdale have demonstrated that while certain monads are destroyed by heating to 140 deg. F., their spores survive a heat of 300 deg. F. History of pathogenic bacteria. 67 2d Cohn has examined the organisms which arise under the conditions named, viz.: in boiled living infusions, and he has demonstrated that they are not a new creation, as might have been expected, but invariably the well known bacterium, bacillus subtilis. Is it possible to believe, in the face of the whole theory of evolution, that abrogenesis is able, at one stroke, and within seventy hours, to produce such a specialized organism as this ? JL CLASSIF1CATI0H OF PyVTHOGE^lC BACTERIA BY DR. FERDINAND COHN, Beitrage zur Biologie der Pflanzen—Part 2, 1872, p. 160. GENERA. 1st. Globular bacteria, (sphero-bacteria.) 2d. Rod bacteria, (micro-bacteria.) 3d. Thread bacteria, (desmo-bacteria.) 4th. Spiro bacteria. SPECIES. [ 1st. Micrococcus vaccinia; pock-bacteria. | 2d. Micrococcus diphtherica; of diphtheria. 1st Genus. J, 3d. Micrococcus septicus; pyemia septic^ria. | 4th. Micrococcus bombycis; mycosis intestinitis of [ silk worms. SPECIES. „ , „ j 1st. Bacterium termo; of ordinary putrefaction. nu ' j 2d. Bacterium tincola; of stagnant water. SPECIES. Q, n j 1st. Threads straight; bacillus. dd Lrenus. j M Threads undulatory; vibrios. p> ... j a. Bacillus subtilis; of butyric acid fermentation. \b. Bacillus anthracis; of splenic fever. tt-u • ( a- Vibrio rugula; diarrhoea and on mucus of teeth. Vibrio. { , T7-, . ° ' ( 6. Vibrio serpens. SPECIES. f i <- q •. v. f 1 Flexible, moving rapidly, close i xst. opirocnsete. < -* .. -, * .,, p j ( wound thread ot a screw. i nj o • -n Non-flexible, motionless, short, 2d. Spirillum. - ' -, ,, -, e { * ( open wound thread ot a screw. a. Spirochete plicatilis, 1872. \ , ° ,? ,, r r ( ter,mucus ot teeth. ( F e b r i s recurren s Spirochete. -{ Breslau. Oberme- SpirocheteObermeiri, 1873. ■{ ier commenced j his observations [ in 1868. f a. Spirillum tenue. ej • -ii j b. Spirillum undula. P l 1 o • -n i l (In water containing decay- a Spirillum volutans. j ing fresh water |nails/ P. V. Fig. n. Fig. 2. Fig. 4. Fig. T. VI. I / K \ » » */, I / . s x * ^ t c #1 \* *T **&#' J j> A INDEX TO PLATES V. AND VI. Micrococcus uree—Plate VI, fig. 1. Micrococcus Torulce, rosary chains—Plate VI, fig. 2. Micrococcus glutinis { Saccharomyces ) _piate yI fi 3 1 Cryptococcus ) Micrococcus bombycis—Plate V, fig. 7. Micrococcus fulvus—Plate V, fig. 4. (Forming red slime drops on horse dung.) Bacterium termo—Plate VI, fig. 4. Bacterium lineola zooglif* vm—Plate VI, fig. 5. Bacillus subtilis, thread bacteria found rapidly moving in infu- sions of rennet and with spores at one or both ends—Plate V, fig. 9. Bacillus subtilis found in decoction of peas undergoing butyric fermentation; spores in rows—Plate V, fig. 10. Bacillus subtilis spares imbedded in micrococcus found in sed- iment from rennet infusion—Plate V, fig. 5. Bacillus anthracis—Plate V, fig. 2. (From the blood of an ox, after death from splenic fever, anthrax.) Vibrio serpens—Plate VI, fig. 6. Spirochete plicatilis—Plate VI, fig. 1. Spirochete Obermeiri—Plate V, fig. 3. (Spiral threads rapidly moving among blood corpuscles of persons ill with relapsing fever.) Spirillum tenue—Plate VI, fig. 7. Spirillum undula—Plate VI, fig. 8. Cladothryx dichtoma, forked dichotoma threads forming white slimy masses on the surface of putrefying liquids-a. magnified 100 diameters; b. magnified 600 diameters-Plate V, fig. 6. Aspergillus glaucus, showing sporiferous stem with spores; my- celium and sporangium, showing also ascus with zoospores, zoos- pore and linear arrangement of the true spores-Plate V, fig. 1. Ophidomonas sanguinea, monad found m putrefying water, magnified 600—Plate V, fig. 11. RESEARCHES UPON BACTERIA, BY FERDINAND COHN. FROM THE GERMAN: BIOLOGIE DER PFLANZEN. BRESLAU, 1872. TRANSLATED BY JAMES J. WARING, M. D., AND ERNST DETMOLD SAVANNAH, GA. : 1879. RESEARCHES UPON BACTERIA. When, twenty years ago, I made public my first investigations of bacteria [see history of the development of microscopic alge and fungi,] there arose certain very important questions upon the morphology and development of these smallest of all organic things, which of late years have brought the development of bac- teria into close connection with the most important problems of Universal Natural Science. There are two men above all others whose labors, although of different value, have alike excited the interest of a large number in bacteria. Pasteur described bacteria incidentally. The inferior accuracy of his microscopical observations, however, injured his work so far as they referred to these organisms, though not impairing the value of his investigations of the ferments; nevertheless, all later investigations must be built upon his as a foundation. On the other hand, Hallier deserves the credit of having first called attention to the relation of these bacteria to contagia and ferments. He made this the subject, for many years, of close microscopical study and investigation, and we deeply regret that the later investigators, among them those in England and Ger- many, excited by him to these studies, were unable to avail them- selves of his researches because his method was so poor. For a number of years I have labored carefully with my friend Dr. Schroder, renewing our inquiries into bacteria with, in the meantime, more perfected opitical means of help, and have also. after Dr. Schroder left the Botanical Institute, in the summer of 1870, continued the work alone. I have thus endeavored to arrive at some independent conclusions as to the biological rela- tions of bacteria and the classification of their species. I have also tried to determine, by experiment, their ferment power. I communicated some of the results of my labors to the Schles- siche Society, on February 10, 1871 ; to the Medical Section, on August 4 ; also to the Natural History Section on February 10, 1872 ; also to the Journal of Botany, of M. DuBarry, dated December 22, 1871 ; Virchow's Archives of Pathological Anat- omy, vol. 55, March, 1872. 74 THE EPIDEMIC AT SAVANNAH. Although my researches have as yet led me to no satisfactory conclusions, still I deem it worth while to give here a detailed statement of my labors. To what organisms do bacteria belong ? What genera, what species are there? I have directed my first efforts to answer these questions. Of late years, any reader will observe a great chaos in the nomenclature of bacteria. Each investigator has given his own names to forms, without regard to the names given by his predecessors. The difficulties of nomenclature and classification is inconceiv- ably great. Ehrenberg and Dujardin have alone taken the trou- ble to put into clear order the whole line of bacteria and divide them into genera and species. Their labors must therefore be considered the starting point; though their system of classifica- tion may be criticised from their magnifying powers being defec- tive. Nevertheless it is a matter of great surprise and of great merit that Ehrenberg showed us structures which we find it diffi- cult to make out at this day. Though possessing the strongest magnifying powers, we are compelled to acknowledge that most of the bacteria are beyond the powers of our microscopes, for we are unable to observe the organization of their contents and their propagation satisfac- torily. The existence of the smallest forms would escape us but for the enormous masses in which they generally appear. Their classification is difficult because of their slight differences of form. Whilst in other organisms classification is based upon differences of propagation, bacteria cannot be so classified, be- cause up to the present time their method of propagation has not been determined. Their external forms, as far as we can see, exhibit no varieties in their structure—no marked peculiarities of form and contents. It is their size and method of group- ing, and their interlacement into colonies which show varieties. It is, however, impossible to determine how far they belong to originally different kinds; how far they are moulded by external influences, and how far they belong to different varieties of one kind, or how far they are only the same beings in various stages of development. Although Lewenhoek recognized bacteria in the seventeenth century, and O. F. Miiller saw and described the most important forms, yet the scientific method of classification commences with Ehrenberg. He gave us in 1830 the family of vibrios, which he RESEARCHES UPON BACTERIA. 75 rank3 between the Volvoce and Clausterias. To these he added the forms of thread-like structure, which were endowed with self- movement and segmentation. The segmental thread forms are based upon self-partition, in which both halves remain connected together, as Bury de St. Vincent showed in 1838. Ehrenberg, in his work on Infusoria, in 1838, gave four genera, which he classes in the following way: EHRENBERG's CLASSIFICATION. 1. Threads—straight, motionless—Bacteria. 2. Threads—straight, with serpentine motion—Vibrios. 3. Threads—spiral, with motion—Spirochete. 4. Threads—spiral, motionless—Spirilla. Of Bacteria he gave 3 species. Of Vibrios he gave 9 species. Of Spirochceta he gave 1 specie. Of Spirilla he gave 3 species. Dujardin, in his Natural History of 1841, has taken Ehrenberg's genus vibrios as the first and lowest form of infusoria. He also adopted the same genera and the same method of classification. The bacteria, straight and with slow and little motion, he dis- tinguishes from the vibrioes, which are straight, or sometimes bent and move quickly, with serpentine movement, and from the spir- illa, which are always screw-like, with threads turning upon a common axis. The genus spirochete Dujardin does not distin- guish from the spirilla, which he says are not stiff and motionless, and therefore only differ from spirochete by the larger or smaller screw threads, or the number of the turns of the screw. Though the ^classification of bacteria, vibrioes and spirilla by Ehrenberg is very clear, it is by no means easy to determine them practically. We do find stiff, staff-like forms which are, no doubt, bacteria, and we find motionless spirals, which we just as truly call spirilla, and we find those eel-like and lightning moving forms, which Ehrenberg and Dujardin called vibrioes. The snail-like or serpentine motion of these vibrioes, conveying the impression of undulation, that is a partial flexion or stretching out of a flexible body, is really only an optical illusion, caused by the quick revolv- ing spirals of an unchanging form of a more'or less^open'screw turning on its own axis. I am convinced that the wave and screw- like motion of vibrios and spirilla are unchanging forms which are not capable of a stretching and bending, and therefore have 76 THE EPIDEMIC AT SAVANNAH. no serpentine motion. Hence, there are no vibrioes which answer to Ehrenberg's definition ; and, therefore, this genus must be classified according to other properties. All those who have studied bacteria in the last thirty years have either taken Ehrenberg's and Dujardin's classifications, or have given new, and sometimes arbitrary, names to the forms they have observed. This, especially, applies to Pasteur, who at one time talks of animalcules, fungi, infusoria, torulce, bacteria, vibriones and monads without giving any method of telling them apart, and at other times calls the same forms mocrozyms, mucors, mucedines or ferments. We are now ready to put the question, whether there are really genera among bacteria the same as among the higher organisms. One who does not believe in the doctrine of metamorphoses, which begets anything out of anything, will feel troubled to make a natural classification of these innumerable bodies of every pos- sible form. It appears as if these various forms were one and the same, being in different states of development; still I am con- vinced that bacteria have different genera and species, just as well as other low plants and animals, and that the way of telling them apart, in many cases, is rendered impossible to our powers of observation of to-day by their extraordinary small size and by the living together of different species. T base this idea upon the fact that the large bacteria are always to be found with the same forms under every possible condition and in innumerable quantity, without intermediate forms of development. This is especially true of spirilla, which are different in their species from the staff bacteria, just as truly as they differ from genuine alge or infu- soria. Pasteur, who remarks that the nature of an organized ferment cannot be certainly determined by the microscopic form, but only by the physiological functions, calls particular attention to the extraordinary similarity of milk and vinegar ferments, and the anmonio-urine ferment to the jelly-like ferment of wine. The bacteria which produce red, yellow, orange, blue and other pig- ments may hardly be told apart, and yet plant them and they will always give the same pigments. The bacteria which are found in the different contagia are the same in their form sometimes with those found in the urine or butyric acid ferment; sometimes with those of the pigments. Shall we now call every kind which may be found in a certain medium, or have the same ferment power, a RESEARCHES UPON BACTERIA. 77 special species, even though they cannot be distinguished by the microscope? In this way we would only distinguish them into physiological species, which cannot be based upon their different forms. I believe that the time has not arrived to answer this question. We can find, probably, among the bacteria which do not differ externally, but which exhibit different chemical and physiological effects, b>th varieties and species, which, in the beginning came from the same spore, and which by constant nat- ural or artificial culture, uuder the same circumstances, and on the same soil, produce the same results. As all bacteria mul- tiply in the unsexual way, by budding or partition, it is easily understood that the peculiarities of their species may grow con- stant or fixed. Bees proved the formation of species in the various ferments by artificial culture. Just as summer corn can not be used for winter seed, although both plants are of the same origin, and by constant culture may be converted one into the other, so the High ferment cannot be used as the ferment for Bavarian beer, and, in fact, each wine and beer has its own kind of ferment, yet it is probable that many of these alcoholic ferments belong to one and the same kind of species, though become numerous culture varieties. I think, also, that amongst the bac- teria which act as ferments in different chemical and patho- logical processes, and consist only of a small number of independ- ent species, there may be found a much larger quantity of natural and culture varieties, which, however, keep with great tenacity their individual peculiarities, because they multiply only in the unsexual way. THE ORGANIZATION AND DEVELOPMENT OF BACTERIA. The following description defines the structure and organiza- tion of bacteria : " Bacteria are non-chlorophyl cells, globular, round, oval, cylin- drical or twisted, which multiply by fissation and which vegetate either singly or in groups." Bacteria cells contain carbonic acid and a usually colorless protoplasm, having a higher refraction than water, with slimy, oily granules. This protoplasm is flexible or contractible, as I have proved in the oscillaria ; the coloring of bacteria is due to pigments in the protoplasm. The refractive powers of the protoplasm differs from water, and hence bacteria iu large quantity make water appear cloudy and milky. The larger the 78 THE EPIDEMIC AT SAVANNAH. quantity of the bacteria, the more marked is this cloudiness. Pasteur attributes this cloudiness to the movements of the bac- teria. Generally, liquids filled with bacteria, appear milky, with a bluish tint and in thicker layers appear orange colored or smoky by transmitted light. As a rule, the degree of dimness in a clear liquid is a measure of the quantity of the bacteria. This is not true of thicker liquids, as serum and lymph, in which they are invisible to the naked eye ; further, a small quantity of them do not cause any change of color in the liquid ; therefore, we should not fail to make microscopic examinations in doubtful cases. With pigment bacteria, the water is colored. That bacteria have a cell membrane, is proven by their behavior when exposed to chemical reagents. They are not disturbed by potash, ammonia, or acids. This is attributable not to the free and exposed condition of the protoplasm, but to the cell mem- brane. In like manner this cell membrane resists putrefaction for an extraordinary long time, and agrees in this also with the cellulose membrane of cellular plants. With a strong micros- cope, one can plainly distinguish the cell membrane of bacteria ; for with a certain focus, the plasma appears somewhat black, bounded by a wide, yellow glistening ring. In some species, the membrane is tender, easy to bend, with a flexible protoplasm, in others it is stiff, retaining one form, and cannot be bent, so much so that Ehrenberg compared it to a siliceous coating, although he was well aware of the absence of any silicic acid. The stiff species undergo certain bendings when dead. The multiplication of bacteria is by partition, and in this wise. The cells elongate to nearly double their length, the plasma divides itself into two halves, and is permanently separated by a cell wall. Thus, two bodies are formed which adhere together for a longer or shorter period, or by the immediate decrease of the mother ceil and splitting of the partition, part, one from the other. Immediately thereupon the daughter cells begin another division, and thus their numbertincreases to an almost incredible extent, I believe that all the partitions which form bacteria cells, with the resulting subdivisions, run in parallel lines, consequently only one row of cell-chains can be found. A formation of branches, as'fDujardin and Hoffman describe and picture for vibrios and bacteria, is entirely#incorreet,£accord- ing to my observations; also a crosswise partitioning which wculd RESEARCHES UPON BACTERIA. 79 make the cells stand perpendicularly is never to be seen among true bacteria. This proves that the celebrated sarcina ventri- cate which have been found in the gastric fluids by Goods and by others, must be another kind of schyzomycetes. In smaller quantity this sarcina has been found in different organs, as (brain, lungs, etc.,) and outside the human organism, as for instance, on boiled potatoes, in dry yellow heaps. I myself saw a light yellow, dry speck of sarcina on a cooked white of an egg, on the 25th November, 1871, and even on the surface of a chemical solution (on the 2nd April, 1872,) in which orange colored bac- teria were growing, appearing as a yellow floating film. Pasteur found traces of sarcina on the sides of a vessel con- taining yeast water exposed to the air but a short time. This shows that the spores of sarcina often exist in the air, and propa- gate themselves under different circumstances and methods. Lately Losdorfer has discovered sarcina in the blood of both healthy and sick people, and I can substantiate this, as I saw, on the 19th of March, 1871, in a microscopic preparation of the blood of a healthy man of four days' standing, traces of sarcina, which were in groups of four, growing among the blood corpuscles. Although true bacteria may appear like sarcina at the separating point of any four-fold layers of their threads, I cannot find sar- cina in this relation, and will not touch on this subject again. As already mentioned, the divisions of a bacteria cell (the daughter cells) sometimes may separate entirely, forming single, so-called5 globular bacteria, or they may remain bound together in longer or shorter threads, as thread bacteria. In the first case, class or group, we find the single bacteria, during their division in pairs, in the shape of a figure 8. The number of the cells connected in a thread is, however, various, and depends partly on their specific nature, partly on their outside surroundings, consequently the lengths of the threads differ, sometimes appear- ing in two, four or eight divisions. The threads of bacillus subtilis are sometimes very long, and are then described as a special kind, under the name of leptothrix. It is not to be under- stood from this that all kinds of leptothrix (which are usually of a green color) are bacteria, or grow out of bacteria; but on the contrary, this is not proven of that kind of leptothrix which contain phyco-chromate; only the colorless fungus species of leptothrix belong to the class of thread bacteria. On such the divisions are hard to discern; in other cases the divisions are RESEARCHES UPON BACTERIA. 80 marked by slight indentations, and as the threads break very easily, the irregular ends appear ziz-zag when the divisions are torn apart. Most of the new discoverers are inclined to adopt the view that all bacteria are alike in their method of thread forming. Yet I am convinced to-day, as I was twenty years ago, that this is not the case, but that the bacteria are divided into two groups, which also, in their further development, show difference. For this rea- son the distinction of their generation must be observed. The daughter cells of the round rod-like bacteria separate themselves according to their partitioning; and, therefore, in a free position, appear single or in pairs, with now and then exceptional double- paired cells. But under certain circumstances the cell generations remain wrapt up in each other so that their cell membranes swell up to a jelly-like, refracting, intercellular substance, and through that bind themselves into larger elastic jelly masses. I have already called attention to this jelly mass in my essay on bacteria, in the year 1853, as a form of zooglea. These, swimming on the water, or spread out on a stand, formed irregularly round, clus- tered or skimlike jelly masses, in which the bacteria cells were more or less completely imbedded. In this zooglea jelly the bacteria continue to propagate by partition; and when the increase is very large, the young cells are extraordinarily crowded one on the other, while the intercellular substance is very little developed. In this form they appear as small, compactly filled jelly balls, of about ten mikrometres, and sometimes less than that. Later on, the cells soften and separate, and are imbedded in larger spaces. One can see with the naked eye that these jelly masses are colorless, swim- ming in flakes in the water, settling on the surface of the sides or bottom of a vessel. If the water contains iron in solution, the latter will unite with the jelly as iron oxyhydrate, in which case the jelly will be stained red-brown. Should there be pure sulphate in such water, the rust-brown zooglea jelly will become blackened. These are found in the dregs of foul pump water, or in ditches— black zooglea. In a group of globular bacteria the form of the zooglea is somewhat soft; the more so that they prove in the air to be dregs of interstitial substance in the vessels, or prove to be a covering for little infusoria. The bacteria cells which are imbedded in the jelly are not dead, as they in this condition not only freely multiply, but, through RESEARCHES UPON BACTERIA. 81 solution, are very easily freed from the jelly, and can then float upon the water. The second group of thread and spiral bacteria are never seen in jelly masses, as I have already said in my first essay, but spring up either freely strewn or in swarms. It is necessary to watch the formiug of a swarm in all bacteria, both of the rod and spiral kind, when they gather in innumerable masses in the midst of a fluid in search of richer food, or on the surface of the same, hun- gering for acids. Already has Lewenhoek and O. F. Miiller, and, la:er, Threnbey, shown us the wonderful appearance of a bacteria swarm, which often gathers under the microscope, around a small crumb. The bacteria swarm differs from the zooglea in that the cells of the latter are knitted together by an immeasurable amount of intercellular substance. Therefore the zooglea jelly forms, in water, a sharp, well defined lined border, because the bacteria cells are imbedded in a thicker layer at the edge of the jelly mass than in the middle of it. On the other hand, the thread swarms are composed of only free movable cells, often so pressed together that they touch, and therefore form a slimy mass. In moving water, the single cells divide themselves without any other assis- tance, as they are not bound together by any other substance. The swarm forming of bacteria is best seen in a sea acquarium, when a dead animal decays at the bottom of the water. It is soon covered by a white bacteria mist, which becomes wider from day to day, and is plainly seen by its contrast to the crystal clear water, and spreads in currents as a smoke cloud in the water. In still water, the bacteria propagate by partition more equally, because their food is more evenly distributed. In this case, one generally finds the bacteria swarms near the surface of the water, often a centimeter in thickness, like an oily stratum, which is dis- tinguishable from the deeper and thinner fluid on which it floats. It is plain that a craving for acids gather the bacteria here. Pasteur designates this form of bacteri i as mucor. On the surface of fluids in which bacteria multiply, there swims generally a very thin iridescent film, in which innumerable bacteria are arranged straight or entwined crosswise, or following each other in parallel lines. These films are called, by Pasteur, mycoderma. and are distinguished from zooglea, for in the latter the cells are bound together in round masses by an intercellular substance, while in the films there exists one single stratum with- out an intercellular substance. 6 82 THE EPIDEMIC AT SAVANNAH. Another form in which bacteria appear is that of pulverized sediment. As soon as the nourishment of a liquid is exhausted in which bacteria are developing, this ceases and the little bodies settle on the bottom of the vessel. The fluid clears day by day, so that the surface first clears like the settling of very light pow- ders. At the bottom of the vessel the bacteria heap themselves up into a white, always thickening, stratum, which appears to the naked eye like a sediment of fine, slimy clay. The bacteria sedi- ment is diffused by shaking the fluid, and gradually dissolve until the fluid becomes clear again. The number of the bacteria is pro- portioned to the amount of food in the liquid, and it is not diffi- cult to get in a reagent cylinder containing ten grammes of food— a settlement of five centimeters. Indeed, it would be no hard matter to get bacteria sediment by the pound. In this sediment are all kinds of species mixed together, which are not altogether dead, for by seeding them in a fresh liquid containing their nourishment, these kinds of bacteria multiply very quickly, like yeaet cells. It is therefore possible that in all waters these kind of bacteria are found, which begin to develop as soon as food is offered them. This change of specific gravity of bacteria is very strange, because so long as they are movable in the water they must have the same specific gravity as water. Perhaps the cause of their gathering on the surface is that they are lighter than water. It is the opposite, however, when the transition is to a quiet form. They then become heavier than water when possibly they have formed the lasting cells (Durosporen) and a thickened plasma. In sweet liquids prepared after Pasteur, the bacteria form and settle very slowly. I have sometimes found the fluid remain milky after six months. In the sediment, of course, are dead bacteria, which one detects by the decaying of the plasma and the absence of oil granules. A rottenness of bacteria, which destroys their bodies, very seldom happens, for the bacteria sediment will remain unchanged for many months, perhaps for an indefinite length of time, which is evidence of the presence of a hard cell membrane, and is entirely different from infusoria, which, in decaying, entirely dissolve. Bory remarked, in 1824, that dead " vibrio bacillus," in thou- sands, kept themselves unchanged for years in a corked bottle. Ehrenberg is mistaken in doubting this. Most bacteria have an active and a motionless state. Their movement is a rotation on the longitudinal axis, and is accom- RESEARCHES UPON BACTERIA. 83 panied with active and passive bendings and stretchings in the length of the thread, but is never serpentine. All the different movements are governed by this law. Bacteria can, through a simple change of rotation, move backwards and forwards. No morphological distinction of front and rear can be determined. Bacteria have no special movement organs, and none have yet been discovered. The motion of bacteria is not more or less won- derful than their entire analogy to oscillaria. Of the movement organs of spirillum, recently discovered by me, I will speak later. The movement of bacteria seems to depend on the presence of acids. When acids are absent bacteria go over to the motionless state. But without recognizable cause rest and motion change at short intervals. The active condition is lasting when the bacteria are bound in jelly-like masses or films. The movement is never noticed with round bacteria and certain thread bacteria. It is doubtful whether bacteria form spores or conidia. In the stillness of sediment or slime masses we sometimes find bacteria cells which have a strongly giittering, oily substance in them, and seem to be "cells of duration." Perhaps those wonderful bacte- ria, which are said by some to possess a tail and head, are nothing more than " duration cells." I found them in 1851 in great quan- tity in an infusion of dead flies; also in spoiled paste, white of an egg and other spoiled liquids. Numerous round or oval bodies, with a strong, oily appearance, are sometimes found among them, such as expand into short, tender threads. They swim like bacil- lus subtilis, of which they remind one. These are the only developing conditions in bacteria that I have been able to discover. After mature study, reviewing their classification, I do not intend to settle on the difference between natural species, form species and physiological species, or to give a complete enumeration of all existing species. I rather intend to revise and classify a number of forms which appear to me to have a right of recognition, because they deserve a more special study. I shall submit a critical revision of those species which appear oftenest and have been noticed by many, and I shall at- tempt to show their difference in a much stronger light than has been done before. I hope such an effort will not be useless. In the midst of the chaos and confusion of other descriptions I have also tried to picture and engrave certain species, always using the same magnifying power. Works about bacteria and similar organisms, unaccompanied by plates and pictures, I consider use- 84 THE EPIDEMIC AT SAVANNAH. less, because they cannot fix the forms, while the characteristic but unfinished plates of Lewenhoek and O. F. Miiller make these forms recognizable. I classify bacteria into four (4) groups, of which each consists of one or more specie. Not to confuse the nomenclature, I have kept throughout the old names of the species, though I have clas- sified them distinctly according to other principles. 1st Genus.—Sphero bacteria, (globular bacteria.) Species— micrococcus, 2d Genus.—Micro bacteria; rod bacteria. Species—bacteria. 3d Group.—Desmo bacteria, (thread bacteria.) Species—ba- cillus. Species—vibrio. 4th Group.—Spiro bacteria. Species—spirillus. Species—spi- rochete. 3. GLOBULAR BACTERIA. Globular bacteria can be classed according to the shape of the cells as globular or oval. Tuey are of a minute size, less than 1 micrometer. Granular contents are not noticed, but a double outline membrane. In consequence of their method of partition the cells are connected in couples, and are narrowed at the point of partition. When the partitioning continues there occurs short chains of three to four, or eight or more links, which are either straight or crooked, and in consequence of their being drawn in show the form of rosaries. These chains, therefore, differ from the leptothrix forms of thread bacteria, which has no hour-glass contraction on their links, just as the thread of the nostoc species differ from those of the oscillaria. Hallier has proposed the name of micothrixfor the rosary forms of the globular bacteria; I call them torulaform. The globular bacteria may be found in two stages of develop- ment beside the rosary form. The cells which form a chain are subject to a displacement, because, no doubt, the intercellular substance which connects the links is soft; therefore, the chains appear irregular, bent zig-zag, and single links lay themselves the other way, and thereby, when the partitioning continues, there occurs a confused mass, bags and colonies of cells which consist of a large number of cells, and show in irregular ranks. You would hardly think the origin of such colonies to be a single RESEARCHES UPON BACTERIA. 85 little globule, if you did not see the different stages of develop- ment of the globular bacteria in small-pox lymph, though it may be also found in different kinds. It is often the case that these daughter cells, which occur from the partition, place themselves close to the mother cells, without adhering in chains, and connect themselves with these through their intercellular substance without adhering in chains. In this way there occur heaps of innumerable globular cells, which form jelly-like sheen masses, which are often exceedingly tenacious, extensive threads drop-like, or membranous. This sheen formation may be especially observed with the pigment bacteria, which grow in the open air ; but it is also the usual form of those species occurring in pathological processes which overgrow in thick layers the sick organs, or which encamp in the interstices of the lymph vessels and other tissues. This construc- tion corresponds with the zooglea form of rod bacteria, but as a rule differs by the smaller development of their intercellular substance, in consequence of which the globular cells are close pressed on top of each other, and show under the microscope a very charac- teristic, closely dotted and finely granulated appearance. Pasteur gives the globular bacteria different names. Those with single or double cells he calls monas; the gelatinous masses he calls mycoderma; the rosary threads he calls torulace. Under the latter name Van Tieghen gives them the name of torulace. Ehrenberg calls the globular bacteria, monads. The infusoria, without color, he calls monas crepusculus. Those which produce a red pigment he call monas prodigiosus. Hoffman also calls globular bacteria by the same name and plates them. The globular bacteria cannot be called monads for the following rea- sons: The species monas includes, in its present grouping, two different beings ; on the one hand, zoospores of water fungi, myxomycites and others, which are mouthless, and on the other hand infusorias, which, with a mouth, take food particles. Both forms are either globular or oval, and colorless, moving by the aid of a tail end. But there is no tail end to the globular bac- teria as far as I can see. They have no spontaneous motion, and they only show some molecular motion, which may be very swift with these small and light bodies and easily mistaken for a spon- taneous motion, especially if true monads involve the globular cells in their motions. On account of the want of spontaneous motion, Schrceder gave 86 THE EPIDEMIC AT SAVANNAH. the globular bacteria, which produced pigments, the same names given by Darwin to the motionless rod bacteria of splenic fever blood. Splenic fever bacteridie differ from globular bacteria en- tirely, either in rod or thread forms. They cannot, therefore, be classed with globular bacteria merely because they are wanting in motion. It is not improbable that Hallier understood by his micrococcus, the same organisms, which I call globular bacteria. But Hallier's description of the micrococcus, as proved by Hoff- man and DuBarry, is so filled with false ideas and uncritical hy- potheses, that it is almost impossible to pick out his correct obser- vations. Setting aside forms and motions, the globular bacteria differ from the staff bacteria by their functions. " Bacteria termo " is the ferment of putrefaction, globular bacteria are also ferments, but do not produce putrefaction, only a decomposition of another kind. As a rule, they struggle for their existence on the same ground with the putrefaction bacteria, and if they succumb their products, are destroyed by the latter. As it is difficult to class the species micrococcus by the form and size of their cells, but easy to class them by their physiologi- cal functions, I give here the following three groups, chromo gene, zymogene, and pathogene or pigment, fermentation and contagium generators. Globular bacteria, which occur in a colored gelatinous mass, I call pigment bacteria. All pigment bacteria vegetate in the zooglea form ; that is, they form a slimy mass, which, in conse- quence of the enormously quick multiplication of their cells upon the surface of their sometimes fluid, sometimes solid organic food substance, envelope themselves in a colored slime. The pigment is brought out by contact with the air, and appears first on the surface, and by and by gets more and more embedded in the depth of the water. All pigment bacteria give an alkaline reaction ; some of the mixtures in which they multiply have been originally acid or neutral. Alkaline reaction will ai%ise as soon as color is pro- duced. According to Schrceder, the production of acid precedes alkaline reaction, and by overgrowth of the alkaline material the pigment is destroyed. Boiled potato slices, are an inexhaustible source of pigment bacteria when left exposed to damp air. After a short while a RESEARCHES UPON BACTERIA. 87 slimy colored mass forms upon these potato slices ; hence we suggest the air carries the spores of pigment bacteria. According as the pigment is soluble in water or not, pigment bacteria fall into two groups. In the second group the pigment consists of protoplasm and intercellular substance (zooglea). In the first group it develops in the medium in which it vegetates. The first class have yellow and red pigment. The second class have orange, green and blue. Of some colors we are not yet certain. INDISSOLUBLE PIGMENT. 1. Micrococcus prodigiosus. 2. Micrococcus luteus. SOLUBLE PIGMENT. 1. Micrococcus aurantiacus. *** 2. Micrococcus chlorinus. *** 3. Micrococcus cyaneus. *** 4. Micrococcus violaceus. *** 5. Micrococcus uree, ammonia ferment. It is known that fresh, normal urine is clear and a little acid; that in getting cold it precipitates a sediment of urate of soda and other sediment, and at the same time it becomes non-acid. After four or five days, and sometimes sooner, according to circumstances. it becomes alkaline, and is subject to a fermentation, in which the urine decomposes and produces carbonate of ammonia. It was supposed long ago that a ferment was the cause of the alkaline fermentation, but Pasteur gave us the proof that this was an organism and communicated from the air, as boiled urine pro- tected from the dust remains unchanged and acid after months, and, as Pasteur has lately shown, after many years. He also showed different organisms in the alkaline urine, as mould fungi and bacte- ria. There is one structure, however, he shows with great proba- bility to be the especial ferment of alkaline urine, by which the urine is changed into carbonate of ammonia, and in consequence the alkaline urates and phosphates of ammonia and magnesia are produced. This ferment is, according to Pasteur, torulaceoe formed globular cells, in rosary shape, of \\ micrometer diameter. Van Tieghen proves by experiment that Pasteur's idea was correct, by showing that in urine diluted with a ferment water, in which was some of the rosary-formed urine ferment, which he also calls torulaceoe, urea and uric acid disappear in thirty-six hours, and 88 THE EPIDEMIC AT SAVANNAH. are changed into carbonate of ammonia. Other ferment organisms do not produce ammoniacal fermentations. For instance, beer ferment put into urine produces alcoholic fermentation. Van Tieghen also found that hippuric acid was changed into benzoic acid and glycollamine by urine ferment, probably identical with torulaceoe. Pasteur gives us a new and better plate of urine ferment. He thinks it is identical with the one he has shown in slimy thread forming wine, whose rosary threads consist of globular cells of 2-10 micrometer. My own observations corroborate his discoveries. Fresh acid urine, after having stood open for two days at a temperature of 30 deg. centigrade, shows a discoloring and a development of globular bacteria, which swim about singly as globular or oval cells, or are attached to each other in chains of two, four or eight links, torulacee-form. With the chains of four or eight links, I could see a somewhat larger interval between every two cells. The reason for this is that each two spring from a mother cell. The cells do not always lie in straight lines, but shifting zig-zag or crosswise form groups. The diameter of the single rather large globules, I determined to be 1J to 2 micrometers. They show molecular motion only, whilst rod and thread bacteria, show a quick, rolling rotation motion. A few days later they generally have become motionless, though they continue to mul- tiply just as fast. PATHOGENIC GLOBULAR BACTERIA. Pathogenic globular bacteria develop another series of physio- logical functions, which we consider to be the ferments of contagia. It is not my intention to specially mention every case in which, during the last four months, bacteria have been found in quite differc nt pathological processes of contagious nature. I will only point out those which I know myself, or about which observations of scientific importance have been published. MICROCOCCUS VACCINLE — SMALL-POX BACTERIA. In my essay on the organisms of small-pox lymph in 1872, 1 gave a detailed description of these little bodies, which, minute globular and connected in pairs, are found in perfectly clear and fresh vaccine virus ; also in the lymph of variola pustules in excessively large quantities, and also have been observed before RESEARCHES UPON BACTERIA. 89 now with more or less accuracy, especially by Keber, Hallier and Zinn. By enclosing fresh lymph between an object and cover glass, which have been very carefully cleaned, and at once sealed by asphaltic wax, the lymph was protected from contact with foreign germs. In such a preparation of vaccine lymph, placed in a crucible heated to 35 deg. centigrade, after a few hours, the single globular cells have multiplied into rosary cells of two to eight links. By.shifting of the single members and the continued parti- tioning, irregular groups of all imaginable combinations occur. In the course of several days irregular cell heaps of colonies of 16 to 32 and more globules were found of 10 micrometers, or even more, in diameter. Micrococcus cells of pock are in all cases motionless. I could not find a permanent difference between those of the vaccinia and variola, and therefore would call them different culture races of one and the same genus. I could not measure the size of the globules, still I put them at \ a micrometer and less C. Weigert, in 1871, before my researches, discovered in the . dead bodies of small-pox patients the capillaries of the skin filled with very small globular bodies, which adhere close together, and which I do not hesitate to consider identical with the micrococcus of the lymph, according to the preparations which he has shown me. It seems as if the pock bodies get out of the lymphatics into the lymph of the pustules. If you preserve pock lymph in sealed glass tubes, it keeps its activity longer. Large flakes form, visible to the naked eye, which are considered the principal effective ingredient of the lymph, and was produced by the multiplication of the pock bodies, by adhering and sticking together. The occurrence of large globular cells, with oily contents, seems to show a formation of permanent cells. MICROCOCCUS DIPTHERICUS--DIPTHERITIC BACTERIA. I shall base what I have to say upon the important observa- tions, microscopical, chemical and experimental, made by Oertel, in 1871. As early as in 1868, Buhl, Hunter, and Oertel saw a massy, fungus vegetation in diphtheritic membranes, which Oertel calls micrococcus. In his newer woru, he proves the enormous spread of this micrococcus, which appears without exception, in all cases of diphtheritic sickness, upon the mucous membranes of larynx and trachea, equally also in the 90 THE EPIDEMIC AT SAVANNAH. lymphatic vessels and in the capillaries which surround the lymphatics, between the meshes of the fibrous connective tissue, also in the fat cells in the kidneys, in the muscular tissue, and also in the blood itself. The micrococcus of diptheria, consists of oval shaped granular formed cells of ^ up to 1 TV microme- ter, which are sometimes single or cling together in couples or rosary chains of four to six links, and are also found in im- mense multiplication like colonies on the surface and interstices of the tissues of the sick organs, forming globular masses, cylindrical or in nests. The plates which Oertel has added to his work leaves no doubt that these fungi belong to the globular bacteria. Oertel mentions a second movable state of his micrococcus, which he calls micro- coccus rocket like. He says that the round shaped bodies single or in couples, or in torula chains, rotate or move like screws and have partly single or double fly-thread. In the blood of such people, Oertel found an innumerable quantity of moving bodies) really rod bacterias, by their shape. The principal and most important part of Oertel's observations lies in the proof that the micrococcus colonies degenerate and destroy all the tissues and muscular fibres around which they entwine themselves and pene- trate. The fungus growth spreads especially upon the mucous membrane. They besiege the cells, enter into the young exuda- tion cells, and cause a slow disintegration. They fill the capil- laries and lymphatics, and cause, in a mechanical way, the arrest of the circulating fluids, which must lead to a serious exudation, as they choke up the capillaries and produce arrest of the blood circulation, thus producing a destruction of the material of the walls of the capillaries and even a tearing of the same. In very violent sickness, enormous quantities of fungi in the uriniferous tubules and Malpighian corpuscles of the kidneys are accumulated, which causes a general diseased condition of these organs. The urine is exceedingly full of these fungi, which are excreted from the organs. It is evident that diphtheria, as a rule, is found in the mucous membrane of the trachea, as these are exposed to the attack of the micrococcus germs, which no doubt, are conveyed by the air. But the experiments of Oertel upon animals, have shown that by vaccinating the exudation infected with micrococ- cus heaps subcutaneously or upon open wounds of the different parts of the body diphtheritic sickness is invariably caused. Diptherica is not a local pathological process, though it may RESEARCHES UPON BACTERIA. 91 commence with it; it is a general sickness by infection, which spreads, radiating over the whole body, starting from the focus of infection which bears all proof of blood poisoning. If the poison commences from a contagium, its bearer, as vaccinating trials have shown, is the micrococcus cells. The effects of these organisms are specifically different from the general putrefaction ferments, as vaccinations with putrifying material has never been able to cause an attack of diphtheria. Inflammation of the wind-pipe can be also caused by administering a few drops of ammonia. In this case those fearful distructions do not occur which characterize the diphtheritic infection sickness, and which belongs to the power of the micrococcus. By eliminating the micrococcus cells in the urine a slow process of recuperation is introduced. MICROCOCCUS SEPTICUS. Under this name globular bacteria have been proved in the last two years, especially by Leyden, Jaffi, Buhl, Traube and others to be present in different putrid sicknesses of men. The influence of these organisms is the cause of pyemia and septicoemia, as also the form of sickness called mycosis intestinalis. Klebs, found in the secretions of wounds small globular cells of \ micro- meter, motionless, close together, in heaps or connected into rosary chain threads. The same organisms of zooglea form, inhabiting the granulating surfaces of ulcerating cartilages, (On Gunshot Wounds, 1872) he calls microsporon septicum. These structures entering the plasma cells of the tissues cause inflammation and suppuration of the bone. In traumatic osteomyeletis entering into the vessels, they fill the same and get into the blood, and are deposited in places where the circulation is slower. All around they cause inflammation, suppuration and abscess formation. They cause by their vegetation, or by a ferment which they have, a chemical change in the wound fluids, or in the blood, whose product the fever-creating power differs very much from common putrefaction. Experiments corroborate the contagious effects of these organisms. The wound fluids, if filtered through clay cylin- ders lose their poisoning effects. The same organisms Klebs also found in septic processes. Observations by Richinghausin of the million fostering poison of pyemia, typhus and other sicknesses, which are caused by bacteria, agree with this. Klebs, besides movable globular cells, mentions the presence of staff-like bodies 92 THE EPIDEMIC AT SAVANNAH. of oscillating motion, connected to long threads and motionless. But Orth denies that putrefactive or rod bacteria are accom- plices of the septicoemic processes, and refers them to the patho- genic effect of the micrococcus spores, which doubtless belong to the globular bacteria. MICROCOCCUS BOMBYCIS. Regarding these little bodies I am compelled to refer to Pasteur's researches, as I have not studied them myself. Pasteur shows in a series of essays published since 1868, in the transac- tions of the Academy of Paris, that a very severe epidemic took place during recent years among silk worms in the south of France. This epidemic is entirely different from the Muscardine or Gattine, and these animals dying of this sickness were designated as morts plats and morts blancs. The cause of this sickness is a ferment " en chapelet," or neck- lace, similar to the one found also in other fermentations, consisting of little globules bound together in two, three, four or five links of one micrometer diameter, which, together with monads, vibrios and bacteria, are found in great quantity, especially in the intestinal tract of the sick worms, but which cannot be founi in the healthy ones. Although a closer investigation might yet be desirable, there can be no doubt that these corpuscles " en chape- let" are the torula form of a pathogenic species of globular bacteria. GENERAL CONCLUSIONS. In reviewing these observations which I have made upon the micrococcus or globular bacteria, it will be found that these little organisms are of great importance, both in a chemico- physiological and a pathological point of view. The latter would appear of greater value if the material of investigation would permit in all cases the distinguishing of globular bacteria from rod bacteria. I refer particularly to observations about the existence of bacteria in pyelo-nephritis, typhus, cholera, scarla- tina, measles, tuberculosis, farcy, rinderpest, etc., etc. But I must particularly call attention again to the observations of Pollander, Brauell, Davaine, and more recently of Bollanger, who state that in the highest states of contagious sicknesses amongst animals in the splenic fever and pustule maligne of men, not globular bacteria, but motionless thread bacteria are the cause. We are therefore, not safe in regarding all pathogenic bacteria as globu- lar bacteria. researches upon Bacteria. 93 MICRO-BACTERIA—ROD BACTERIA. The second group of bacteria I have called micro-bacteria or rod bacteria. They are similar to globular bacteria in the small- ness of their cells, and their union into gelatinous or slimy masses. But they differ without regard to their physiological functions by their short cylindrical shape and the spontaneous motion of their cells. Iu this genus I only recognize one species, which I call bacterium in the most limited sense. The organisms belonging to this species consist of short cylindrical or elliptical cells, which hang together in couples during their partition. After the partitioning is completed, the daughter cells separate, while sometimes they still adhere to each other at an angle. Rarely the daughter cells commence to partition themselves before they have isolated themselves, and then we may see four cells in one line Under favorable conditions of sufficient food and car- bonic acid, they have a vivid spontaneous motion, but in such a way that states of rest are succeeded suddenly by states of motion. They form no chains nor threads, therefore they never appear in leptothrix nor torula form, but in vegetating unite into gelatinous masses, which differ, as said before, from the slimy films and heaps of the globular bacteria by the much more plenti- fully developed and firmer intercellular substance, and, therefore, they do not show the fine granulated appearance of the slimv masses of micrococcus. The rod bacteria may easily be con- founded with free globular bacteria on account of their minute size, or with single individuals of thread bacteria; still I am convinced that they are independent organisms, which do not originate from these last, nor do they develop into them. It is very difficult to distinguish apart the different kinds of rod bac- teria, and the number of the species is very large. On boiled potato slices there vegetate also slimy masses of rod bacteria of characteristic spindle-formed shape. Ehrenberg, in his work on infusoria (1838), gives us three kinds of bacteria; eight kinds, which he formerly named, he abandoned ; even still the three kinds which he retained cannot now be recognized. Two of them, bacterium puncturm and bacterium enchelys, have been found only in Russia, and marked with ? by Ehrenberg himself, and the third one, bacterium triloculare, been observed in the oasis of Ammon and in Berlin. I have made two species, to-wit : Bacterium Termo and Bac- terium Lineola. 94 THE EPIDEMIC at savannah. 1 B. Termo : Ehrenberg in 1830. We may thank Dujardin for a more accurate description of these bacteria, whose character he gives as follows : Form, cylindical; length, two to three micro- meters ; thickness, \ to l-5th of this size ; often connected in couples with a trembling motion. This species Dujardin calls the smallest of all infusoria. It appears, as he says, very often in infusions of animal and vegetable matter, at the commencement of putrefaction as innumerable, forming swarms, and before other kinds multiply, to which they form the food. Again, they are found in abundance as soon as the infusion commences to smell to such a degree that no other kinds can live in it. In the trans- actions of the Berlin Academy, Ehrenberg, in 1830, first called attention to what he called Bacterium Termo, which he found in infusions of hay, of blood, or other substances In his large work on infusoria, in 1838, he gave them the name of Vibrio lineola, because it is capable of slower snake-like motions. Dujardin declares that his Bacteria Termo is also identical with the one 0. F. Miiller found in an offensive infusion after twenty-four hours, and which he called monas termo, whilst Ehrenberg understands by monas termo a true monad. The description and plate of Bacterium termo which Dujardin particularly gave us, is so charac- teristic that this kind can be easily found anywhere, although their sizes vary very much. In my essay of 1853, I have treated of the history of their development, and especially of their grape- like, globular, gelatinous, zooglea form, to which Perty calls attention in his book entitled " The Smallest Organisms," 1852. The motion of the bacterium termo does not vary much from the motion of other bacteria. The cells turn about their long axis, swim forward, and, without turning, swim back again, or go through the water in a curve ; usually, not quickly, but trembling and tottering, shooting with a quick jump, like a rocket; sometimes rotate on their short axis, like the handle of a gimlet; sometimes as quick as lightning, like a top ; then again resting for a while and then run away altogether, suddenly. If one infusorium swallows swarms of bacteria termo, you may see them moving about vigorously in his stomach. The cells of bacteria termo are short, cylindical and oblong, the contents according to the medium, being bright or dark. The cell membrane is com- paratively thick with a common medium ; they appear like very tender, dark lines, bound by a bright margin. We almost always find them with their partitioning more or less advanced or RESEARCHES UPON BACTERIA. 95 connected as couples. They are only 1\ micrometer long and only |or| as wide. The double cells are of course twice as long. In innumerable myriads they fill the water as soon as putrefaction has begun, sometimes so thickly that the water will become a living jelly. They multiply generally as long as the putrefaction proceeds, and disappear as soon as putrefaction is passed. From my own experience, and the observations of others, I have come to the conclusion that bacterium termo is the ferment of putrefaction ; that, indeed, no putrefaction can commence without bacterium termo, or can proceed without their multiplica- tion. I even suppose that other bacteria, although they might take part in the putrefaction processes, take only a secondary part while bacterium termo is the excitor of putrefaction—the true saprogene ferment. BACTERIUM LINEOLA—VIBRIO LINEOLA OF EHRENBERG. Under this designation I understand those rod bacteria, which are similar in all regards to the B. termo, but are much larger, and not only longer, but also, in comparison, wider, for which reason, I do not consider them a development form of the B. termo. I find them in swill water and in stagnant water, even though no putrefac- tion has been noticed, and also in slimy heaps on the surface of potatoes, and in infusions of different kinds. The cells are clearly cylindrical, about four times as long as they are wide, occasionally crooked, and possessed of strong, translucent, soft contents, filled with fatty granules, and therefore dark punctated. Their length is 3.8 up to 5£ micrometer; their width is 1^ micrometer. They are found singly or hanging together in couples, sometimes form- ing crooked double rods ; exceptionally, also, two double pairs3 but never forming longer threads. They move like B. termo, but stronger, trembling with the one end as if they had a tail, or swimming about in curved lines forwards and backwards; then they jump a little, and again continue their circles, or rotate around one fixed point, like the arm of a lever. B. lineola forms zooglea jelly of a similar kind to B. termo, as I have stated in 1853. I observed in such zooglea that the motionless little rods, being imbedded in the water-like jelly, suddenly com- mence to turn, make with one end a motion like a gimlet, and swim away. Double rods, being in the state of partition, came out of the jelly and moved away. If the single rods are some- what bent, or the double rods have knees, they make, in rotating, 96 THE EPIDEMIC AT SAVANNAH*. a snakey motion, which caused Ehrenberg to put these senseless cells amongst his vibrios. Ehrenberg at first called them bacte- ria; later on vibrio tremulens, and gives the size as ^-fg- of a line, that is, 7 to 8 micrometer; but the size of the vibrio lineola is put at 7i_ to TUVo of a line> taat is> 6 to 2 micrometers, so that he seems to mix together the smaller forms of the bacteria termo with the larger B. lineola. I have, therefore, with Dujardin, kept the name of lineola for the larger form, but called it a special kind of the genus bacteria. It is possible, however, that I shall include several species in the bacteria lineola, and that especially a large and elliptical form may be designated bacteria tremulens. Whether the bacterium lineola is a specific ferment I cannot say. To the true baeteria belong, also, according to the opinion of Hoffman and others, the ferment of lactic acid. Pasteur, the discoverer of the milk ferment, describes this as champignon, short, slightly drawn in about the middle, as if two points had been connected together. The plate shows the bacterium termo, and also chains of four links are found, which show a globular bacteria form. My observations about the ferment of lactic acid have not yet been brought to a close. If you observe with the microscope the souring of milk, butter globules of all sizes and pseudo bacteria, obstruct every clear view. Soon, besides other organisms, globular B. and B. termo appear, later on, also oidium lactis. If sugar of milk is exposed to the air, with a warm temperature, in a few days it becomes dissolved and sour, innumerable bacteria form, which after awhile make a thick chalk-like sediment. It must be left to later observations which of these organisms is the true ferment and which are only secondary companions. As in the souring of milk a large num- ber of different processes occur, the fermentation of each ferment is difficult to state. I myself found in the souring of milk globu- lar cells similar to those in urine ferment, like those with rosary chains, hanging in torulce form, of two, four or eight cells. A solution of sugar of milk on the 20th of February was discolored, on the 24th was sour, on the 27th its sediment consisted of globular beer ferment of rosary chains, 1| to 2 micrometers diam- eter. Pasteur says that the souring of milk is caused by the lactic acid, which is formed from milk sugar. But alkaline and neutral milk gets sour also if it comes in contact with vibrios, which show an active power analogous to the lob upon caseine. These vibrios, which cannot be killed by boiling, but die at 105 deg. centigrade, ALCOHOLIC FER: SACCHAROMYCES. *> 2> 3> 4, 5> °»—Saccharomyces Acrevisise. 9 —Saccharomyces Mycoderma.—Pasteur. io—Mucor Racemosa. u—Mycoderma Aceti—Vinegar Ferment. I2> I3»—Organic Corpuscles of dust found by Pasteur in ordinary atmosphere mixed with amorphous particles. " On Fermentation," by P. Schutzenberger. RESEARCHES UPON BACTERIA. 97 are the bacteria of butyric acid. The name is bacterium subtilis. If milk which is sour becomes alkaline after a long time from putrefaction, egile bacteria form, according to Hoffman. The true ferment of acetic acid has never been determined, botanically. Former observers, for instance Kutzing, describe the mother of vinegar as algous jelly, in which an enormous quantity of globular cells are imbedded. Pasteur describes acetic acid ferment as mycoderma aceti. It consists, according to him, of short constructed members of 1\ micrometer, twice as long as wide, in rosary shape, often extended into long chains, forming a thin film on the surface. According to Pasteur, acetic acid ferment is similar to lactic acid ferment, perhaps identical with it. The members of lactic acid ferment are, however, longer and constructed less regularly. Generally we call this peculiar form of; ferment fungi—vinegar ferment (atrococcus), whose true-like cells are oblong or cylindrical, and swim on the surface of alcoholic liquids which have become sour, especially beer. Pasteur plates this atrococcus as a wine ferment, which he calls mycoderma vini. He says that this mycoderma has no part in the formation of vinegar. It rather antagonizes the development of vinegar ferments and develops bouquet of the wine. Rees, also, who describes and plates this ferment as an especial kind, under the name^of saccharomyces mycoderma, thinks that they have no part in the formation of vinegar. Vinegar and lactic acid ferments need further investigation. I find that beer which has become sour, is discolored throughout and covered with a film, whose discoloring consists of oval sac- charomyces and elliptical mycoderma, and an enormous multipli- cation of moving elliptical bacteria, similar to the bacteria termo but somewhat larger than the usual form, hanging together generally in couples, rarely in four if two just parted cells are again parting. Their motion is sometimes trembling, sometimes gliding, sometimes moving, screw-like, sometimes spinning like a top. If the acetic acid ferment multiplies, they lose their spon- taneous motion and only show molecular motion. These rod bacteria fill the whole fluid ; and I find rarely bacillus threads ranged into lepthothrix threads. The film on the surface iH formed of the same bacteria in motionless, parallel, straight and crooked lines, and this form Pasteur has placed under the name of mycoderma aceti. We also find globular, zooglea 7 98 THE EPIDEMIC AT SAVANNAH. masses, thickly filled with elliptical bacteria, partly belonging to a micrococcus species, and formed of round dots. Certain rod bacteria seem to act as chromogene ferments, The pigment of yellow and blue milk are added since Ehrenberg's time to the physiological functions of bacteria (vibrios). Schroe- der describes these as bacterium xanthimum, being the bacteria which produce the blueish green pigment of pus. 7—THREAD BACTERIA—DESMO-BACTERIA. This third genus of the bacteria comprises two species; the first of which having straight threads I call Baccillus, the second with curled threads, I call vibrios, which old name how- ever, is to be taken in a new sense. All thread bacteria consist of long cylindrical members, which if they are isolated, are similar to bacterium lineola, but multi- plied by partition, form longer or shorter threads. These threads are not constructed at their points of junction like the rosary chains of globular bacteria, but are throughout round, like our long-jointed stick, as the oscillaria. In this state they are called lep- tothrix threads. Thread bacteria often form swarms, but never zooglea jelly mass, as I asserted in my essay in 1853. States of motion and rest alternate with them, according to the presence or absence of oxygen, or the reaction of the medium or other cir- cumstances. Certain species seem to be without motion. It is difficult to separate the different varieties of thread bac- teria. The differences which we do observe are mostly due to the strength of their threads, which vary from the finest hair, which cannot be measured up to the thickness of 1^ micrometer, and also to the length of their threads, which depends on the number of members connected in a chain. They have more or less flaccidity, which is entirely missing in some forms and very evident in others, similarly to the flexile beggiatoa. They have either straight lines or a wave-like curve to their rigid threads. The wave-like threads often deceive in their rotations, simulating an undulating or snake- like motion, and thereby have caused Ehrenberg to call these germs vibrio, when this motion is really only an optical illusion. The real motion, which is observed only in long threads, is partly passive, partly spontaneous, but only like oscillarium threads, turning in irregular chains—turning the whole thread and stretch- ing it, but never changing the unyielding waves. There are two genera. RESEARCHES UPON BACTERIA. 99 a.--STRAIGHT THREADS GENUS BACILLUS. Threads very thin with motion : Bacillus subtilis. Threads thicker and stiff: Bacillus ulna. To this also belong the bacteridia of splenic fever, called bacillus anthracis, which must be classed with bacillus subtilis, according to its morphological construc- tion, but must be classed as an independent variety, on account count of its pathogenic importance. b.--THREADS CURVED IN WAVE FORM GENUS VIBRIO. Threads thicker, with simple motion, vibrio rugula. Threads thin with complicated wave motion, vibrio serpens. a.--GENUS BACILLUS. 1. Bacillus subtilis. (Vibrio Subtilis Ehrenberg.) (Butyric acid Ferment of Pasteur. Ehrenberg found this variety to be stiff and straight when at rest; to be swimming in straight lines, and trembling when in motion; but without a serpent-like movement, which he thinks is caused by the shifting of the cellular membrane of the thread. They measure -£% ssv (60 micrometers) in length, their thickness is ^Vo vv\ but the plate also shows little rods of only | or \ of this length. Dujardin ranks the vibrio subtilis amongst the doubtful species, which he does not consider animals but oscillaria. I find that Ehrenberg's form is a widely disseminated species found in infusions together with the bacteria termo and other bacteria ; it is present also in butyric acid fermentation and in other conditions where the bacteria form is not found. The threads are very thin and minute, so that the joints of union of the cell members cannot be recognized, except that you can see when the segments separate, that these segments are as a rule six micrometers in length. These segments we find some- times isolated, in which case they are distinguished with difficulty from the bacteria lineola. Generally they are found in pairs of twelve micrometer lengths or in triplets, and then sixty microme- ters in length or in longer extensions. I have measured threads of twenty-six, forty, sixty-six, and even one hundred and thirty- two micrometers; the latter may have consisted of more than twenty lengths. The thickness of the threads cannot be measured easily, it is so to say of gossamer delicacy. The contents show no granules. The threads are very active, or flexibly passive, which lends to their motions a peculiar character. 100 THE EPIDEMIC AT SAVANNAH. They swim in straight lines with alternate restings, with a cer- tain clumsiness; sometimes quick and active, as if trying to find their way through obstacles like a fish trying to find his way through water grasses; then they remain quiet for a little while, suddenly the thread trembles and swims backwards without turn- ing, and will soon swim again straight ahead. It is very difficult to prove that they turn constantly on their long axis; it is only to be noticed by a certain trembling of the threads; if one of the links in the act of partition is somewhat bent, this motion on the long axis becomes clearly visible. As a rule, the threads have a pendulum motion at a varying point of beginning. When the pendulum motion is very quick the flexible threads are passively and actively bent by the resist- ance of the water; longer threads show spontaneous flexible curves. The two ends approach each other like the ends of a bow, then the bow bends to the opposite extreme. Again, it stretches itself straight; if the threads are very long, several curves follow each other like waves; a true, short, serpentine motion is not found. Observing the thread for sometime under a cover glass the motion becomes slower and the intervals of rest lengthen, though the motion does not cease altogether. I have expressed the opinion that this kind might form only cells or gonidia, and that these globular, or oval gonidia, might be developed when germinating into movable tailed forms just as I have shown on my plates. Pasteur describes the ferment of butyric acid fermentation which he described as long, thin movable vibrios, which are able to bend their bodies. His plate of 1864 shows distinctly our bacillus subtilis. Before I ever saw the plate of Pasteur, I knew that this species took an active part in the Butyric acid fermenta- tion, from the fact that beans and peas which were put into dis- tilled water in a closed glass retort and heated to eighty degrees centigrade, by which bacteria termo are generally killed, on ac- count of want of air changed into butyric acid. This fermentation developed only bacillus subtilis, and no bacteria termo, as I shall prove later on. Pasteur says in his essay on spontaneous generation of 1862, that boiled milk gets filled with small vibrios after a few days, which he designates as bacteria lineola, but which, according to the plate, must be our bacillus subtilis, and they were only killed by a temperature of 105 deg. centigrade. RESEARCHES UPON BACTERIA. 101 Rheinfleish, in his essay on lower organisms, gives us bacteria whose long threads, he thinks, are caused by the mixing together of several separated members. These also I consider to be bacillus subtilis. Hoffman gives us the same species without separating them from the bacteria termo. 2.—BACILLUS ANTHRACIS. I have never investigated the bacteria of splenic fever. Davaine's and BoUanger's observations, however, show that they differ only from the bacillus subtilis in the place of their existence and in their ferment function. Davaine describes them as stiff threads of 4 to 12 to 50 micrometers length and of very minute width, rarely bent or crooked. Bollanger says that if fresh they have no links and are homogeneous, but that with careful exami- nation there can be seen plasma and cell envelope with the segmentation of the little rods into short cylindrical cells. The latter are also found isolated, and are the germs of bacteria. They differ from other bacteria by their regularity of form and by their having no motion. This, however, is also found in the bacillus subtilis for short periods, and occasionally, according to circumstances, for long periods. I attach to this a plate of the bacteria found in splenic fever, from a preparation which Koebner gave me, taken from recently dead cattle. These specimens of bacillus do not differ from the butyric acid ferment bacillus subtilis, but, as a rule, are stronger, shorter and show less motion. Bollanger says that the bacteria of splenic fever blood were discovered by Pollander in 1849 even, before Davaine in 1863, and that Brauell made very important researches into this matter in 1857. He says the rods are straight cylindrical, 7 to 12 micrometers long, 8-10 to 1 microme- ter thick. In the fresh state they are homogeneous. When they are in water, or in a state of putrefaction, they show a jointed structure of short cylindrical cells, each one containing a darker plasma in the transparent cell envelope. They break up soon into single globules, Bollanger considers the rods of splenic fever as the torula form of globular bacteria, and thinks that the globular bacteria which are also found isolated, may multiply by partition and be joined together by links. I have never found in splenic fever rosary chains, but without intending to compare my observations with BoUanger's very careful observations, I must adhere to my former 102 THE EPIDEMIC AT SAVANNAH. opinion that splenic fever bacteria are a bacillus species, and can- not believe in their relationship to globular bacteria. 3. BACILLUS ULNA. This name I give to stiff and thick chain threads which, by their dense and finely granulated plasma, rank close to the oscillaria species, and can only be distinguished by the short and rod-like threads, readily breaking up into shorter members. I observed such members, remarkable for their thickness, distributed amongst other species, sometimes predominating over, or to the exclusion of, all other. Water which had been poured on boiled white of egg, and boiled with this once more, and left exposed, became discolored after two days. This discoloration was caused by innumerable little rods which moved strongly and actively, but were stiff and little flexible by themselves. I could observe a distinct membrane and a thick protoplasm with dark granules. The single membranes were 10 micrometers long and 2 microme- ters wide. They formed straight or zig-zag-like broken chains of two or four members. The chains of four links had, therefore, a length of 42 micrometers, and showed very queer motions. Not only the whole thread rotated, but also the single links, as if they wanted to separate, making diverging motions. Five days later they were all dead, and lay in heaps on the bottom. Little drops showed themselves on their decaying threads, and in their place bacillus subtilis appeared in the water. Other glasses filled with boiled white of egg also developed bacteria, but none of this large bacillus form. Ehrenberg says that the rods of vibrio bacillus have a sliding motion without being serpent-like, sometimes having an undula- ting motion. I think this is impossible. Ehrenberg estimates them at ^vvv in length, and y^n^ in thickness. Dujardin gives but half this size. 6. GENUS VIBRIO. The two species of this genus are characterized by the wavy motion of their threads, and they form, therefore, a transition into the screw bacteria or spirilla. 1. VIBRIO RUGULA. The threads of this species are eight to sixteen micrometers in length, have finely granulated contents, and a soft and thick pro- toplasm. They are twice as thick as the bacillus subtilis and es- RESEARCHES UPON BACTERIA. 103 pecially distinguish themselves by being like an italic s. When the thread rotates slowly on its long axis it looks like a gimlet in motion. If it turns very quick, it is easily confounded with bacillus subtilis. The smaller species of this vibrio have but very little curve. I have measured them as of 8, 9.6, 10.4, 14.4, 17.6 micrometers. Longer ones are not to be found, but shorter ones, which turn like a gimlet or swim like an eel and are shaped like an S. Vibrio rugula form large swarms like swarms of bees; the decaying rods form films. Lewenhoek discovered them on the mucus, or tartar, of the teeth and in the faces of diarrhoea. Ehrenberg says they can be easily confounded with bacillus. He places their size at -Jg- to tl '". 2. VIBRIO SERPENS. I distinguish this form from that of vibrio rugula in this, thai the latter have in each link only one or one-and-a-half curve, while the threads of vibrio serpens have only half the thickness, are not flexible, and have several regular wave curves; in rotatingj they show three or four undulations, the shortest members have also a double curve, still there are also chains of two to four bent pieces, which show a greater length and many curves. I meas- ured such threads of 11.5, 13.1, 15.6, 19.5, 20.8 rnd 25.7 micro- meters. The distance between two curves is five to six mi- crometers. The motion is the same as the subtilis, the undulation excepted. A peculiar sight is the swarms which grow into each other and form long strings, in which innumerable trembling staffs lay parallel to each other. 8. SPIRO BACTERIA—SCREW BACTERIA. The fourth group of screw bacteria is closely related to the vibrio serpens. It might even be better to put both in the same group. An evident difference from the genus vibrio is the more close and narrow spiral thread of the screw; and here too it may be added that I have observed an organization in the flexible whip in a species of spirilla volutans, which has not been seen in other bacteria, and which makes a special class necessary for the species having such organs of motion. I have seen these whips only in the largest kinds of spirilla, but it must be also looked for in other similar kinds. Future observations will prove whether other species of bacteria have also this whip, as Ehrenberg has always asserted. 104 THE EPIDEMIC AT SAVANNAH. The four species of screw bacteria into which Ehrenberg andT have classified this group are very easily distinguished. They are generally found together, but I do not believe that they are either varieties or stages of development of one and the same species. I think that the spirilla do not exist in artificial infusoria, but only in those prepared with river water, so that their genus are spread, not by the air, but by water. According to Ehrenberg we have two genera of screw bacteria: a.—Spirochete, having a flexible, long, closely wound screw. ft.—Spirillum, having rigid, shorter, and open wound screw. a.--GENUS SPIROCHETE. This genus has only one species—spirochete plicatilis, of which I wrote at length in 1853. Of all spirilla, this species has the quick- est rotation and most flexible motion. It is rather rare. Lately, I have found the spirochete in the mucous of the teeth. The opinion that the spirochete plicatilis is only a spiral in the atheromatous degeneration of the minute bloodvessels is not cor- rect SPIROCHETE-OBERMEIERI. The most important fact with which in recent times our knowledge of the existence of ferment organisms in infectious diseases has been enriched, is the discovery by Otto Obermeier of spirilla in the blood of patients sick with recurrent fever, which he made in 1868, but published in 1873. Typhus recurrens has a fever paroxysm of six to seven days; then follows a remission of eight days; then a fever paroxysm of five days; and occasionally afterwards a third, fourth or fifth paroxysm of fever after a remis- sion of nine days. Obermeier discovered in the blood of persons suffering with recurrent fever very long and thin screw threads moving rapidly, but only in the time of the paroxysm, not during the remission, nor shortly before or after the crisis. This dis- covery has been confirmed by later observers. On March 15th, 1873, Carl Weigert showed me in the " All Saints Hospital," at Breslau, where, in consequence of an epidemic, there were a large number of cases of recurrent fever, spiral threads in the blood of the patient. Here I will remark that these do cot belong to the species spirilla, but to the species spirochete, which differ from spirilla by their flexile screw threads capable of a circular and snail motion. Of the genus spirochete but one species was RESEARCHES UPON BACTERIA. 105 known, which Ehrenberg found in stagnant water near Berlin and I near Breslau. As their very characteristic shape and motion admits of no mis- taking them for other species, we can say with certainty that the spirochete plicatilis is not common in putrid water, but only found in exceptional cases. The spirochete which is found in the blood of recurrent fever, is the same size, and shape, and motion as the spirochete found in swarms, still we must consider it as a specifically different class by the peculiar home of their existence and physiological power and effects. I call it, in rememberance of Obermeier, who dis- covered it, and who died in the cholera epidemic of 1873, spirochete Obermeieri. The most important facts relating to the spirochete of febris recurrens have been discovered by Obermeier, Engel, Bliesener, Weigert, Litten, Birch, Hirschfeldt and Laptschinsky, and besides such as have been above meutioned are the following: The screw motion is constant in the different species, but not the length of the threads. Obermeier says they are one and a half to six times as large as the blood corpuscles. Engel says they are twenty-six times as large as blood corpuscles. Litten says they form long chains, too long for the field of the microscope without moving. The screw threads show an undulation, besides moving their position, which characterizes them as spirochete. In the height of the fever the threads are stiffer or stretched out. Towards the end of the paroxysm the motion becomes slower and more like a pendulum. They have a circular motion. The wave motion continues longest, even after change of position has ceased. Spirochete retain their active motion out of the body fur upwards of twenty-four hours; in a solution of salt, one-half per cent, for several hours; in glycerine, mercury, salts and dis- tilled water, their motion ceases at once. Potash dissolves the threads. The form remains the same in osmium salts. The tem- perature of sixty degress to sixty-five degrees centigrade destroys them, but they are not destroyed at zero centigrade freezing. This is upon the authority of Litten. The sickness which is characterized by the spirochete Obermeiri, has only been known since March, 1868, according to Lebert. This sickness is sporadic and endemic, and very probably is imported from a distance. Generally, all the occupants of one room are attacked; it is therefore spread by personal contact. 106 THE EPIDEMIC AT SAVANNAH. The part which the spirochete plays in the pathological pro- cesses of febris recurrens is yet as obscure as the periodical appearance and reappearance of them in the blood of the sick. It is not known yet whether the spirochete plicatilis of the swarms and the Sp. Obermeiri of recurrent bloods are specifically different. or whether they are the same organism, and the contagium of the first form is developed by the drinking of swamp water containing spirochete. It is also uncertain whether the spirochete threads which I found in April, 1872, in the mucus of teeth, is only an intermediate stage between the swamp water spirochete and the blood spirochete. b.—SPECIES SPIRILLUM. Spirillum Tenue.—The fineness of their threads is like the vibrio serpens. Like these, the spirillum tenue forms lie closely in globular heaps, in which they grow together and have no motion. Ehrenberg, with his well-known keen eye, has noticed this species. Dujardin says that they are one and a half times as thick as the undula. Ehrenberg's plate and description show just the opposite. Dujardin connects, without reason, the spirillum tenue with the spirillum undula. His plate shows only the spi- rillum tenue. The characteristic screw motion of the spirilla of this minute species, which I have observed by the million in every drop of an infusion, is especially quick, like lightning, so that the observer is scarcely conscious of it. The height of the elegant screw threads is two to three micrometers, and the diameter is about the same. The thread has one and a half curve, and is in form of an S, or Greek omega. Threads of two, three, four and five curves or turns are more plentiful; the length is four to fif- teen micrometers. No. 2. Spirillum undula differs by their stronger threads and somewhat more open screw thread. Every turn has four to five micrometers in height and diameter; the members have generally but a half or one turn, seldom one and a half to three spiral turns. Longer ones are never seen. The enormously quick motion hardly permits a careful observation of a single spirillum. Thej7 move like meteors, sometimes like the sudden expansion of a loosened spiral spring, sometimes like a sling shot; then they sometimes screw themselves in one direction. When they turn somewhat slower it looks to me as if they had whips at each end, but I could not be certain. RESEARCHES UPON BACTERIA. 107 O. F. Miiller and Ehrenberg have given characteristic descrip- tions of this species. Ehrenberg's vibrio prolifer I could not dis- tinguish from the Sp. undula. 3.--SPIRILLUM VOLUTANS. The largest of the spirilla, the giant among the bacteria. Miiller and Ehrenberg have also recognized them. The plate of the latter gives so characteristic a form that it can be recognized at first sight. Dujardin has not seen or observed this variety. He gives this name to a form which he has seen in sea water and infusions of insects and conifera. His plate, however, does not show the character of the large screw turn, but the very tender spirals of spirillum tenue. It is like most of Dujardin's plates of bacteria, worthless for recognition. In July, of 1872, I saw Sp. volutans in an infusion of dead fresh water snails, in which this species, together with spirillum tenue, undula, vibrio serpens and rugula, multipled enormously, and by adding new food remained in constant multiplication, these species being distinctly recognized. Spirillum volutans not only excels by the greater thickness of their threads and their darkly granulated contents, which Ehren- berg has also observed, but also by their regular corkscrew-like spiral, 13.2 micrometers in height, 6.6 micrometers diameter. One turn of sp. volutans is as large as three turns of spirillum undula. The screws are turned to the right. I have taken great pains to recognize the links as Ehrenberg states them, but in vain—their membrane can be distinguished from the contents. There are generally two and a half, three or three and a half turns. Double spirals of six and seven turns are rare. Some- times a pair twists itself round each other. Spirillum volutans lies sometimes very quiet, then suddenly commences to turn in a screw-like motion forwards and back- wards; sometimes shooting with a lively energy, so that the screw motion can hardly be recognized. Until opticians have given us microscopes with magnifying pow- ers much greater than they now are, and, if possible, without immersion, in the kingdom of the bacteria, we shall be like a traveler in the dark in an unknown country, where he knows that in spite of all his watchful care he cannot keep from wandering into wrong paths. 108 THE EPIDEMIC AT SAVANNAH. ARE BACTERIA ANIMALS OR PLANTS ? Looking over the literature of this subject, it is seen that formerly bacteria were generally considered animals, but now are considered by most naturalists plants. Some call certain bacteria infusoria ; other species, or perhaps the same species in a dif- ferent stage of developement, fungi. Pasteur even asserts that vibriones being animals, require oxygen, whilst the same organ- ism, as far as he considers them plant-ferments, vegetate without oxygen, and that, indeed, to certain of these ferments oxygen is poison. Upon this question, I make the same remark made by me in 1853. "Bacteria (vibriones) appear to belong to the vegetable kingdom, because they show a close and direct relation to the true alge. On the other hand, bacteria have no true rela- tions to animals. The animal kingdom begins with the infusoria, most of which (infusoria ciliata) have a large number of moving cilie, whilst a small number, the most simple of them (infusoria flagellata) have a tail. Even the lowest of the infusoria ciliata have a mouth and esophagus by which they take solid food. Many kinds of the flagellata have mouths, and thereby differ from all plants. A few species only which generally are found among the infusoria flagellatta, have no mouth. These can be classed among plants. Bacteria have just a little relation to the rizopods, which represent a very simple type of animal organiza- tion. Possibly a relation to the monads may be recognised. The globular and rod bacteria may be easily mistaken for the globular or elliptical monads. Should the tails I have discovered in the spirillum belong to the true bacteria as Ehrenberg supposes, then the mouthless species of the genus monas would have to be classed with the tail bacteria. Most writers who class bacteria among plants, consider them fungi. This is true if we include all cell plants or thalophytes among fungi, which are deprived of chlorophyl or an equivalent pigment, and therefore cannot assimilate carbonic acid. Bac- teria have no relation to typical fungi, which develope a thread like mycelium and propagate by bassidia spores or asci spores. But they agree in their entire morphological and developing be- havior with the phycochromacee, whose cells are filled with phycochrome, that is a mixture of green pigment, (chlorophyl) with a blue (phycochrome) and therefore are colored of an oxi- dized green. The phycochromacee differ from bacteria only in their power to assimilate carbonic acid, for which reason they are RESEARCHES UPON BACTERIA. 109 classed among the alge. Bacteria are the beginnings of phy- cochromacee life. They are probably one of the oldest phases of organic life and combine as a primordial form, different charac- ters belonging to various families of the phycochromacee. Globu- lar and rod bacteria are related to the chrocococcacee, this being a division of the phycochromacee, whose cells vegetate singly or in families connected to the palmella jelly by a slimy intercellular substance. The chrocococcacee differ from palmel- lacee by their contents of phycochrome. Our genus micrococcus bacterium is related to chrocococcacee, in which the cell partition extends in but one direction, while sarcina belongs to the chrocococcacee with a crosswise partition Rod bacteria are similar to the genus syne-coccacee, whose species form a blue green coating, on humid rocks, and agree in shape with the bacteria ; micrococccus differs from chrocococcacee by their small and colorless cells ; zooglea jelly and slimy masses we find in the chrocococcee in very similar way. Thread bacteria are closely related to oscillaria, that is, with their sub-genus beggiota and lepthothrix. Excepting in the short- ness of the thread, there is hardly any difference between them. The straight bacillus is similar to the normal form of oscillaria. The wavy rods of vibrio can be seen also in oscillaria terebriformis and similar species. The species spirochete is closely related to the smaller spirilline. The spirilla are only shorter forms of the same type. The dis- covery of whips in the spirillum volutans, which makes it similar to the flagellata, makes the natural positions of these organisms rather doubtful, as no oscillaria have whips. The principal reason which made it difficult for most observers to classify bacteria, as plants was their voluntary motion. This, however, is only an illusion. Will, sensation and reflex- action are such complicated physical functions that they cannot be detected in these organisms, which have a kind of spontaneous motion. We don't know what is the nature of the power of spon- taneous motion which turn bacteria about their long axis, causing, at the same time, a changing of position, but we are convinced that it does not belong to the kingdom of will and reflexaction, but to the kingdom of involuntary action. There is no relation between bacteria and mould fungi. When I commenced these observations I made it a main object to find out whether bacteria come from germs suigeneris, or are developed 110 THE EPIDEMIC AT SAVANNAH. from other fungi. The results are in refutation of the latter view. It is easy to cultivate pennicillium and other mycelia in a fluid without developing any bacteria. It is easier still, if you put in a reagent glass germs of bacteria without fungi spores or my- celium spores, and cover the glass with cotton ; the bacteria will multiply immeasurably, but no mycelium will develop. I have made hundreds of observations, and they show me that bacteria will only bring bacteria, mould fungi only mould fungi, and that no modification from one organism into another can exist. All this shows that bacteria are a group of organisms having no connection with yeast or mould fungi as regards development. They are, or may be called fungi in consequence of their parasitic way of living. But they very much differ from typical fungi by the want of mycelia, and bassidia or asci spores. They therefore are, with justice, called an independent part—schyzomycetes. Bacteria and schyzomycetes are closely connected with the alge phycochromacee in their morphology and development. In trying to get all these into a natural system, I have classed the bacteria and the other schyzomycetes, together with the family of phycochromacee, into one natural order, under the name of schy- zosporen. THE BEHAVIOR OF BACTERIA UNDER DIFFERENT TEMPERATURES. It seems clear that bacteria cannot survive the boiling point, and it is uncertain, from experiment, at what temperature below 100 deg. centigrade they cease to live. Experiments show very uncer- tain results, for so very reliable an observer as Schwann says that a temperature above the boiling point does not always prevent the development of bacteria. Pasteur says that the utmost power of resistance of bacteria in sour milk reaches the point of 105 deg. centigrade. I say nothing of Wyman, Crace, Calvert, etc., who give a much higher temperature. In June, 1871, I made some experiments, aided by Mr. Stud. Troschke. We boiled a pea in a glass test-tube with five grammes of distilled water, and then cooled it ; a bacteria drop being then added. The retort was then placed in water at different temperatures from a quarter to a half hour; the neck of the retort was stuffed with cotton. The results were as follows : Putrefaction came on after three days with a heat of 45 deg., 55 deg., or 60 deg.centigrade. At 65 deg. c. no change took place for a time. Putrefaction set in later. August 7th, the pea was dissolved into a yellow, dirty brown paste. At 75 deg. c. the pea did not putrefy, but the water did not remain clear, it became opalescent, and a little bacteria sediment was found. At 80 deg. centigrade, the pea did not putrefy, and the water remained clear ; in a second experiment, after heating for a half hour, a white mycellium appeared, but neither Pennicillium nor putrefaction; in a third experiment, in spite of a heating for three-quarters of an hour, putrefaction set in; and in a fourth experiment, after a half hour's heating, a little discoloring and sediment appeared, but no putrefaction. Temperature above 80 deg. c. showed no develop- ment of bacteria nor putrefaction. Whilst our experiments have shown that in an artificial fluid bacteria have been deprived of their power of development at 60 deg. centigrade, we cannot ex- plain whv in other cases bacteria have shown a development in organic structures after being heated up to boiling points. 8 112 THE EPIDEMIC AT SAVANNAH. The setting in of cold weather delays putrefaction, which is evidence therefore that it suspends the vital powers of bacteria and prevents their increase, while an increase of temperature in- creases their development. Everybody knows that meat does not putrefy so soon and milk and beer sour so quickly as in sum- mer; the dead body of a mammoth, kept unchanged in Siberian ice through thousands of years, and was destroyed by putrefac- tion in the shortest time after the ice had melted away and the temperature had risen. Here is evidence that the ferment func- tion of putrefaction bacteria does not exist below zero c. It is, therefore, quite important to prove whether bacteria are killed by freezing just as they are by heating up to 60 deg. centigrade. The experiments made by Dr. Horwath proved the opposite, for they show that these organisms can stand a severe cold without being killed. The experiments were made as follows: A reagent cylinder was filled with a breeding fluid on June 6th, 1872, and closed with a cork, through which a thermometer had been passed which reached down to the bottom of the fluid. The whole cylinder was placed into a freezing mixture, as also a little retort filled with the same mixture and the end sealed by melting the end of the tube. The temperature in the reagent cylinder was as follows: 12 h., 30 seconds, temperature......... 0 deg. c. 1 h., 30 " " .........16 deg. c. 1 h., 45 " " ........17 deg. c. 3h., 30 " « .........18 deg. c. 4h., 30 " « .........18 deg. c. 5h., — " .........17 deg. 5c. 6 h., — « .........14 deg. c. 7 h., 30 " "........ . 9 deg. c. The following day the tubes were taken out—the temperature was 15 deg. c. On the 8th of June, after freezing more than seven hours, an increase of bacteria was evident by the discoloring of the fluid. A second series of experiments with closed retorts, treated in the same way, and frozen to 7 deg. below zero c. for 18 hours, resulted in an increase of bacteria, clearly visible after the thawing of the mixture. From these experiments we see that bacteria are not killed by a very low temperature, even though lasting for several hours, but at zero o, or probably a somewhat higher temperature, they fall into a torpor from the cold. Their motion, their propagation, BEHAVIOR OP BACTERIA. 113 and, therefore, their ferment power ceases, but not their power of recommencing their propagation in higher temperatures. While the thawing of a fluid was going on, into which a Sp. Volutans had been frozen, we could observe, under the microscope, that the screw threads remained motionless for some time and simu- lated death ; but under increasing temperature their vital activity was restored, and they returned to life. Euglenen, however, which were frozen in this fluid were killed altogether, just as higher infusoria, with the exception of encysted vorticella, whose contractile vacuoles evidenced the continuance of life. REPORT ---TO THE--- CITY COUNCIL OF SAVANNAH ---ON THE--- EPIDEMIC DISEASE OF 1820, BY WILLIAM R. WARING. REPORT. In compliance with the appointment of the Council, I have composed a memoir concerning the causes, character, and treat- ment of the late epidemic. It is not very brief, in the place of a common report, but it has been contracted kito as narrow bounds as could possibly comport with the nature of the subject. The disease made its appearance in May. A death occurred on the 7th, another on the 10th, and another on the 30th of that month. In June, the mortality was augmented to a death on every second day, and the whole sum, at the end of the month, amounted to 14. In July, the number of deaths ran up to 39, being an advance to more than double the devastation of June. In August, it amounted to 111 ; in September, to 241 ; in October, to 268 ; in November, to 50, and in December to 3. The degree of mortality, on the surface of this statement, appears to have undergone a gradual reduction after the month of September. But when it is con- sidered that, in the course of this period, the population had been greatly diminished by absence and death, it becomes evident that, so far from having sustained any diminution, it was really increased throughout the month of October. The whole aggregate of deaths resulting from the epidemic, from its commencement in May to its conclusion in December, is thus estimated at 666. The yellow fever of 1793, in Philadelphia, destroyed near 5,000 people, so that, reckoning the inhabitants of that city at 50,000, the mortality would amount to the proportion of one in ten. When the late epidemic first appeared in May, the population of Savannah may be computed at 5,000 whites. In June, and beginning of July, it was probably reduced, from emigration, to 2,500 ; and, on the 14th of September, when the Mayor's proclamation was published, the number was still further reduced, and could not have exceeded 1,500. The medial population, therefore, of white inhabitants may be fairly estimated at 3,000 for the whole season, which would constitute a sum of mortality amounting to one in five, and just doubling that of Philadelphia in 1793. Such an enormous sweep of human life has scarcely a parallel in the medicine of Europe or America. The epidemic of the present year commenced 118 THE EPIDEMIC AT SAVANNAH. unusually early, in a comparison with others of a date prior to 1817. In former times, and antecedent to this period, the season, commonly denominated the sickly season, was not expected until the latter part of July, or beginning of August. The month of July, 1816, was, I believe, the most prominent for its health and pleasantness in that year ; and the late Dr. John Grimes informed me then, that it was not a casualty, but a general and expected occurrence. In 1817, some vicissitude seems to have been estab- lished, for the epidemic began to develop itself very early, and before the expiration of July, had been propagated widely and fatally. The epidemic of 1818 scarcely deserves to be called so. For, although bilious fever did in some instances take place, and was the genuine product of the period, yet it was mild, sporadi- cal, and the bare testimony of its annual return. Such as it was, however, it commenced to declare itself even in spring, and, in a few cases, terminated in death. The epidemic of 1819 made its appearance under a distinct shape, in the latter part of June, and went on increasing in extent and destructiveness, until the frost came and ended it. I make these remarks in regard to the an- ticipated birth of those epidemics, because I shall place that cir- comstance among the co-operating causes which have produced the disease of 1820, when I come particularly to discuss its origin. Throughout the months of June and July, the late epidemic was bilious and remittent in its general complexion. It was the ordi- nary malady of other seasons, featured with the wonted symptoms, and pursuing the common course. But there was a grade and form more violent and deadly, assumed at first in solitary instances only, and always preserving some characteristic of alliance to the ruling type, which grew, step by step, in extent, and finally apread its dominion everywhere. This terrific contour of the disease was distinguished by its unabating continuance, by its black emissions from the stomach, and by its inflamed eye. It was evidently the epidemic remittent, propelled into this aggravated shape by the violence and consequent intercurrence of paroxvsms. In the first place, because the black ejections from the stomach, which were incident to it, were frequently attendant on cases accompanied with remissions. Second, because in many instances where no remission could be distinguished, there was a total absence of black evacuations, either from the stomach or lower intestines. Third, because the majority of cases were connected, in the first stage of their progress, with discharges of bile, which REPORT BY WILLIAM R. WARING. 119 were sometimes copious, although afterward they became sup- pressed entirely, as the disease rose to the summit of its strength. Fourth, because, in some cases, by the tendency of the attack, or by the imprudent administration of acrimonious substances, the remittent was excited into the continued form, and the character which was assumed, iu the onset, became finally obliterated. Fifth, because, iu some cases, which were genuinely continued until the force of the disease was in some measure exhausted, and the constitution beginning to triumph in a recovery, the remittent garb was gradually and eventually completely disclosed and estab- lished. Sixth, because the inflamed vascular membrane of the stomach was the source of the black ejections, and that inflam- mation was repeatedly ascertained, by the morbid dissection, to exist with profuse secretions of bile, and without the production of one particle of black matter. Seventh, because, in connection with this inflamed state of the stomach, and abundant secretion before death, and presence of bile after death, without any appearance of black matter, there was sometimes not a mere remittent, but the exhibition of a perfect intermittent form of fever, such as is ordinarily witnessed in every season. Eighth, because, it appeared, after death and dissection, in a case of remit- tent fever, that there was inflammation of the inner coat of the stomach, with small parcels of black matter upon its surface, while the cavity of the stomach was filled with green bile, and the duodenum with deep yellow bile ; thus evincing, in the most decisive manner, the unity of the bilious and black vomit forms of the epidemic. Ninth, because, at the winding up of the season, the intermittent and remittent forms of the disease became more numerous, while there was a corresponding diminution of the continued cases, which had been predominating. This fact could only be explained by the general mitigation of the epidemic, which the cool weather had effected, and which was the suitable result of a reduced state of the morbific causes. Tenth, because, in the same family, and under the same roof, all the varieties of intermittent, remittent, and contiuued fever, were sometimes simultaneous. In the family of Mr. T. V. Grey, there was one servant affected with common fever and ague, another with a severe remittent, and a third with a continued fever, ending in black vomit, at the same instant. Is it possible to conceive that there were three distinct atmospherical sources of disease in this narrow compass? If the case of black vomit be sundered from 120 THE EPIDEMIC AT SAVANNAH. the intermittent and remittent cases, and ascribed to a separate agent, then the intermittent and remittent must consequently be sundered from each other, and with equal propriety, be also ascribed to separate agents. Eleventh, because, in all epidemical diseases, there are mild as well as mortal cases. Now, the advo- cates in general, for the nosological distinction of the continued form of fever, iu combination with black vomit, have neglected to point out and define the mild cases which eventuate in the re- storation of the patient. I have yet to learn what they are. For, in the season, which has just elapsed, there seemed to be very little difference. The event was almost universally mortal, where black matter was ejected from the stomach. Even the plague of Canstantinople and Cairo does not destroy all. The natural small pox presses with a heavy hand on some, but, in others it is kind, and does not even disturb the tranquility of the general circula- tion. Influenza, in some cases, is nothing more than the slightest catarrh; while, in others, it engorges the lungs, and prostrates the strength, even to death. As those epidemics which are well understood, seem to be governed according to the principle of variety, in force, and grade, and features, none is positively and inflexibly defined by fixed points and lines. It is not probable, therefore, independently of other considerations, that the con- tinued fever of black vomit is subject to the same principle also ? That it is not always fashioned by an unbending and deadly pat- tern; but, in the same manner, varies its outline, and sometimes invades the system with a part only of the ordinary violence? This is rendered still more probable by its correspondence with a general law, which governs the operations of the human body. There is not an active substance of the materia medica which con- stantly preserves an uniform influence over every constitution. Habit, predisposition and internal peculiarities of structure, are as various as the external figure. Seldom are two frames suscep- tible of similar movements, from the action of the same cause, and nothing is more common than different depths of impression, not only in different systems, but even in the same system, at different junctures. All medicines, all articles of food and drink, are em- ployed in practice, under the control of this law. All poisonous remedies are subject to it; for it is as much a constituent part of *-he physiological body, as any of the vital functions. It were then indeed a strange circumstance, if a poison, which happens to be diffused in the atmosphere, a miasma of bogs or foul heaps, REPORT BY WILLIAM R. WARING. 121 should be made of such a flexible material as to defeat the usual tendency of that law, and to adapt itself to all the differences of susceptibility, or arrangements of predisposition, in such manner as to produce always the same effect of grade and form. There is an accommodating power in the body, which gradually, but not promptly, and often unsuccessfully, tends to fit it to exigencies, and to the forces which are exercised by the agents which operate on it; but there is no such convenient power of compliance, in any degree, in agents to the various states of the body. Their character is immutable, so that it is not possible for them to raise up the same morbid affections in every instance. What, then, are the minor effects of that cause which produces continued fever and black vomit, if they be not the bilious remittent and inter- mittent forms of fevers ? These have been the only forms of disease associated with them, and they have been the only obvious milder effects which it could have produced. The epidemic began then as mild and manageable intermittent and remittent bilious fever. In the course of its march, it became a remittent, more severe and fatal; at another step, a continued fever, most ungovernable and destructive, at first of short, but afterwards, in some instances, of considerable duration; and, finally, concluded with a relapse into the primary intermittent and remittent tvpes. I have said, that, almost from the moment of its declaration, certain causes were appareled in the continued dress. The first which came under my notice, occurred on the 26th of June, in Washington Ward, which is situated at the north- east point of the city. There was some appearance of a periodical remission it this case, but it was not very distinct or well marked, and the patient died on the third day. I have often seen examples, at a late period in other seasons, of cases running thus rapidly to a close, and was contented with accounting for its early occurrence by some extraordinary exposure or intemperance. On the 14th July, a mechanic wps attacked with continued fever, in the same ward, and died on the fourth day, with hemorrhages from the nose and bowels, with a spongy state of the gums. About this time, Mr. Patrick Stanton, who occupied a store in the neighborhood, was also malignantly and insidiously seized with fever, which ter- minated in black vomit and death, on the 16th July. This was the first case, I believe, in which this terrible symptom appeared. The epidemic had hitherto prevailed, with as much extent and mortality, in the western, as in the eastern flank of the city. But, 122 THE EPIDEMIC AT SAVANNAH. towards the latter part of this month, and the baginning of Au- gust, it planted itself chiefly in Washington and other eastern wards. Its most prominent and fatal impression was felt there. The strongest features of the disease were exhibited there, while the ravages which had been made in Yamacraw, and the western sections, were proportionally moderated. The fact is worthy of notice ; for, on examining the register of deaths, it is perceived that, at this period, when Washington Ward became the great theatre of desolation, it was not the acquisition of a new disease, on the back of an ordinary bilious remittent, which had occupied the western, as well as the eastern districts of the city, but an ap- parent concentration of effect in the eastern districts, which had been divided between eastern and western districts. The explanation of this singular transition is to be found in the character of the winds, and in the peculiar localities of these eastern departments, which will presently be rendered sufficiently obvious, by an inspection of the meteorological diagram which I have constructed. The fact, however it may be accounted for or solved, gives a correct warrant for the inference, that the cause had been divided, and was now condensed, in conformity with the effect. It was not a mere increase of the cause, but a concentra- tion of it in one place ; and thus leads to the conclusion that it was general, and founded in some common constitution of the air and circumstances of the city. The consequences of this vicissi- tude, iu the distribution of the morbific matter, were suitable to it. The mortality and devastation soon attracted universal no- tice, and appalled every man of consideration for his family or friends. The municipal authorities were specially convened to deliberate on measures for the health of the city. The Mayor addressed a letter of lespect to the Medical Society, for informa- tion of the grounds of the peculiar destructiveness of disease in Washington Ward and other eastern departments. A committee of the corporation was also appointed to make further inquiry into the same subject; and finally, a Board of Health was consti- tuted, to ascertain means of preventing the further progress of the disease, or to mitigate it, by removing whatever might contri- bute to produce it. Notwithstanding every effort, however, the epidemic continued its career in the eastern wards, until death or flight, in a few weeks, had divested them of inhabitants. Tar was burnt in the open squares and was recommended to be burnt, also, in yards and dwellings. Every practicable mode was em- REPORT BY WILLIAM R. WARING. 123 ployed to remove the filth of streets and lots, and to extend the system of purgation. Committees of the Board of Health were organized, to make frequent and regular visits of investigation into every part of the city, and those committees did whatever was in their power to do. Still the epidemic rioted on, and con- tinued to propagate death and dismay. Exertions were ineffi- cient, because it was impossible to reach either the general or local root and source of the calamity. It gradually penetrated into all quarters of the city, except that part which is situated on the south common, and to the westward of the new Presbyterian church. But its greatest ravages were spread along the streets and lanes, which were crowded with old wood houses, in a state of partial decadence, were badly ventilated, and over-tenanted with non-residents, or strangers to the climate. In such places, the scene of sickness, misery, and ruin was awful, shocking, and well fitted to inspire a melancholy sentiment of the shortness, un- certainty, and insignificance of life, and to humble all that pride and self-greatness which is incident to health, strength and pleasure. Beyond the boundaries of the old town, there was no example of continued fever or black vomit. The ordinary intermittent or remittent bilious fever were the prevailing forms of disease in the country, and they corresponded, in every way, with what might be called the sub-cases, or the intermittent and remittent cases which were contemporary with them in the city. There seemed to be a link of association between these, which leads strongly to the deduction, that the same species of agent consti- tuted the foundation of all the cases which were co-existing within and without the boundaries, notwithstanding every difference of exterior appearance. The continued form of fever, and the symptom of black vomit, never passed the ancient and well set- tled positions of the city. In the progress of the season, that form came to predominate, and attained to such general supre- macy as to constitute the common features of disease. An epi- demic was established, therefore, it may be admitted, under this shape. Was it specifically distinct from the intermittent and re- mittent epidemic of the country? Was its origin distinct, not only in degree, but chymically and in quality also ? Did they come into actual contact at the precincts of the city, without tres- passing on the soil and empire of each other ; so that, while one was occupying an extensive adjacent country, the other was cir- IU !fHE EPIDEMIC AT SAVANNAH. cumscribed and locked up within those precincts ? The country was invested, for many miles, with an unsound and epidemic state of the atmosphere. The city was encompassed with it on every side. Was there a spell which repelled its further progress, or warded off the access which no natural obstacle could have pre- vented it from finding? Is it not much more probable—nay, is it 'not certain, that it did not only envelope the city, but pene- trated also into every part of it—that it carried the same infec- tion along with it into streets, lanes, houses and lots, and, being unchanged, scattered its baneful effects in the same manner as it had done in the country ? Tnis was an inevitable consequence, which there was nothing to obviate. There was no barrier to the inroad of the winds, and there was no cleansing power which could wash away the unwholesome materials which they carried. Could they be present, then, and inactive ? What circumstances of the city was there possible, which could have so fortified the systems of men, as to make them invulnerable to that fell agent, which was holding strong influence everywhere else ? What power was there which could so neutralize it, as to defeat it in that way ? I know of none. It was there ; and that it was inert, while there, is inconceivable. It must have operated on the body with as much certainty, as we have in the operation of arsenic, under every vicissitude of place—with as much certainty as we have in the competence of a cause to produce an effect, which has been uniformly produced by it before. Whatever, then, that effect was, it was at least founded, in some degree, in the general morbi- fic constitution of the air, which was suspended over the town and country. That constitution of air must at least have contributed largely to produce it; and, indeed, if there be any truth in the technical rules which are commonly taught, in regard to the suc- cession of epidemic diseases, and the exclusive sovereignty of one only at the same time, it must have acted, not only an important, but a chief part. It must have impressed its character on all cases, and must have turned to its own tendencies, whatever of impurities, from local sources, might have mingled and associated with it. It must, in fact, have formed the basis of one general disease, more violent and destructive in certain places, according to the greater abundance of local circumstances to aggravate and promote it—more pestilential in one situation than another, in consequence of greater fruitfulness in the furnishing of those pernicious substances, or miasmata, which are probably the pro- REPORT BY WILLIAM R. WARING. 125 duct of putrid collections or marsh fermentations. I can easily imagine a compass of twenty miles, diversified in such a way as to exhibit a pond in one place, a simple quagmire in another, a bog in another, with all the complex festerings of city filth ; a fertile soil in another, without any standing waters, but rich with vegetables in decay, and dead insects ; a great assemblage of rotten corn, coffee, beef, or fish, in another ; an immense mass of wood, crumbling by putrefaction, in another ; a great number of wooden houses, crowded upon each other, and inhabited by a species of tenantry, careless, by poverty and habit, of the fou] aggregations which take place around them, in another; and then I can imagine that an epidemic, produced by the operation of heat and humid air upon all this surface, to be identically and specifically the same, founded in the same general principle of putrid decomposition over all its parts, and diversified with various degrees of severity, according to this enumeration of cir- cumstances. Such consequences would inevitably result from such causes. A fever, of different grades and features, but entirely of the same species, would be thus wrought into exis- tence. An intermittent would form the general grade in one place—a remittent in another—an active continued fever in another—a fever attended with prostration of all the energiess in another—and, in another, with hemorrhages and perverted secretions. From such a multiform origin, there could not be any unitv in the symptoms or the degree, although the remote and the proximate cause might be perfectly uniform. These must be subject to change, according to the diminished or ac- cumulated forces which produce them. And thus it happens, that epidemics, which unquestionably arise from the same local circumstances, assume such various types, in different seasons. At one time, as in the summer and autumn of 1817, the muscular coat of the stomach is irritable, while the internal coat indicates very little disorder. At another, as in 1819, the stomach evinces a high degree of insensibility, so as to bear without nausea, the largest doses of medicine. At another, as in 1820, the internal coat is the great seat of action, while the muscular coat is com- partively passed by and untouched. What then? Shall we attribute all the varieties of summer and autumnal fever to dif- ferent agents? Shall we have a new and distinct species for every year ? If such a principle of dividing diseases were once admitted, the catalogue would be unbounded, and we should have 126 THE EPIDEMIC AT SAVANNAH. as many fall epidemics as there are annual periods of sickness. For, although an epidemic has occurred in this city, since my residence in it, in connection with every return of the warm months, I have not witnessed two which were parallel with one another, at every point. However nearly they have approximated in outward character, there has always been left some chasm in the similitude, or some inequality in the morbid excitement. But it would not merely fend to the indefinite multiplication of gen- eral diseases. By a parity of reasoning, and by pushing such a method of pathology a little further, it would become correct, and equally consistent to divide each of those general diseases into as many minute species as there might be different cases. For cases, during the prevalence of a general disease, are as variant from each other, in a multitude of instances, as the general dis- eases themselves. They are so much modified by moral and physical circumstances—by the age or progress of the epidemic season, that very often they take on peculiar dresses, and present themselves to the spectator under novel and unsettled shapes. At one point of the city, a drunkard dies of black vomit; at another, an abstemious man dies of fever, combined with dysen- tery ; at another, a man of mental uneasiness dies with inflamma- tion of the brain ; and at another, a painter dies with fever, united to palsy of the limbs. In the outset, the common tyoe may be remittent ; in the middle of the season, it may become con- tinued, with a critical duration of six days; and at the conclusion, that duration may be spun on to twenty days, and the skin ac- quire a deep yellow complexion. Thus, varieties are multiplied, according to accidents, predispositions and the epidemic power. Is it scientific to consider these cases as so many distinct dis- eases ? It would lead to confusion and embarrassment, without effecting one useful purpose. How, then, are epidemics to be distinguished, and what mode is to be pursued, to ascertain the cases which do or do not belong to them ? It is evident that symptoms and external signs are too fluctuating and mutable to be relied on. It is evident that, to receive their authority, is at once to swell the list of diseases beyond all bounds. The saga- city of the most learned is baffled by them, and practical physi- cians acknowledge their insufficiency, by the constant references which they make to other sources of information. The first process of the mind, in regard to an epidemic, as to ascertain its existence ; and this is done, not so much by observing, in every REPORT BY WILLIAM R. WARING. 127 case, an unvarying uniformity of shape and feature, as by observ- ing that many persons are seized with disease at the same time. The pneumonic fever, which prevailed in many parts of the United States a few years ago, sometimes affected the head with a phrenitis, while the pneumonic system entirely escaped ; and yet, such cases were ascribed to the common cause, as well as those which had given origin to its denomination. After coming, in this manner, to a knowledge of the positive prevalence of an epidemic, the next step is to find out its cause, not so much for the purpose of learning the philosophical nature, as of ascertaining the character of the disease which it has kindled. It is for the purpose of comprehending the grade and seat of the disease, by some former experience, and thus attaining to the true method of treating it. In this point of view, the cause bears no relation to exterior appearances, and an acquaintance with it cannot be con- sidered, except with great uncertainty, as conducting to an acquain- tance with them. They are to be considered as its casual and irregular products, not immediately, but mediately, through the proximate cause which it establishes. They are really the direct effects of the proximate cause, by the sympathy of parts ; and nothing can be more unsystematic than the operations of this unintelligible principle. There is a general analogy between the conformation of one body and another, which, in a considerable number of the cases of an epidemic, tends to develop some uniform symptoms. But that analogy is not perfect enough, and, even if it were perfect, is not sufficient to counteract the accidents of predisposition and the sympathies, so as to demonstrate regular appearances. Hence, it seems that the symptoms of an epidemic are too vague and unsteady to constitute the foundation of its pathological distinc- tion. They are not the fixed outlines which are always exhibited to denote and distinguish it. They have their place, and con- tribute to an understanding of the treatment of diseases: Thus far they are useful and indispensable, but to use them for the pur- pose of systematic arrangement is to found an edifice on a sand bank, which the very next wind is to scatter and carry away. When cases, then, differ in their external manifestations it is not reasonable to conclude that they differ in fact, and in their secret character also. When the eye is inflamed in one instance, is yel- low in another, is clear in another; when the skin is at one time purple, at another deeply tinged with bile, and at another fair and 9 128 THE EPIDEMIC AT SAVANNAH. ruddy as nature ; when the stomach disgorges a black fluid at one moment, a yellow fluid at another, and no fluid whatever at an- other, it does not follow that any original diversity must necessa- rily exist among the morbid affections on which they are bottomed. Where, then, are the points of specific difference between the fever of the city and that of the circumjacent country? Since the doc- trine of symptoms is incapable of opening a way to a knowledge of them, what other resources have the advocates of that differ- ence ? I know of none. The epidemic causes are of less avail than the doctrine of symptoms. What are those causes in the country ? The decomposition of various substances. What are they in the city ? The decomposition of substances again. The ■ result of that decomposition we call miasma, which we understand only by its effects and by its connection with the dissolution of animal and vegetable matter under the influence of heat and moisture. It is an undivided cause, and has more power at one time, and in one place, than another, only by its quantity and degrees of condensation. If, therefore, any weight be allowed to the cause, the unity of the epidemic would be at once established. Notwithstanding the intermittent of the south common, which was the general grade and form in that place—the active remit- tent at Mr. John Eppinger's farm, five miles from town, the more prostrating remittent at White Bluff, nine miles distant, and the continued fever of the city—still the epidemic would be univer- versally the same in regard to its real and not its apparent char- acter. But it is frequently observed, that the mortality has been un- precedented in the city—that so much black vomit has never occurred before, and in short, that the disease has no likeness to former epidemics. These have been admitted by some, as a suf- ficient warrant for believing it to be new and peculiar, and unex- ampled. The mortality has indeed been unprecedented ; but, if a pathological distinction is to be founded on different degrees of mortality, there would be no end to such distinctions ; it is of all modes the most preposterous. I recollect once to have heard a physician say, that an ulcer, which another had pronounced to be cancerous, was not a cancer, because it healed and the patient got well. A cancer, according to his surgery, was an ulcer, which always ended in the destruction of the subject of it. There is much of this cancerous philosophy in those who found their pathological dogmas on the mere issue of cases, and not a report by William r. waring. 129 little of it, even in those who found them on extreme severity and forms. It is true, also, that there has been an uncommon abundance of black vomit. This symptom has prevailed more generally and extensively, in the character of the late epidemic, than in any other which has gone before. But it is not a new symptom. Scarcely a season has passed in which it has not made its appearance. In 1817, the number of cases was considerable, and Dr. Maxwell, who has been an attending surgeon at the City Hospital, has informed me, that, for thirteen years, he has con- stantly met with occasional occurrences of this symptom. It seems to be the highest and most inflammatory grade of the pe- riodical fever, which requires the greatest virulence and plenti- tude of the usual causes, to produce it. It seems to be an ex- acerbation of a mere irritation of the stomach into the state of rapid inflammation, which an increase of the causes of that irri- tation is fully adequate to accomplish. But, with regard to the origin of the symptom of black vomit, I shall speak more par- ticularly, when I come to discuss the pathology of the epidemic. Hitherto, however, it has almost invariably happened, that cases of fever, distinguished by black vomit, have occurred among for- eigners, or persons estranged from the climate. What was com- mon remittent in the native, in the strangers seemed to become continued, and then assumed this fatal symptom. But the re- mittent was nevertheless a high state of fever, and not only fre- quently attacked, but very often, either broke down the constitu- tion, or was mortal. And, notwithstanding the opinions enter- tained by some, in regard to the unusual destruction among the native residents, by the epidemic in 1820, it is certainly far from being new. It is not now, surely, that we have to learn, that the periodical fevers of this city have been always fatal, in a greater or less degree, to its permanent inhabitants ; and that, although black vomiting has not been a conspicious accompaniment of the disease in former seasons, the devastation, from rapid and un- controllable remittents, was extensive and melancholy. To speak therefore, of the novelty of the fever, in consequence of the ex- tent of its violence, and the redundance of one symptom, appears to be unreasonable, or founded in a want of more general and accurate information. I have now arrived at that part of the subject of this report, which relates particularly to the causes of the epidemic, and more especially to the causes of its aggravated character in the city. In 130 THE EPIDEMIC AT SAVANNAH. the first place, I shall describe the weather which preceded and was contemporaneous with it; in the second place, the peculiar circumstances of the city itself; and, last of all, I shall examine the reasons which have induced a few to attribute our troubles to the dry culture, and to importation. I hope that I shall be able to make it appear, that in these are to be found ample causes for the production of the severest grades of fever, without resorting to additional whimsical, and groundless suppositions. By refer- ring to the register of the heat, for the month of February, it will be perceived, that, even in that month, the thermometer rose to an extraordinary height—on one day, to 35 degrees; which ex- ceeds the medial mid-day heat for the month of August. The whole medial heat, at mid-day, was 73 degrees. In March, the weather became cooler ; but the thermometer rose to 80 de- grees at inid-day, and the medial heat for the month, was 68 de- grees. In April, the medial heat at mid-day, was 77 degrees, and the thermometer rose as high as 92 degrees. May was somewhat cooler than April; but the medial heat at mid-day, was not less then 75, and the common heat increased to 90 degrees. From this time, the heats of summer were established, and did not begin to abate until the approach of September. But the follow- ing table will exhibit in a more lucid manner, the early and pre- mature invasion of the summer temperatures, and the gradual, though not entirely uniform, ascent of the mercury after the month of January. THE MEDIAL AND GREATEST COMMON HEAT AT MID-DAY, IN THE SHADE. Feb. Mar. April. May. June. July. Aug. Sept. Oct. Nov. 73 68 77 75 81 85 82 78 67 65 85 80 92 90 92 96 90 85 85 75 From this it appears, not only that the summer commenced in April, and converted the usual temperature of the spring into the hot weather of that season, but that even through the months of February and March, an uncommon warmth had been infused into the climate. A lady, who has always been in the habit of taking the cold both in summer, informed me that she began, this year, in March, as a matter of comfort, her system of cold bath- ing. The whole winter, indeed, of 1819-20, was remarkably mild, and did not wear the character which was suited to it. Beside this unsalutary substitution of the genial spring, by heating suns, there were considerable falls of rain. In the course of March, REPORT BY WILLIAM R. WARING. 131 April, and May, there was a deposit of nine inches of water. So that, what is denominated the rainy season, instead of making its entrance along with the summer months, as it commonly does, and as it does usually in years which are only of moderate in- clemency, anticipated this period for ninety days. In the two months of June and July, the quantity of rain became more abundant, and as many inches were laid as in the three preced- ing months. Hitherto, the rains had been divided by consider- able intervals, but, on the 2d of August, they sat in, and continued incessantly for twelve days, and at the close of the month, the enormous depth of thirteen inches of water had fallen. It was during this spell of twelve days' rain, that the epidemic grew so destructive in Washington Ward, and cited the public alarm. This fact is very strong, in proof of its local origin and connection with excessive moisture. In September, there was a remission of the rains; but on the first of October, seven inches and a half of water fell in a single shower; and during the months of September, Octo- ber, and November, there were fifteen inches of water deposited. Throughout the greater part of this time, the atmosphere was loaded with vapor, and was very oppressive. Notwithstanding all this long term of cloudy skies and heavy rains, there was almost a total absence of the electrical fluid. And, although I am unwilling to admit that this fluid is possessed of any direct agency in the preservation of health, or that it operates in its general diffusion throughout the atmosphere on the system, in any efficient or important manner, I think it exercises a useful function in sustaining the wholesome qualities of the air, by the condensation and removal of vapor. When there is much moisture, this fluid is always inconsiderable ; but it is always abundant, when there is little moisture; and when this fact is con- nected with the refreshing character of rains, which are accom- panied with much thunder and lightning, together with the sultri- ness and oppressive tendency of those which are not thus charac- terized, it becomes probable that they serve to assist in the for- mation of clouds, and to desiccate the atmosphere to a proper state for respiration. The chemistry of rain is not perfectly un- derstood. The production and accumulation of clouds are yet to be accounted for. Is it possible for positive and negative elec- tricities, in the first place, to give origin to vapors, from the ele- mentary gases, and then to attract them into masses? I have remarked, that sometimes the rain poured in greater torrents 132 THE EPIDEMIC AT SAVANNAH. after a severe flash of lightning. Whether the electrical fluid was deficient, in consequence of redundant moisture, or moisture was redundant in consequence of the deficiency of the electrical fluid, it is, at all events, a strong testimonial of the extreme dampness which pervaded the atmosphere, throughout the season. Its un- common absence, if produced by dampness, affords the strongest confirmation of the uncommon extent of that dampness. After vapors are taken from the earth into the atmosphere they are either decomposed or aggregated, by a power which does not ap- pear to be known. If, by any means, that be withdrawn, then it is obvious, that neither the decomposition nor aggregation can take place, and an excess of atmospherical moisture must ensue. It was owing, perhaps, to this circumstance, whether it arose from a sparse state of the electrical fluid or not, that a constant sense of great oppression was produced by the heaviness and want of elasticity in the air. Profuse exhalations were inces- santly going on, and the falls of rain were considerable ; but the formation of rain did not appear to equal the exhalations, and to remove the excess of moisture which they produced. These were the general causes of the epidemic, which were present with it, in its whole extent, over town and country. They were the com- mon foundation of the miasma which engendered it. In regard to the city, however, there are many peculiar circumstances, not only because of its internal condition, but of its remarkable ele- vation, and exposure to the most concentrated operation of these general causes. Standing on a lofty bluff, and being entirely de- fenseless against the influence of extensive marshes on every side, except a point to the south, it affords an intercepting barrier and lodgment for the abundant fogs which are constanaly raised from them. Not a wind comes—not a breeze blows from a north, east, or west direction, which is not laden with moisture to be de- posited and retained by the city. Along the channel of the river, to the east and northeast, and to the west and southwest, the fogs and damps are raised by the winds to be condensed upon the high plateau of the town. Especially is this the case on the east and northeast, whence the winds bring their vapors loaded with mias- mata to poison the atmosphere of Washington Ward. It is interesting to compare the years 1818-19 and '20 as re- gards the relative amounts of rainfall, calms, winds, and electrici- ty. From such accumulated data I have been enabled to con- dense the following table of conclusions, averaging the number of days in each month for each series of observations : REPORT BY WILLIAM R. WARING. 133 FROM MAY UNTIL DECEMBER. N., andN. E. Winds. Rains. Calm. Electricity. 1818 Healthy......... 20 25 37 33 34 29 1819 Sickly........... 25 17 1820 Very Sickly..... 24 40 20 5 This is an interesting epitome of the weather, and exhibits, in a strong light, the great connection which subsists between these natural phenomena and the degree of disease. The difference in the winds is not so remarkable as in the rain and electrical fluid. But there is still a difference of some magnitude; and when the circumstances of the atmosphere are included in the calculation, it becomes very important. The quantity of moisture being very minute in 1818, the winds could not act a prominent part; but, when that quantity was advanced eo considerably as in 1819 and 1820, their influence rose immediately into the most serious conse- quences. They served to embank it on our lands, and particu- larly at frontier situations. Hence it happened, that such a pecu- liar and great accumulation took place in Washington Ward, and other places to the east of the town. Mr. Grey, whose residence was in that ward, informed me, that after having removed into the Baptist Church square, he felt as if he had been transported to New York. The deposit of dew in the evening was so profuse, as to drench the cover of my gig in a short time, while engaged in visits of business there. None but medical men, who make the daily circuit of the city, appear to be thoroughly aware of this fact, and the consequent various degrees of insalubrity, which appertain to the different departments. This moisture, which steeped the air of Washington Ward in such excess, was also, in more or less extraordinary profusion everywhere. The houses became damp and articles which were even locked in drawers or trunks grew mouldy and rotted. It penetrated into every cre- vice and private recess, however remote or protected. This unto- ward circumstance of extreme general moisture was still more aggravated by the shrubbery of unpruned trees, which are thickly studded along the streets and squares. The shade which they afforded shielded the heavy dews that fell in the night from the dispersing power of the sun during the day ; and, in this way, sustained a constant soaked condition of everything that was not impenetrable to water. It will be perceived, by a reference to Raffle's History of the East Indies, that the same observation is 134 THE EPIDEMIC AT SAVANNAH. made in regard to large and umbrageous trees in Batavia. They are enumerated among the causes of sickness in that place, by the protection which they give to the foul vapors which are vomited up by the neighboring marshes and canals and deposited in the city. Some defence against the influence of the sun is necessary, in a situation where it beams so intensely as it does in Savannah, during the summer. It would, therefore, be proper to preserve the trees, and to lop off all their great branches, so as to admit a free circulation of air. In very dry seasons, as that of 1818, their utmost luxuriance would not only be delightful, but innocent. In rainy and wet seasons, however, which are very frequent in a lati- tude bordering on the torrid zone, it would, on the contrary, be obviously productive of mischief, by fostering the seeds of dis- ease, in accordance with the fact of the present year. Such an abundant accumulation of the fogs, and miasmata of the swamps, within the city, from the local causes of situation, the trees and the winds, was of itself an evil of no common extent. It was a concentration of the general epidemic composition of the atmos- phere, and sufficiently calculated to produce a more violent and unmanageable grade of fever, than that which commonly pre- vailed. But, besides these superficial causes of drawing together and heaping up the product of the marshes, there seems to be an attractive power, in lofty places, over clouds and vapors, which was calculated to augment it. Baron Humboldt has made this remark in regard to the Peak Teneriffe, without accounting for the phenomenon. There can be no doubt, however, of such a power and of its extensive influence in adding to the insalubrity of all such places as fall into the vicinity of low grounds. It ren- ders them even more intolerable than the low grounds themselves. The fact is well and generally known, and this cause very well explains it. The fever of Savannah has always exhibited more severity and malignant excitement than that which prevails in the country which embraces it ; and so, also, does the fever in all situations under similar circumstances. Thus inundated with moisture, it is not a matter of surprise that wooden houses should go into a state of decay ; that even the furniture which they contain and the filth or offal that was col- lected within or about them should enter upon the process of pu- trefaction. If vegetable decomposition be a source of miasmata, then there cannot be a more prolific cause of disease than the great number of old buildings of this kind. Every man who ob- REPORT BY WILLIAM R. WARING. 135 serves must have perceived that there is always over their surface a thick stratum, which is undergoing, or has already undergone, a dissolution. In a wet and warm season this operation is rapid and conspicuous, and even comes under the cognizance of the smell. I think it exercises a considerable agency in the unwhole- some effect of our summers. Dr. Rush has said that, in the yel- low fever of 1793, in Philadelphia, the greatest mortality took place in wooden houses ; and it is certainly very remarkable that the newly erected part of this city was almost exempt from the disease of the last season. Might it not be owing, in some meas- ure, to the more general use of brick in the construction of their houses, that the mortality of fever has been diminished in our Northern cities ? And might it not have been a good deal in consequence of the greater abandonment of wooden materials, that London has been exempt from the plague since the fire of 1656 ? This is a subject well worthy of the serious attention of the corporation. In addition to this great mass of vegetable decadence in our very bosoms, there was an unusual accumulation of various per- nicious matters, still more formidable, perhaps. These were extremely and inordinately abundant, from the mixed, imprudent and destitute population which have flocked among us from every part of the civilized world. Whatever could have contributed, from ignorance of the climate, from poverty or neglect, to increase and to add to them was done. Since the conclusion of the late war the periodical epidemic, which has uniformly prevailed more or less iu Savannah, seems to have been augmented in the vio- lence of its character. The poverty and distress which have arisen from the superfluous population of Europe, and particularly of the English dominions, compelled great numbers, after that period, to emigrate to the United States. That poverty, distress and emigration were still further advanced when the general peace took place. The first enterprises of these unfortunate for- eigners were made at the North; but finding that the rewards for labor were small, and that the inducements presented in the Southern cities were stronger, they launched a second time on the sea of adventure, and came in crowds to Southern ports. In con- sequence of this great accession of strangers, without acquaint- ance with that kind of economy of living which is adapted to an unwholesome latitude; without money and without conveniences; destitute of proper clothing, food or bedding; gathering in 136 THE EPIDEMIC AT SAVANNAH. throngs of fifteen or twenty in narrow wooden buildings with small yards; without caution, and without that considerate indus- try which leads to the prompt removal of the daily products of filth which drop from their immediate persons, a source of pesti- lence has been established in addition to that which has ordinarily existed. If, in the most salubrious climes, a destructive disease has been engendered by the concomitant circumstances of pov- erty, it cannot be a cause for wonder that those circumstances, under the operation of heat and moisture, should give birth to deadly and uncontrollable fevers. I have already said that 1817 was the most severe that had ever been experienced in Savannah, and was attended with a greater number of cases of black vomit. In the course of the summer of 1819 fifty Irish emigrants arrived in the same ship, not one of whom survived till the frost. The year of 1820 has been tinged with a deeper and more melancholy gloom. Our older inhabitants look back and tell us that these are not former times. Then the fever was remittent, and analo- gous to that which now prevails outside the bounds of the city. Then there were deaths, but recoveries were not uncommon, and cases of the continued forms of fever were extremely rare. But I say that then the population had not advanced in growth more rapidly than the city; the number of the destitute and laboring had not been pressed into that narrow compass which was erected originally for the convenience of a few. Then the common labor was altogether done by the negroes, and white laborers collected in crowds in small houses were unknown. Then the population was thin, resident and composed of natives, or permanent inhabi- tants, whose constitutions, manners and customs, modes of living and comforts, fitted them, in the best way, to perceive the means of health and to preserve it. All this has been changed, and everything has been introduced which can render a spot unfriendly to the human constitution. All cities are esteemed to be more or less unsalutary. The open and unobstructed air of the country; its freedom from the noisome collections which are incident to people congregated into crowds, is much more congenial to the soundness and vigor of the frame. This observation is an old one, and is applicable to those which bring their population into the smallest compass, or to those parts of cities in which great numbers are forced by poverty into the narrowest space. The less the character of the country is preserved, and the more nearly men and residences are made to approach one another, the greater REPORT BY WILLIAM R. WARING. 137 is the suffering of the system and the more is curtailed from the term of life. All sorts of putrid matter become accumulated and incorporated with the very soil, and, instead of pure sand or earth, which may have originally constituted the surface of the ground, species of compost is formed and an active fermentation is taken on whenever there is heat and moisture enough to produce it. This state of soil is insensibly brought, in the progress of time, to contain the utmost abundance of putrefiable materials, and, of course, to engender great quantities of poisonous gas, which com- pact buildings and walls do not permit to be dissipated. Hence it is that, all other circumstances being equal, large cities are more hostile to health than villages, and are found to have advanced, where their progress can be traced, from one step of insalubrity to another until, from having been visited by moderate diseases, they become the seat of typhus fever, yellow fever and the plague, acording to the climate in which they happen to be located. This progress has been very remarkable in many of the cities of the United States, and very well accounts for the grades of fever to which they have been such frequent victims in latter years. Such an event was to be expected from their growth in a climate so subject to heavy rains and epidemic constitutions of the air. It ought not, then, to be matter of wonder that in Savannah there should be an augmentation of violence in the diseases which visit it in proportion of its population since it has only recently arrived to that point which was attained some years before by New York, Philadelphia and Charleston. It evinces aggrandize- ment and increased importance, but at the same time the coun- terbalancing evils of greater force in disease and more inhospitality of climate. There have been, consequently, scenes of misery, wretchedness, filth and want, from these circumstances, in 1819-20, which are very extraordinary notwithstanding, for a country so rich in the facilities of subsistence, and which have a parallel only in the plagues of the world. There is another cause of the disease which belongs to the city, and is entirelv recent also. The fire of January exposed to the operation of the sun and rain a great number of vaults and cel- lars which co-operated with other local impurities and added to the insalubrity of the climate. But they have not constituted the basis of the extreme severity of the epidemic as some had very erroneously imagined, since the first cases of black vomit and continued fever occurred at a considerable distance from the 138 THE EPIDEMIC AT SAVANNAH. situation of the fire, and, in some instances, among persons whose occupation and residence were seated in such manner as to bring them very seldom within its neighborhood. The principal mor- tality was for some time confined to the eastern wards, so that the Mayor was, at one moment, induced to speak of the propriety of drawing a cordon around that portion of the city and obstructing its intercourse with the rest. If the origin of the disease had been founded, even chiefly, in the consequences of the fire, it must cer- tainly have broken out first and most destructively in the lots which immediately surround them. I am disposed, however, to attribute still, some share of the morbid effect to the vaults and cellars and the miasmata which must have arisen from them, remarking at the same time that they did not act, and could not have acted, from their situation and condition, that very powerful part which some have ascribed to them. The epidemic was not the result of one source merely, but many. It arose from all the local and general sources which have been enumerated. And when all these have been brought into view—when they are combined and made to operate together in one point, the effects of that operation cannot be otherwise than uncommonly efficient when all the local sources of miasmata, which are somewhat new and unexperienced in this city, are joined to the usual and prolific sources afforded by the marshes which surround us—when they are joined to the general epidemic agent, which was pervading the whole country for many leagues. and which was poured in by the winds in such abundance—when it is considered that the general cause was itself severe and fatal, it becomes, at least probable that a compound so deleterious was fully competent to produce a malady greater than any other of former years. It becomes an adequate cause for the superior virulence of the epidemic within the borders of the town, and satisfactorily accounts for it. Whether it be or not an adequate cause, it is yet unques- tionable that the cause of the general disease was founded in the local atmosphere. The general affection was drawn from general circumstances, and the local affection from a composition of gen- eral and local circumstances. Such appears to be the most prob- able origin of the epidemic of 1820. But since it has been attri- buted by one class of persons to the imperfect state of the dry culture, by another to importation from the West Indies, and by another to importation from the coast of Africa, it becomes report By wilLiaM r. WarIng. 139 proper, not because these sources are reasonable or much accred- ited by this community, to meet and refute such groundless imaginations. With regard to the dry culture, it is to be observed that this system has been only partially carried into operation, and at best comprehends but a small portion of the swamp lands which more or less extend their influence to the city. I have myself always viewed the original purchase as the com- mencement of an extensive plan of redeeming from pollution all these lands in the course of time, and as contributing, as far as it went, to reduce the unwholesomeness of the climate. I have never been so sanguine, nor have any of the intelligent supporters of the system of dry culture been so visionary as to anticipate more than an incomplete benefit from its present extent. A benefit, even such as it was calculated to procure, was, however, to be considered worth possessing, and was still more esteemed because it was contemplated as laying the ground-work of further benefits. It is impossible for any man who has any acquaintance with the former and present condition of these lands to feel other than the utmost confidence in the principles of that system. If dry soils have more salubrity than mud flats and quagmires, then it cannot be doubted, on an inspection of the grounds which have been properly managed, that, so far from having become more fitted to create disease, they have very much approximated to the innocuous circumstances of high situations ; and were it practicable to insulate them or defend them against the influences of the rice fields in the vicinity, I verily believe that as much health might be enjoyed upon them as upon any of the cotton or corn plantations in the lower country. What is there to prevent it ? They can be as easily drained and can be preserved as free from collections of water. In relation to their present state the board has been already instructed by their inspector, whose in- vestigations have been more minute than my own. But so far as I have been able to inform myself, it appears that, in some places, the ditches and canals have not been assiduously cleared of ob- stacles to the afflux of water, yet those ditches and canals are not in a more objectionable state than the margin of the river, or those ditches and canals on cultivated rice lands, where instances of black vomit are unknown. Such lands are very abundant along the coast of Georgia and South Carolina, and yet I believe an instance of yellow fever, or what is vulgarly called so, has seldom or never occurred. I was born on a rice plantation, and 140 THE EPIDEMIC AT SAVANNAH. have spent a greater part of my early life in the midst of the cul- tivation of that plant without having on my mind the remem- brance of a single instance. It seems to be totally the disease of uncleansed places or cities, conditioned very similarly to the man- ner in which I have represented this to have been, or operated upon by the same abstract cause. Generally the proprietors have not been negligent of the terms of their contracts, and these grounds, in many places, have been beautifully managed in the culture of corn, cotton, and the grasses. If it were practicable to rescue all the adjacent swamps in the same degree, and to place them in a dry condition also, the great advantages that would result can hardly be a matter of doubt. It could not justly have been expected that a surface, chiefly tilled and carpeted in the vegetable growth of elevated places, occasionally intersected with a canal containing some stagnant water, but generally destitute of moisture as any other rich com- position of earth, one hundred and fifty miles in the up-country, should form an apparatus more fruitful in the furnishing of im- pure gases, than that same surface in its rice field state of bog and ravine. In point of fact, it appears that the negroes inhabit- ing those grounds have been so far from suffering more from disease than formerly that they have kept better health, and acknowledge that they have enjoyed greater freedom from fever since the cultivation of cotton has been introduced. The over- seers employed to superintend them have sustained attacks of the ordinary remittent, which, in some instances, have been slight and short of duration. But there has not been an original case of that destructive grade of fever which prevailed in the city, and which has been attributed to the dry culture. Mr. Howard in- forms me that there were five white men in his employ on the plantation of Mr. Wm. Mein, not more than a few hundred yards distant across the river during the fall months, who preserved their health, notwithstanding that they constantly breathed this air of the dry culture in all its simplicity and strength. It is sin- gular, likewise, that the sailors along the borders of this planta- tion, in the occupancy of the ships in the river, have been more exempt from fever this year than usual. Mr. Bolton informs me that it was even a subject of remark at New York, in the exercise of quarantine, in regard to vessels arriving at that place from this port. And Captain Jayne, of the Oglethorpe, who reached Savannah in the month of October, states that the part of his \ REPORT BY WILLIAM R. WARING. 141 crew which he confined to the ship escaped the epidemic entirely, while all perished that were permitted to come into town. The fact is irresistible and speaks a volume in defense of that system which it has attempted to impugn, and which is not dependent for its soundness on any experiment now to be made. The dry culture is the only great radical mode which can be adopted with any prospect of rendering this city a tolerable residence during the summer and autumn. Under its ancient circumstances, in conjunction with its present accession of population, its calamities will not only continue, but must be augmented. The mortality of the past season is unexampled indeed ; but when it is considered that much arose from the mere increase of numbers and the foreign material? of which it was composed it does not at last surpass that of former years so much as is im- agined. Since the year 1807 there have been nearly four thou- sand deaths, so that, calculating the average census at that num- ber for fourteen years, to the close of 1820, it appears that the whole population is exterminated at every revolution of fourteen years, and that human life, according to a general computation, is contracted to that term. It is rare, in any part of the State, that death draws so tragic a picture of his ravages in such strong col- ors. I have inquired particularly into the subject of importation, and there does not appear to be any better reason for ascribing the disease to this source than to the dry culture. Importation, as it is generally understood, means contagion ; and it would be sufficient to prove that the disease was not contagious to establish the fact of not having been imported. But it is more satisfactory to establish the fact by positive testimony obtained concerning the condition of the vessels to which it has been or might be attribu- ted. It was said, by some individuals, to have been brought from the coast of Africa, in a brig called the Raminez, which had on board a cargo of new negroes. Unfortunately, however, for this hy- pothesis, the Raminez did not only arrive with a healthy crew and an entire freedom from any malignant disease, but she arrived some time after the fever had grown into considerable extent and severity. I have already stated that some rapid and insidious cases occurred in June, and that fourteen deaths took place in that month. I have stated that Mr. Patrick Stanton even died of black vomit on the 16th of July. The Raminez came into port on the 22d. It was not and could not be an African disease. From the 23d of May to the 20th of July there came five vessels from 142 THE EPIDEMIC AT SAVANNAH. the West Indies and one from New Orleans. I have not been able to learn of any others. On the 23d of May brig Rover, Cap- tain James, from Havana ; on the 2d of June schooner Phantom, Havana ; on the 13th of June schooner Charles, New Orleans ; on the 24th of June sloop Darien, St. Domingo ; on the 27th of June schooner Isabella, Matanzas ; and on July 20th a vessel to Green & Lippit, from St. Domingo. It appears from inquiry as to the state of these vessels, that the crews were healthy and there was nothing in relation to them which could authorize a belief of their having either severe dis- ease on board, or the power of propagating any disease what- ever. Captain Newell, of the navy, who was in the employ of the government during the last winter and spring, on the island of Ossabaw, communicated to me a very singular fact which is wor- thy of notice. He states that he left the island on the 28th of May, a short time previous to which several of his crew were seized with a violent fever, one of whom died ; another died on the passage to New York, and a third after their arrival at that port ; that the first in the course of his illness exhibited no in- crease or decrease of fever, and the last was pronounced by Dr. Baylie, the Health Officer, to be affected with as strong appear- ances of malignancy as any case he had ever seen. These men were cut off from all communication with the main, or with ship- ping of any kind, until their embarkation, so that the disease was of local origin, and that local origin was a large pond in a stag- nant condition. I mention the fact in this place in order to show the contemporaneous commencement of this fever with that of the city ; their proximate characters in point of violence, and their probable alliance through the general morbific constitution of the atmosphere. It tends to prove the locality of the disease. But this is further confirmed by its non-contagiousness. The Board of Health in August, by a communication to the Mayor, unanimously attested to this characteristic of the prevailing fever. I have not heard of one instance of its being communicated from one person to another. Although many have gone into the coun- try and died of black vomit, there has been no further propaga- tion of any similar affection. There have, too, been some very remarkable instances to test the principles which are taught in the school of New York. It is contended there, that although what is commonly denominated yellow fever, may not be readily com- municated in a pure atmosphere, it is so, in an impure one, or one REPORT BY WILLIAM R. WARING. 143 contaminated by marshes. A country like this is supremely cal- culated to try such a doctrine, because it abounds every year with an atmosphere contaminated precisely in this way. Accordingly it has happened, in the late season, that several persons, after having been attacked with the disease of the city, went into the neighboring rice plantations and died with the usual symptoms. Yet there was no evidence of contagion. A negro went from town to the place of Gen. Rutledge, where rice is cultivated, and where it is all swamp, and died with black vomit; yet there was no contagion. Another went to the plantation of Mr. Ebenezer Jackson and died in the same manner, but no one took the dis- ease. It was not contagious then either on this ground or in conformity with the common principles. The only fair way of establishing the New YorK doctrine is to prove the importation of the disease, and then to prove its propa- gation from the vessel in which it may have been imported. To do this an obstacle at once presents itself, which appears to me to be almost insuperable. For it is confessed that no propaga- tion takes place without a certain contamination of the atmosphere, so that it becomes, at least, a matter of doubt whether it be owing to that contamination or to the matter of contagion. In order to fix it on the matter of contagion, it then becomes requisite to prove that such particular contamination is unable alone to produce the disease, and this can be done only by demon- strating its positive presence, sometimes without being attended with that effect. This is impossible in the present state of medi- cine, because it is not quite ascertained what the circumstances are precisely which produce it. We say it arises from miasmata, by which we mean a cause of fever consequent on the decompo- sition of vegetable or animal matter by the influenc3 of heat and moisture. What the particular nature of the decomposition con- sists in; what constitutes its whole character; what are the pre- cise materials of which it is predicated; what are the identical qualities of the agent which results from it; what quantity or di- versity of this agent may be necessary, are not ascertained. And, until they are ascertained, it is impossible to determine at all times whether the immediate local cause be certainly present or not. But further, if it can be shown, in a single instance, that the disease has been produced without the aid of an imported virus, it then becomes totally impossible by any mode of reason- ing with which I am acquainted to attach it to this source. For 10 144 THE EPIDEMIC AT SAVANNAH. if local causes produce it once, why should they not always pro- duce it ? The doctrine teaches that they must always be present, and that the virus is inefficient without them. They are said to go hand in hand, and step for step. When the local causes are limited, there also is the boundary of the virus influence; so that if the effect can be attributed, for once only, to their sole agency, it becomes no longer expedient to look to contagion for additional agency. One cause which is equal to an effect, is always sufficient to account for it; if another be associated with it, which neither increases nor decreases the effect, I do not know by what rule of logic it can be supposed to be instrumental in the production of it. It may have an influence, but I do not know how it is to be proved to exercise it. Since it is admitted to be impotent in itself; since it is said to be more virulent as the local causes are more abundant, what means are there left to ascertain its cooper- ation, or to insulate it in such a manner as to consider the part which it acts ? Can it be done by tracing the gradual progress of the disease from the imported camps ? This will not avail because the local cause may be more dense and active in that situation also, as appeared in the case of the putrid coffee in Philadelphia and in the commencement of the violent cases of the epidemic this year in the eastern wards. Even in our ordinary fall fevers their violence is not equally developed in all parts of the city at the same moment. It begins at some point, in subjection to the course of the winds, and that point has generally been those east- ern wards, precisely after the manner of the last season. The New York contagionist is thus reduced to the shift of demon- strating that the common impurities of the atmosphere are not in greater abundance at the commencing point and its nieghbor- hood than they are elsewhere. If he can do this, it is impossible for him to show the propagation of the imported virus. This has never been done in any instance of which I have anv knowledge. The origin of the violent cases of disease has been commonly at wharves and docks, which are the great repository of all those local causes which are said to be necessary to the propagation. To return, then, to our domestic sources, they did undoubtedly produce the few cases of black vomit of 1817. The epidemic of that year had been remittent from June till November, with the exception of a single instance, where it was continued and at- tended with black ejections from the stomach. About the begin- ning of November, some of our Northern inhabitants returning REPORT BY WILLIAM R. WARING. 145 from their summer tour in the expectation that on their arrival the epidemic would have come to its conclusion, unfortunately in- curred the disease, which was still prevailing. In these instances, where the system was strong and inflammable, the absence of paroxysms and the symptom of black vomiting made their appear- ance. I saw five cases of this description. They were unquestion- ably the common remittent, urged into the continual form by the operation of the usual cause upon a higher state of the excita- bility. At this period there was little commerce, and few vessels had ariived in port. In one of the cases the patient landed with indisposition from sea-sickness, which gradually, although con- fined to the house, assumed this formidable shape of fever, and eventuated, after a fortnight's duration, in black vomit and death. There are instances of the local foundation of the disease which I have witnessed personally and am fully satisfied with. They are sufficient to establish the competency of a domestic cause without the cooperation of a foreign one, and demonstrated the supereroga- tion of imputing to an imported source any share in a result which the local one is adequate to effect. I have dwelt thus on the hermaphrodite theory of contagion, because it rests on a pos- sibility of truth in consequence of its insuperable alliance with the theory of domestic origin and of the good company which it is constantly made to keep. To sum up then, all which I have suggested, it appears that the causes of the fever of 1820 have been : First, A general epidemic condition of the atmosphere, of extraordinary virulence, either proved to exist or produced by an uncommon deficiency of the electrical fluid. Second, The early establishment of that con- dition of the atmosphere by the reduction of the winter of 1819-20 to the temperature of spring, and the reduction of the spring to the heat of summer, thus bringing upon us in the spring the usual evils of summer; in the summer, a combination of those evils with the usual evils of that season, and in the fall an aggre- gation of the evils which are usually incident to it with this ex- traordinary combination of those which preceded them. Third, The prevalence of eastern winds, which had been predominant and uncommonly injurious in consequence of the general abundance of moisture and miasmata. Fourth, The growth of the city within a few years and the rapid increase of its population, thus producing a source of putridity and incorporating it with the soil. Fifth The unnecessary luxuriance of the trees by the shade and 146 THE EPIDEMIC AT SAVANNAH. protection which they afford to dews, and fogs, and moisture of the atmosphere after rain. Sixth, The great number of small wooden houses, unpainted, and in a complete state of putrescence. Seventh, Uncovered vaults and cellars, the consequence of the fire. Eighth, The remarkable number of foreigners and persons unaccustomed to the climate, producing not an aggravation of the cause of the disease, but of its general grade and character. Ninth, The high position of the city on the borders of extensive marsh grounds, thus attracting and concentrating upon itself their pro- ducts of unwholesome vapor and miasmata. All these causes together gives a compound origin to the disease, which is internal and external. The origin is a tangible one, and rests on contin- gencies which the strength and ingenuity of man may counteract. But the task is gigantic and can only be accomplished by public wealth, and public spirit, and public firmness. Nothing can be too expensive—no exertions can be better appropriated than to give salubrity to a city which it is determined to sustain. Caprice, however heated and liberal and well disposed, will always lead to disappointments, if not to disgrace. It is beyond the power of the corporation to do everything which ought to be done in a work of such magnitude as the total constitution of a healthy climate in a place like this which labors under so many disad- vantages. But what can be done should be done, and done com- pletely, without any tergiversation. Temporary expedients are a permanent waste, and in public as well as private transactions lead only to discomfiture and defeat. I have pointed out the causes of the late epidemic which to me are obvious and plain, and in which I unqualifiedly believe. It remains for Council to select among them such as it is practicable to remove, and then they ought to remove them totally, without being influenced in their pursuit by individual or popular notions. Having assigned the probable causes of the epidemic I now enter upon a history of its character and the modes of treament which were employed. I have already stated that it was intermit- tent, remittent and continued. The intermittent form prevailed throughout the season, but occurred most frequently in the first and latter part of it, because the miasm which produced the dis- ease was least abundant at those periods, and gave birth to a mild effect in proportion to its quantity. The remittent form also pre- vailed throughout the season, but was most rife in the middle of it, because the miasm, at that point, had become too concentrated REPORT BY WILLIAM R. WARING. 147 for an intermittent effect and not rife enough to produce a higher type of fever. The continued form began early, but was not per- fectly established till the last of July. It went on then increas- ing and extending, and was more and more comprehensive nntil the commencement of cool weather, because the morific cause was more and more augmented and condensed by the incessant opera- tion of the circumstances in which it was founded, such was the order observed by these forms in their relation to one another. * ******* * [OF STOMACH AND BLACK VOMIT--PAGE 49.] In one instance only an ulceration took place. There was no instance of gangrene. The inflammation ran highest in the ro- bust and strong, as in healthy foreigners. In these the vessels were so rapidly distended as to burst, and then the stomach was found to be full of blood. ******* [OF BLACK VOMIT—PAGE 50.] * * * j)r Nicholas Chevin, an ingenious and intelligent French physician, who visited this city during the prevalence of the epidemic for the purpose of adding still more to a long expe- rience in yellow fever, firmly entertained this opinion: "That the black vomit was blood." I confess, however, that his proofs did not appear to me to be perfectly satisfactorily. * * * In the treatment of the continued form of the epi- demic of 1820, specifics as well as principles, were unsuccessful in the majority of cases. WILLIAM R. WARING. Note.—Sometimes the terms "disease1' and "fever," as used in this report, are used to apply, not merely to the whole epidemic, but particularly to the continued form of it; as if such form were considered a distinct disease or fever. This note is inserted, therefore, to leave no room for doubt or misconception. *The remainder of the pamphlet, about thirty-five pages, describes the symptoms and various modes of treatment adopted in that day, with the author's criticisms of each. This is omitted as not pertinent to the purposes contemplated in this publication, which is a contribution to the general knowledge of the causes and prevention of yellow fever epidemics. 148 THE EPIDEMIC AT SAVANNAH. Savannah, Ga., January 23, 1821. Dear Sir : * * * Your views on the subject of fevers, in point of character and origin, correspond with the observations I have made in a thirty years' practice in this climate. * * * * Your report, I am persuaded, will have a salutary influence in correcting many false notions indulged, by our people, and much false theory among professional men on the subject of yellow fever. I am, dear sir, respectfully your obedient servant, LEMUEL KOLLOCK, M. D. Dr. Waring. PUBLISHED BY ORDER OP COUNCIL. SAVANNAH: PRINTED BY HENRY T. RUSSELL, 1821. V. REPORT OF JOHN E. WARD, MAYOR OF THE CITY OF SAVANNAH, —FOR THE— YEAR ENDING DECEMBER 30, 1854. REPORT. Mayor's Office, Savannah, 20th November, 1854. Fellow-Citizens : * ******* * YELLOW FEVER. After an exemption from epidemics, unknown to any other city, and the enjoyment of unexampled health for almost half a cen- tury, in the month of August last our citizens were startled with the announcement that the yellow fever had made its appearance. as an epidemic. The first case of yellow fever occurred on the 5th of August in a house situated at the southwest corner of Lincoln and Broughton streets. Regarded merely as a sporadic case it was not reported as yellow fever. Between that date and the middle of the month a few more cases occurred, but nothing to excite any alarm or create any apprehension of an epidemic among us. About that date it manifested itself in an epidemic form, and swept with a fearful desolation over our city. During that month the total number of deaths was 257, 235 of whom were whites and 22 blacks. Of the whites 156 were foreigners, 43_ born in America, 29 in Savannah and 7 unknown—13 under 1 year of age, 12 from 1 to 5 years of age, 9 from 5 to 15 years of age, 120 from 15 to 30 years of age, 6 from 30 to 50 years of age, 12 over 50 years of age and 8 unknown. Of the blacks 1 by yel- low fever and 21 by other diseases—7 under 1 year of age, '2 from 1 to 5, 1 from 5 to 15, 2 from 15 to 30, 5 from 30 to 50, and 5 over 50 years of age. In the month of September there died 646, 591 of whom were whites and 55 were blacks. Of the whites 367 were foreigners, 119 were born in America, 94 in Savannah and 11 unknown—39 were under 1 year of age, 45 from 1 to 5 years of age, 39 from 5 to 15 years of age, 287 from 15 to 30 years of age, 135 from 30 to 50 years of age, 43 over 50 and 5 unknown; 381 by yellow fever and 210 by other diseases. Of the blacks 9 died from yellow fever and 46 from other diseases—12 under 1 year of age, 7 from 1 to 5 years of age, 7 from 5 to 15 years of age, 14 Errata.—On page 151 add the following after paragraph three: Various causes have been assigned by different individuals for the existence of the disease during the past season. I have felt it my duty carefully to investigate them. The first cause assigned was the introduction of the fever into our city from the brig Char- lotte Hague, which put into Cockspur Roads about the 29th of June. She was a Danish brig, bound from Havana to Copenha- gen. She was visited on the 30th by the Port Physician, Dr. Mackall, who reported two slight cases of sickness on board. It having been asserted that some of the men brought from her to the city died of the yellow fever, I have used every effort to obtain evidence to prove the fact, but I have found no proof to satisfy my own mind that there was any case of yellow fever brought up to the city from that vessel, and I herewith submit for your con- sideration a letter from Dr. Mackall and one from Dr. Wragg, the attending physicians of the Savannah Infirmary, to which all the men were carried. Dr. Chartres being absent, I have been unable to obtain an answer from him. REPORT OF MAYOR JOHN E. WARD. 151 from 15 to 30 years of age, 9 from 30 to 50 years of age and 7 over 50 years of age. In the month of October there died 137, of whom 108 were whites and 29 blacks. Of the whites 65 were foreigners, 24 were born in America, 17 in Savannah and 2 unknown—10 were under 1 year of age, 8 from 1 to 5 years of age, 4 from 5 to 15 years of age, 49 from 15 to 30 years of age, 29 from 30 to 50 years of age, 7 over 50 years of age and 1 unknown; 67 died of yellow fever and 41 by other diseases. Of blacks 4 died by yellow fever and 25 by other diseases—7 under 1 year of age, 7 from 1 to 5 years of age, 5 from 5 to 15 years of age, 5 from 15 to 30 years of age, 2 from 30 to 50 years of age and 3 over 50. Total number of deaths for the months of August, September and October, 1,040—934 of whom were whites and 106 blacks. The disease was exhibited in its greatest violence from the 20th of August to the 20th of September, having commenced as an epidemic in the northeastern part of the city; it advanced directly to the southwest, spreading north and south until its influence was felt in every part of the city. The next cause assigned was the removal of the mud in the dredging of the Savannah river, and depositing the same on the eastern wharves. I respectfully submit to you two letters, one from Lieut. John Newton, the engineer in charge of the work, and the other from Francis Cercopely, the superintendent of the same, which, clearly establishing the fact that the mud was not placed on the eastern wharves, or in any manner exposed to the atmosphere, destroys the theory of those who had traced the exis- tence of the fever to that cause. Another cause assigned, has been the condition of the rice lands in the immediate vicinity of our city. These lands at the time of the commencement of the fever, and during its greatest violence, were in good order and never healthier. Vegetation was not de- caying, and there was no adequate cause for the disease to be found in them. After the banks had been broken by the storm— with vegetation decaying, the lands overflowed, and everything tending to increase the disease, if it had originated from that source__it commenced to decrease, and before the middle of Oc- tober, without frost or any other agency to which we had looked for its removal, it ceased to exist among us as an epidemic. I can only regard it as an atmospheric storm passing over the whole Southern country and taking our city in its course. It doubtless followed certain definite laws, but so did the tempest that swept 152 THE EPIDEMIC AT SAVANNAH. over our city on the eighth day of September. They both ex- pressed the will of the great lawgiver—of Him, at whose com- mand the storm or the pestilence arises and pursues its course, baffling the power or the skill of man, until it has accomplished His wise purposes. It may be that He will again command the pestilence to desolate our city, and to hush the accents of affec- tion in our homes, but there is no more reason to apprehend its return from any local cause existing around us than to dread another hurricane on the eighth of September next. We must still witness, everywhere around us, the memorials of our losses, but with a firm reliance on His mercy, who has so long blessed us with uninterrupted prosperity, and an abiding confidence in His power who has stood between the living and the dead, let us be true to ourselves and the prosperity of our city, and the hap- piness of her people will soon be restored. Attacked by the epidemic on the 7th of September, I was for some time unable to discharge the duties of my office. • During that period, its arduous labors were cheerfully and zealously per- formed by Dr. James P. Screven, surrounded by death and de- spondency, in the midst of dangers which might well have appalled " the bravest of the brave." Not a candidate for re-election, I avail myself of this oppor- tunity to express my most grateful acknowledgments to the people of Savannah for that confidence which has repeatedly elevated me to offices of honor and trust, for that charity with which my acts have been judged, and for that personal kindness which I have ever received from them. Very respectfully and truly, Your obedient servant, JOHN E. WARD, Mayor. 9 CORRESPONDENCE. Savannah, November 15th, 1854. To Hon. John E. Ward, Mayor: Dear Sir: In compliance with your request for a written state- ment of all the facts coming under my personal knowledge con- nected with the introduction of certain cases of fever into this city from a foreign vessel in July last, I submit as follows: On the 30th of June last I was called to visit a vessel at Tybee reported as having sickness on board. I answered the call. Be- fore reaching the vessel (which proved to be the Danish brig Charlotte Hague, Captain Buck), I found the Captain and one seaman requiring medical services. The Captain, however, had no fever, and was evidently recovering from a mild attack of re- mittent fever, at least such was my opinion. The seaman I found sick with bilious remittent fever. I prescribed for my patients and -returned to the city, reporting them to you in accordance with the above facts. On the 2d of July I was again called on to visit the Charlotte Hague. The Captain met me on the deck—the seaman was also on deck, and much better. Another seaman was called to me for examination (a similar case). I prescribed for them. Seeing that those patients would probably require more medical attention (which at Tybee was onerously expensive to the owners), I gave the Captain permis- sion to bring his sick to the city; this he did the following day (July 3d), and entered with them the Savannah Infirmary, where I visited them in connection with my partner, Dr. J. A. Wragg, until the fifth, on which day, being compelled to leave for the North on account of my own health, Dr. W. M. Chartres took my place and continued to visit them with Dr. Wragg. I have only to add that the symptoms these cases exhibited, up to the time I left them, differed in no respect from a number of other cases of remittent fever under treatment in the Infirmary at the same time, and showed no symptoms of yellow fever. Very respectfully, your obedient servant, R. A. MACKALL. 154 THE epidemic at savannah. Savannah, November 4th, 1854. To Hon. John E. Ward, Mayor: Dear Sir : At your request, I hereby furnish you with the facts in relation to the Danish brig, Charlotte Hague, said to have brought the yellow fever to Savannah. These facts have been taken from the books of the Savannah Infirmary, where the Cap- tain and two of the seamen belonging to the brig were under medical treatment for a few days. The Danish brig, Charlotte Hague, put into Cockspur Roads about the 29th or 30th of June, 1854, and was visited on the 30th by the Port Physician. On the 3d of July two of the seamen were brought to the Savannah Infirmary, where they remained until the 7th, and were discharged cured. They had not the least symptom of yellow fever. The Captain was also admitted to the Infirmary, and discharged cured. He had not the least symptom of yellow fever. On the 7th they returned to the brig and she went to sea. The brig never came up to the city, and the men brought up nothing but the clothing they had on. Very respectfully and truly, your obedient servant, JOHN ASHBY WRAGG. Charleston, S. C, 9th November, 1854. Hon. John E. Ward, Mayor: Dear Sir: In reply to your letter just received I have to state (without opportunity of looking over returns) that about 90,000 cubic yards have been taken out of the channels over the garden banks and the wrecks. All the material from the bottom was deposited until July on the South Carolina shore, near Hog Island, distant about four or five miles from Savannah. After that time they were dropped in a pocket channel existing on the wreck bank, and have never, I believe, been exposed for a moment to the air. I regard the assumption of sickness emanating from such cause as the most unwarranted possible. Capt. Cercopely can give you the most minute information on this subject if you require more. I am, sir, yours, most respectfully, JOHN NEWTON, First Lieutenant Engineers. Hon. John E. Ward, Mayor: Dear Sir: As you wish information from me in regard to dredg- ing done in Savannah river, I will comply with your request as REPORT OF MAYOR JOHN E. WARD. 155 * hear as possible. I have been inspector of the dredging under Capt. Gilmer and Lieut. Newton's instruction, and I must, in the first place, say that the material taken from the bottom of the river has never been deposited on any of the wharves. All the material has been deposited at different places, generally in Back river and points near the Carolina shore, as directed by the offi- cers, about four or five miles from the city, and has never for a moment been exposed to the air, excepting at the time the scows were loading, and when loaded they were immediately towed to the places above mentioned, and the mud dropped in six or seven feet water. You wish to understand bow the scows are constructed. They are so constructed that by the means of a trap door the material drops through the bottom. As regards the assumption of sick- ness originating from such a cause it is, in my opinion, very absurd and inconsistent. Why did we not have yellow fever last year when dredging was in operation from about June to November ? I am, yours, etc., FRANCIS J. CERCOPELY. ■ REPORT —OF— EDWARD C. ANDERSON MAYOR OF THE CITY OF SAVANNAH, —FOR THE— YEAR ENDING DECEMBER 31, 1876. REPORT. *** *** * * # After a period of eighteen years of unexampled health, and an exemption from epidemic of any kind, our community was star- tled in the month of August last by the announcement that the yellow fever had broken out in the eastern part of the city. The first recorded death from yellow fever occurred on August the 21st, on Wright street, a short cut de sac, about fifty yards long, the culmination of Bryan street, in the northeastern part of the city, viz.: James P. Cleary. The second occurred in the same street and same locality, August 22d, viz.: Joseph Lynch. The third and fourth, August 26th, same locality, viz.: John Lynch and Mrs. John Lynch. The fifth occurred August 26th, on East Broad street, two doors north of Broughton, viz.: Michael Delaney. The sixth took place August 27th, on Reynolds street, next to Gas House, viz.: Mary Ann Smye. The seventh, August 27th, on Broughton street, three doors west of Reynolds, viz.: Mary Kehoe. The eighth, August 27th, on East Boundary street, north end, viz.: Catherine Kehoe. The ninth, August 27th, on Ran- dolph and President streets, viz: Frederick Lawson. On the 28th of August there are five deaths recorded, one which took place on Stone street, Mrs. Mary E. Malcomes ; one on State street, between Whitaker and Barnard, Edward L. Drummond, and the remaining three in the northeastern part of the city. On the 29th of August three deaths occurred: One on Indian lane, W. M. Thompson, the other two not specified. After this the disease spread rapidly, and was not confined to any locality. The highest number of deaths in the city from yel- low fever in any one day was thirty-three, on the 20th of Septem- ber. The highest number from all causes, forty-two, on the 23d of September. These occurred in the fifth week of the epidemic, embracing the period between the 18th and 24th of September, during which week there are reported 229 deaths from all causes. From the 21st of August until the 14th of November, inclusive 11 160 THE EPIDEMIC AT SAVANNAH. a period of eighty-seven days, the total mortality from all causes, whites and colored, reached 1,351, this number being subdivided as follows, viz.: Whites, yellow fever, 771; colored, yellow fever, 125. Total yellow fever, 896. Whites, other diseases, 160; col- ored, other diseases, 295; total 455. Of this latter total of 455 deaths from other diseases, there have occurred in this city among the whites thirty-eight deaths, from such diseases as have been reported to the sextons of the three cemeteries, as malarial fever, pernicious fever, fever, congestive fever, bilious fever, convulsions, etc., a large portion of which were probably directly due to the pernicious influence of the epidemic, and many of them, in all probability, were genuine cases of yellow fever. Among the colored there occurs in the same category 132. If the above inference is correct, the report of the mortality during the epidemic would exhibit the following figures: Deaths from yellow fever—whites, 809; colored, 257; total, 1,066. Other dis- eases—whites, 122; colored, 163; total, 285. The inference is corroborated by a comparison with the usual death rate of pre- ceding years during the same period when there has not been any epidemic of yellow fever prevailing. In the period embraced between the 21st of August and the 14th of November, the epi- demic being declared by the physicians at an end on the latter date, there were forty interments of yellow fever in the several cemeteries of persons who were brought dead to the city from different points, viz.: Isle of Hope, Whitesville, Thunderbolt, etc After the 14th of November six deaths from yellow fever occurred in the city among the whites and one among the colored, and three white persons were brought dead to the city for interment. The last recorded death from yellow fever in the city occurred December 1st. The origin of the epidemic is involved in obscurity, and a great difference of opinion exists among the physicians as to whether the disease is indigenous to our climate or exotic. A special com- mitte appointed by Council and the Benevolent Association have this subject under investigation, and will, in due time, report the result of their labors. Dr. Wm. Duncan has prepared a carefully elaborated history of the epidemic from its commencement to its close, which he has kindly consented to publish as an addendum to this report. I have been permitted to verify the figures given in the brief state- ment above presented from his data. REPORT OF MAYOR E. C. ANDERSON. 161 The history of the terrible pestilence which devastated our unfortunate city would be incomplete without grateful recognition of the generous efforts made to alleviate our distress. As soon as it became apparent that yellow fever was epidemic at Savannah, almost the entire population, whose circumstances permitted, withdrew from our limits, leaving only those who, from the requirements of official position, or an elevated sense of duty, felt constrained to remain. The small white population possessed of any means or experience were at once burdened with a large mass of their fellow-citizens, both white and colored, entirely depend- ent upon their daily labor, and who at once lost their only means of support upon the sudden prostration of all business. * ******** EDWARD C. ANDERSON, Mayor. A COMMUNICATION TO THE CITY COUNCIL ON THE PRIVY SYSTEM OF SAVANNAH, BY JAMES J. WARING, Alderman. THE PUTREFACTION OF ITS CESS-VAULTS A DANGER TO THE PUBLIC HEALTH. THE ONLY REMEDY, THE ROCHDALE PALE SYSTEM—THE ROCHDALE PALE SYSTEM DESCRIBED—TESTIMONY AS TO THE HEALTH RESULTING FROM THE PAIL SYSTEM, CONTRASTED WITH THE SPREAD OF DISEASE FROM THE WATER CLOSET AND SEWER SYSTEM. SAVANNAH, NOVEMBER 27, 1877. SAVANNAH, GA.: MORNING NEWS STEAM PRINTING HOUSE. I877- ROCHDALE CORPORATION. EnUuged> Sections of lid tc Closet Tub. Ash-lab Closet Tub HOC5DAIE Narrow Woodln Priv^ THE EVIL AND REMEDY —OF— THE PRIVY SYSTEM OF The population of Savannah by the last census was 28,000. It is probable this number has diminished to 26,000. The plateau upon which Savannah is built is fifty feet above tide water, gently sloping from north to south to an average of forty feet. The water level below the surface of this plateau varies from six feet in the southern wards to twenty feet near the river in the northern wards. The number of houses in Savannah is near five thousand. The number of water closets is 1,759, (see summary of J. C. Cornell below). And the number of privies or midden vaults is 3,366, (see report of Police Inspectors below). But the evil of the midden vaults is not to be estimated by this enumeration, for the large majority of the water closets connect with closed or sealed midden vaults, called dry wells, which are (perhaps in lesser degree) nevertheless putrefaction beds, con- necting by the waste pipes with the interior of houses. As the water works of Savannah were established in 1853, and ' the sewer system not established until 1872, the water closets very generally put into houses after 1853 were forced to connect by waste pipes with such dry wells. I find in the office of the Clerk of Council a record of sewer permits dating only from January 1, 1871, and from that date only 106 permits for water closet con- nections have been issued. That this record is very erroneous need hardly be asserted. It is safe to say, in the absence of a record, which ought to be taken by Mr. Cornell, that of the 1,759 water closets about 500 only connect with the sewers. The water supply of Savannah is very abundant. The number of gallons of water thrown upon the plateau for the supply of the inhabitants, averaged in 1876, 47,533,169 gallons per month ; and in 1877, for August, September and October, 53,498,939 gal- 166 THE EPIDEMIC AT SAVANNAH. Ions, (see statement of K. D. Guerard, Superintendent of Savan- nah Water Works). The refuse water and sewage is conducted by a system of sewers, the main artery of which passes down Broughton and East Broad streets, to its terminus on Bolton street, whose short trunk sewer discharges the whole into the Bilbo canal, now thoroughly flushed and disinfected by the tides which reach up its whole length. The number of privies in Savannah is 3,366, of which 2,886 are in good condition, 405 need attention and 75 need immediate attention. The privies of Savannah are built with retaining walls of very porous brick and open porous sand bottom, drain- ing laterally and downwards to the water level. A municipal ordinance requires them to be six feet in depth, and requires them to be emptied when they are filled to three feet of the sur- face. These privies fill slowly with solid excremuta, the liquid portion being filtered away laterally through a very porous homo- genous sand soil ; hence, the difficulty, if not impossibility, of proper emptying by any process of pneumatic suction, such as is sanctioned and encouraged by the present ordinance. No mild language can fairly describe the nauseating abomina- tion of these middens. Even when clean, the saturated brick sides give off as much odor as the full vault. When it is realized that modern science has proven beyond refutation, that the germs of such diseases as yellow fever, typhus and typhoid fever, diph- theria, etc., are the pathogenic bacteria of putrefactive beds and putrefactive fermentations, the grave question of how to deal with this pressing evil comes home to each member of this Board of Aldermen. He cannot thrust it aside. That the spores, or zoospores, or aurosporen of these bacteria have continued to live through the last winter in lurking or shel- tered spots, in spite of the cold, and that they have germinated here and there on some putrefactive bed favorable for such devel- opment, we have too sad evidence in the recent death of one of our most valued citizens and the admired associate of this Coun- cil. The efficiency of carbolic acid as a destroyer of these bacteria was amply proven at New Orleans in the fatal year of 1876, and I respectfully urge upon Council that large quantities of carbolic acid with no stinting hand be poured into and upon every midden vault and receptacle of putrefaction with an organized force, not only during the winter, but also again upon the opening of April and May. EVIL AND REMEDY OF THE PRIVY SYSTEM. 167 But such a sanitary measure is temporary, and the following information is submitted, and each alderman is respectfully urged to read carefully every line of these gathered facts. The Kochdale pail system is practicable and easily carried out. Once it is understood and confidence established in the certainty that the pails will be emptied, it will be gladly adopted by every householder. Such is the universal experience. It is respectfully recommended to incorporate in the tax ordinance an annual tax or license upon the old midden single privies of $15, and upon double midden privies of $30, and upon the Rochdale pail privy of $12. The single pail must be emptied once a week. A van (see plate) with two mules and two men will make three trips per night, carrying away and replacing thirty-six pails. In other words thirty-six pails must pay for a van, and two mules, and two men, fifty-two nights. A liberal allowance will make the fol- lowing expenses: Expenses of van....................$ io oo Two mules for two months at $12 a mule......... 48 00 Two men for two months of twenty-six workings days, or fifty- two days, at Si 00 a day..............104 00 Clerks for two months at S50 a month...........100 00 Total......................$262 00 Divided by thirty-six, the number of pail privies would make an expense of $7.27 per privy. It is obvious from these figures that a general system would diminish the expense to $4.00. The old privy vaults should be thoroughly cleaned by the town and arched over with brick and cement and a trap communication made for the reception of kitchen slops, thus making of them dry wells. Finally, an ordinance should subject these pail privies to police inspection, and a severe penalty in the police court at- tached, for emptying into the privies kitchen slops or anything other than the natural accumulation of urine and excrement. 168 THE EPIDEMIC AT SAVANNAH. REPORT OF POLICE INSPECTORS OF THE BOARD OF HEALTH. NUMBER OF PRIVIES. Wards. Troup ................... Lafayette................. Derby................... Reynolds ................. Decker.................. Franklin . . . . ,............. Jasper and Pulaski............. Brown .................. Crawford................. Calhoun.................. Anson .................. Percival.................. Forsyth.................. Green and Columbia............. Elbert and Jackson............ Liberty.................. Heathcote................. Currytown and Berrien........... Warren and Washington........... Bartow and Davis (Bryan Row)........ River Front north of Bay street and New Franklin Magazine................. Choctaw Railroad, O'Neil, Walton and Minis . . Outskirts Southwest (Western Division) .... Outskirts Southwest (Eastern Division..... South, North and Middle Oglethorpe...... Chatham and Monterey........... Total.................. 38 27 12 55 15 19 47 3i 189 76 46 34 175 60 78 40 49 142 6S 129 27S 247 250 175 262 254 90 2; " 2,SS6, 405 75 3,366 EVIL AND REMEDY OF THE PRIVY SYSTEM. 169 WATER CLOSET CENSUS. NUMBER OF WATER CLOSETS. On River street, from eastern wharf to canal............. 2 On Bay street from East Broad to West Broad............ 185 On Bay lane " " " " « - ............ 3 On Bryan street, " " " " " ............ 80 On St. Julian street, from East Broad to West Broad.......... 3 On Congress " " " " " .......... 92 On Broughton " " " " " .......... 154 On State " " " " .......... 41 On President " " " " " .......... 22 On York " " " " " .......... 27 On South Broad" " " " " .......... 144 On Hull " " " « " .......... 16 OnMcDonough" " " " " .......... 8 On Perry " " " " " .......... 48 On Liberty " " " " " .......... 122 On Harris " " " " ".......... 36 On Macon " " " " " .......... 16 On Charlton " " " " " .......... 49 On Jones " " " " " .......... 104 On Taylor " " " " " .......... 81 On Gordon " " " " " .......... 5° On Gaston " " " " "........... 65 On Huntington " " " " " .......... 21 On Hall " " " " " .......... 14 On Gwinnett " " " " " .......... 2 On Bolton " " " " " .......... 3° On Walburg " " " " " .......... 8 On Duffy " " " " " " .......... 9 On New Houston " " " " .......... 33 On Henry " " " " " .......... 5 1,460 On East Broad street from Bay to Liberty street.......... 4 On Houston " " " " " " . . ......... 3 On Price " " " " Anderson " .......... 2 On Lincoln " " " " " " • • • ■...... 2 On Habersham " " " " " " .......... 5 On Abercorn " " " " " " .......... 42 On Drayton " " " " " " .......... 3° On Bull " " " " " " .......... 40 On Whitaker " " " " " ".......... 33 On Barnard " " " " " " .......... 35 On Tatnall " " Liberty to " " .......... 20 On Jefferson " " Bay " " " .......... 16 On Montgomery " " " .......... IO On WTest Broad " " " " " " .......... 37 1,75° On Broughton street from East Broad to Randolph street........ 1 On Liberty " " " ........ 2 1,753 On Indian street from West Broad to canal............. 1 On Harrison " " ............. l On Margaret " " " " " ............. 4 Total in the city.......................J>759 170 THE EPIDEMIC AT SAVANNAH. Alderman J. J Waring: The accompanying information is the result of the census I have taken of the water closets in the city. J. C. CORNELL. STATEMENT BY SUPERINTENDENT OF WATER WORKS. The average gallons of water supplied to the city of Savannah per month during 1876 was 47,533,169 gallons. The consumption during the months of August, September and October, 1877, was as follows : August, 1877................53,521,904 gallons. September, 1877...............52,440,964 gallons. October, 1877................54,533,949 gallons. Respectfully, your obedient servant, R. D. GUERARD, Superintendent Savannah Water Works. [From the Journal of the Society of Arts, May 11, 1877, p. 569.] REPORT ON THE PAN, PAIL, AND MIDDEN SYSTEMS OF DISPOSING: OF DRY SEWAGE. GREAT BRITAIN. BY GILBERT R. REDGRAVE, ASSOC. INST. C. E. Mainly owing to the exertions of the officers and inspectors of the Board of Health, and the admirable reports of the medical officers to the Privy Council, the abominable midden system, as it formerly existed in all old towns, is fast disappearing, and in its place, we find numerous contrivances for abating the nuisance and evil occasioned by the retention near our dwellings of vast heaps of putrefying refuse. Full descriptions of the improved systems of midden construction, and details of the dry closets, pans, pails and other appliances, for the reception and removal of faecal matters, may be found in the Twelfth Report of the Medi- cal Officer of the Privy Council (1869), and the Second Report (new series, 1874). If we look at the condition of the chief Lancashire and Yorkshire towns some ten years ago we find that the midden or ash-pit arrangement was everywhere in vogue. Into open, reeking middensteads, was thrown the entire refuse of the house, there to undergo slow decomposition along with the excrement and slop water. The Birmingham and Manches- ter reports of that date give us estimates of the united areas of these masses of putrefaction, and the Public Works Committee of the former town tells us, as late as 1861, that in their town there were thirteen and a half acres of space devoted to such EVIL AND REMEDY OF THE PRIVY SYSTEM. 171 middens, practically open to the air. The manifest improvements of the last few years has removed much that was most objection- able in the old midden system ; thus, the Manchester authorities filled up the midden-pits level with the surface of the ground, excavating at the same time, and carting away the foul and in- fected earth which surrounded them. They introduced in their place the earthenware bevel-midden, which was perfectly imper- vious, and, from its small capacity, demanded very frequent emptying. All types of midden construction which limited the storage area were of necessity improvements, and when the mid- den took the form of a handy tub, pail, or box, which was entirely water-tight, and was capable of being constantly emptied and cleansed, the main objections to the system were removed. We look upon the pail-system, when properly attended to, and super- intended by the local authority, as the most simple and practical plan of dealing with the excreta of a manufacturing population ; and it kis certainly the only one which holds out hope of the profitable utilization of faecal matters in the future. We pro- pose, in the present report, to examine, first, some of the various modes of pail-collection, and then to describe briefly the processes now in actual operation for the conversion of the excreta into manures. We may consider the pail system under three sub- divisions : 1. Pails used without absorbents. 2. Pails used in conjunction with absorbents. 3. Pails used for the joint collection of the ashes and the excreta. Rochdale was the parent of the first of these systems, and, under the indefatigable care of Alderman Taylor, the process he introduced some seven years ago seems in a fair way to become generally adopted in the surrounding towns. The Rochdale plan has been so often described that it is not now necessary to go into details. The main features, so far as we need consider them at present, are the systematic collection of the excreta and the dry house'refuse at short intervals, in tubs of special construction ; the provision of separate tubs for the excreta and the ashes ; the careful arrangements for the transport of the excreta to the depot without smell, by the adoption of an air-tight lid to the pails, and the use of vans with India-rubber beads round the doors ; and lastly, the excellent mode of book-keeping, by which the work of the carters is checked, and records are obtained of the weight of all materials brought to the yard. In his paper con- 172 THE EPIDEMIC AT SAVANNAH. tributed to the conference in May last, Alderman Taylor gave, as the latest result of his work in Rochdale, that there were 5,644 pail closets emptied weekly, used by 52,000 persons, and giving a gross weight of excreta collected during the past twelve-month of 5,398 tons. In an analysis of these results, undertaken by Messrs. Rawlinson & Read in their recent report (p. 60.) it is shown that from this it would seem that 19.1 cwts. were annually collected per tub, and that each tub was used by 9.2 persons, who thus pro- duced only 2.07 cwts. per head. As the weight of the excreta of an average human being, taken at 2| lbs. per diem, would give an annual total of 1.8 cwts., it is argued that the system fails to account for 6 cwt. per head, or nearly three-fourths of the faecal matters. The Rochdale pail contents are, however, likely, for several local reasons, to be under the usual average, though by no pail system do we ever obtain more than the solids, together with about three-fifths of the liquid dejections. In Halifax, each tub is used by 10.9 persons living in 2.6 houses (the Rochdale propor- tion is about 2.2 houses per tub), and the weight collected is 77 lbs. per pail per week, or 1 lb. per head per diem, which is the amount generally assumed as sufficiently correct. The second sub-division is pails used in conjunction with ab- sorbents. As a type of this system, I must instance the process employed by the Goux Manure Company, and now in operation at Halifax, Aldershot, and in many rural districts. The plan adopted by the company is to 3urround the bottom and the inte- rior of the pails with a lining of some porous material. In the pails we have seen, the amount of lining is never sufficient wholly to absorb the liquid, and thus, towards the end of the period during which the pail is in use, the contents are found to be in a semi-fluid state. There is certainly some abatement of nuisance arising from the Goux lining, and a partial immunity from the risk of splashing, but the advantages of the lining do not, I be- lieve, counterbalance the expense incurred by the extra weight to be carted backwards and forwards from the depot, and the in- creased cost of the preparation of the pails. There is, in fact, little sanitary or economic gain in the use of absorbents, and the manure made on this system does not theoretically much exceed in value the simple compost of ashes and excreta. Under the third head I include those systems where the ashes are introduced into the tubs, either screened, as at Manchester, or unscreened, as at Nottingham and several other large towns. In EVIL AND REMEDY OF THE PRIVY SYSTEM. 173 the latter plan we have simply the substitution of the tub, or box, for the old middenstead. Where Morrell's closet is used, or the Manchester cinder-sifter, the aim is to exclude the larger and heavier matters, and to put the ash only into the tubs. I may at once express my belief that every mechanical contrivance I have yet seen for effecting this is a failure, and I am convinced that the mixture of the ashes with the excreta is unattended with any advantage, either from the sanitary or from the economical point of view. In the summer time, when the pail contents are likely to be most offensive, the volume of ash is small, and the pails arrive at the depot in a very fluid state. Scarcely ever, however, do we find sufficient ash present to absorb the liquids. The ash is said to act as a deodorant; and it certainly has some small influence in this way, though it merely, I think, retards decomposition, and has no real effect in retaining ammonia and the other valuable components of the faeces. Mr. Leigh says that where an admixture with ashes is made no larvae are ever found in the pails, but we are inclined to think that with a weekly col- lection such a state of things can rarely occur, whether with or without ashes. Upon economic grounds, and having in view the preparation of high class manures from excreta, we may repeat that the admixture with ashes, as also with earth, charcoal and other substances used in the receptacles, is undoubtedly a mis- take. Having thus glanced at the chief modes of pail collection, I may lay down the following general rules : That one week is the long- est period that should elapse between the times of emptying each receptacle, unless the liquids and solids are kept separate. That the covers used for the removal of the pails from the house to the van should be absolutely air-tight. That the vans for the convey- ance of the pails to the depot should have air-tight doors, and be sprinkled at the bottom with some cheap deodorant. That the introduction of deodorants into the pails is of little use, as the quantity that can be applied is almost immediately buried or exhausted. That no system of " filling up " or emptying the pails into liquid manure carts should be permitted, but that each pail, with its contents, should be brought to the depot, and a clean one substituted for it in the privy. That it would be an advantage in the pail system to provide some ready means for the separation, in the receptacle itself, of the solids from the liquids ; and, lastly, that the removal of the pails should be entirely in the hands of 174 THE EPIDEMIC AT SAVANNAH. the local authority, and should be conducted upon some such careful system as that practiced in Rochdale. The town of Rochdale, which has thus attracted some attention in the scientific world, is described in the Journal of the Society of Arts, May 5th, 1876, page 560 : Rochdale.—Population, 67,590 ; mortality, 24.10. Water car- riage sewage contains manufacturing refuse ; is drained direct into the river Roche ; 429 water closets in use. Pail closets, 5,553 ; middens, 2,276, and ash-pits, 1,590 in use. Mr. J. Netten Radcliff s report for 1874, states : " The Rochdale system consists in the systematic removal at weekly or shorter intervals of the excrement, and dry house refuse in pails each sep- arate from the other, the manufacture of the excrement with the fine coal ash into manure, and the proper utilization of the dry refuse ;" and mentions that " taking the week ending September 24, 1873, the total net cost to the town for the removal of excre- ta and house refuse of a population of 36,894 was £10 3s. 3d., being at the rate of £14 6s. 8d. per 1,000 per annum." A further description of the Rochdale system is found on page 122 of twelfth report of the Medical Officer of the Privy Council of Great Britain for 1869 : The pails used in Rochdale are made by the committee who have undertaken the system from disused parafine casks, each cask cut traversely in half form two pails. Iron handles are at- tached to each pail, and the cost of each pail complete for use amounts to 3s. 4d. The pails are changed for other pails belong- ing to the committee, and this is done weekly, except in the case of lodging houses or closets used by more than one family, when they are changed twice or thrice a week. Before the full pail is moved from the closet it is covered by a lid with India rubber packing attached to the flange. Thus covered it is placed in a closed van for removal to the depot. We are satisfied from the statements made to us by householders, to whose residences pail closets are attached, that the removal of the filled pails gives rise to very little offense, even in those instances where the pails have to be carried through the house. * * * Since last summer offense from the vans in removal has been obviated by the intro- duction of the tight-fitting lids to the tubs. The number of closet tubs in use January 19, 1870, was 580. According to our book, in the week ending January 26, 1870, EVIL AND REMEDY OF THE PRIVY SYSTEM. 175 pails emptied, 582 ; emptied February 2, 481 ; emptied February 9, 581 ; February 16, 410, being an average of 513 per week. The vans collect three loads per day and one load on Satur- day—sixteen loads per week—the average weight of which are believed to be 30 cwt. £■ s. d. Wages for 6'^.....................24 19 8 Keep of two horses at ^1 each per week..........8 o o Cost of materials used.............. ...5 12 o 38 12 8 [From the Journal of the Society of Arts, May 26, 1876, p. 656. ON THE REMOVAL OF THE EXCRETA AND REFUSE OF ROCHDALE BY THE " ROCHDALE SYSTEM." BY MR. ALDERMAN TAYLOR. In the year 1864 I wrote to the Night-soil-Committee, detailing to it a method of dealing with night soil and refuse of the town, by which the increasing cost of removal might be lessened, the objectionable privies and middens abolished, and the health of the town improved. The letter was read, but the plan was not then taken into con- sideration. There was also the fellow question of the disposal of the sewage proper raised about the same period, and in 1866 it was distinctly recommended by high engineering authorities to turn the whole of the sewage into the river, so that it might make its way to the sea. The scheme was strenuously resisted by the writer, and, after some lengthy discussion, the Council refused to adopt the wasteful scheme, and decided to further consider the whole ques- tion. To the writer it appeared of the first importance that the question of sewage proper, that is, the washing and cooking water of the household, should be kept distinct and treated separately by towns, and I therefore again urged the Council to consider the whole subject. Conjointly with this, the difficulty of disposing of the night soil, the inefficient manner in which the emptying of the cesspools was performed, and the increasing demands of the con- tractor compelled the Council to give more attention to the ques- 12 176 THE EPIDEMIC AT SAVANNAH. tion, and in October, 1868, the recommendation of 1865 was considered, and in the following December the Council appointed Alderman Mansell (who was Mayor and Chairman of the Night- soil Committee), Alderman Taylor, and Councillors Schofield and Booth, to be a committee to arrange for a trial of several methods proposed, By which the night soil should be removed. In June, 1869, this committee engaged Mr. J. Havercough, our present manager, to superintend the removal of the night soil and its manufacture into a manure. The methods decided to be tried were the Goux system, the ash system, and the pail system. After a nine months' full trial, the Council, on the recommendation of the committee, decided that the pail, now known as the " Roch- dale System," was the best. What then is the Rochdale system ? The answer may be given in a few sentences : 1st. That the excreta and refuse of a household shall be re- moved within a week. 2d. That the household shall have no care or trouble thrown upon it. 3d. That the collection be made in pails, not unwieldly, yet of sufficient size to prevent inconvenience from their being too full, and so constructed that they may be thoroughly cleansed when emptied. 4th. That the whole of that which is collected shall be utilized. These propositions, which seven years ago were looked upon as chimerical, are now carried out. The number of closets at this date in Rochdale is 5,644, and the excreta contained in these, the refuse, including ashes from the house, are systematically collected weekly, or oftener, without any notice being required from the householder, and the whole is utilized by being made into manure, mortar, cement or fuel. The manner of operation is as follows : The town is divided into six divisions, named A, B, C, D, E and F. Each division has its corresponding books, the pages being ruled into thirteen weeks. In the books every excreta pail and ash tub is entered in pro- gressive number, and the street 'recorded into which it is placed. Vans and ash carts are appropriated for the collection, and the guard is furnished every morning with the names of the streets and the number of closets in that street, written on a ruled blank list, which he has to collect. When the van or cart returns, it is weighed, and the list given to the weigh clerk, in the ruled squares EVIL AND REMEDY OF THE PRIVY SYSTEM. 177 of which the guard has entered the pail or ash-tub number which he has brought in. The van is then emptied, the washer of the pails taking an account of the total number brought in by each van. An inspector daily enters from these lists into the division book, the numbers of the pails brought in, and is thus able to say at the close of the week if every closet has been attended to, and if not, a van is specially sent for the pail omitted. It is found that, with this oversight, the number omitted collecting in regu- lar order has not exceeded thirteen per week. The pails are thoroughly washed, and into each is put a portion of chloride of alumina and sulphate of lime. The excreta is emptied from the pails into a trench formed of fine ash, which has been sifted from the refuse and cinders collected by the ash cart. A quantity of sulphuric acid, thirty pounds to one ton of excreta, is poured into the trench, and the whole mixed. In three days the trench is turned over with a spade, and again in twenty- one days, by which time the whole will have become in a tolerably dry state, containing about thirty-five per cent, of water. Before the sale of the manure it is again turned over and screened. The quantity of excreta to ash used at present is seven cwt. of ash to one ton of excreta. The area from which the collection is made is 4,136 acres, and the distance to the manufactory is, in direct line, from the north, one and a half miles ; from the south, one and a half miles ; from the east, one mile, and from the west, one and three-quarter miles. When this site was fixed upon the boundary of the borough was regular, being an exact circle of three-fourth mile radius. The borough was extended in August, 1872. The extension has very considerably disturbed our operations, and increased the costs of the whole work. Three convenient sites would much lessen the cost of carting, and the cost of manufacture would be but minutely increased. That the inhabitants approve of the system is apparent from the steady increase in the number of pails used. In the first year there were 527 pail closets ; in the second year, 1,070 ; in the third, 1,699 ; in the fourth, 2,509 ; in the fifth, 3,980 ; in the sixth, 4,741, and this year at this date, 5,644, and in no case has legal means been taken to oblige alterations. From the acknowledged advantao-es the corporation will doubtless compel the whole of the remainder of the old privies—which are now 2,786 in num- ber__to be altered to the pail system, if such compulsion be ever 178 THE EPIDEMIC AT SAVANNAH. required, but from the present aspect in two or three years the whole will have been altered independently of the corporation. There is another mode of ascertaining the value of the pail sys- tem, if the subject be looked at from the stand-point of seven years ago. At that time the whole of our Lancashire and Yorkshire towns were on what is called the Lancashire privy system, and a terrible nuisance that was found to be. What is the state now ? Manchester, Oldham, Warrington, Wakefield, Huddersfield, Hali- fax and other towns in the country have, more or less, adopted the Rochdale system of collection, that is, by the use of conve- nient pails. Certainly, some have added what were supposed to be improvements, such as the addition of ashes and lining the pails, but there needs no great foresight to see that they will be obliged to come to the pail, pure and simple. Indeed, there is not a method adopted in any of the towns that was not carefully experimented upon in Rochdale, and abandoned because of its unsuitableness to a town's requirements. LFrom the Journal of the Society of Arts, May 26, 1876, p. 662. THE GOUX ABSORBENT SYSTEM. BY THOMAS MASON. A tapering tub or container is provided, say sixteen and a half inches high and twenty inches at its greatest diameter. Upon the bottom of the tub is placed three or four inches of refuse, such as new stable litter, loft sweepings, stack bottoms, ferns, shavings, sawdust, shoddy, flax dressings, speutan or hops, or the various waste materials tp be found in town or country ; this is mixed with a little soot, charcoal, gypsum or other deodorizer for the purpose of packing or lining the tub. A mould of the same shape as the tubs, but six inches less than the internal diameter, is placed upon the four inches of absorbent material referred to, and the space between the mould and the tub is packed with the same kind of refuse. One boy can pack eighty tubs in an hour, and this is all the manipulation required, except placing and removing the tub at stated times. The absorbent material having been only moderately pressed down, the mould is withdrawn, and there remains a cavity into which the dejections fall, the liquid parts of EVIL AND REMEDY OF THE PRIVY SYSTEM. 179 which are taken up by the absorbents, and retained by them so as to check fermentation. That the Goux system is generally applicable is proven by its having been five years in use in private houses, unions, hospitals, schools, factories, prisons, camps, villages and large and small towns. It is in use at Aldershot Camp, Sherness, Woolwich and elsewhere for the war office, and the company is in treaty with the government for its introduction at other places. This system of collection is adopted by the sanitary authority of Halstead, in Essex, and worked by their own men under the supervision of Mr. Matthews, the town surveyor, who asserts that it pays for the collection, reduces the cost of the water supply, and generally improves the health of the town. The villages of Townley, Mickley, Stella, Prudhoe, Walbottle and Seaton Delavel have also the Goux system in use, and the agent to an estate in the latter place, after seeing the good effect it had upon the health of the residents, and the fertilizing prop- erties of the manure, ordered 350 sets, and the same number of new closets or privies. These were placed at only eight feet from the doors of the houses without causing any nuisance. In the year 1870 the Goux system was first introduced into the town of Halifax, in Yorkshire, and, although no pressure has been put on the property owners, more than 3,000 of these closets are now in use. The health of the town during the period from 1870 to 1875 is shown on the maps before you, which have been prepared by Dr. Haviland, the well-known author of " The Geography of Disease." The deepest red shows the maximum of health, and the deepest blue the greatest intensity of disease, and the various tints show the different gradations. From the figures on the maps you will notice the remarkable manner in which the extension of the Goux system has coincided with the advancement of the health of the town. I need not weary you by reading the figures. If these do not give proof positive of the value of the system, they at least use strong pre- sumptive evidence that the "Goux" has exercised a beneficial influence on the health of the town of Halifax. 180 THE EPIDEMIC AT SAVANNAH. [From the Journal of the Society of Arts, May 26, 1876, p. 664.] THE PAN AND PAIL SYSTEM IN EDINBURGH. BY ADAM SCOTT. THE EFFECT ON THE PUBLIC HEALTH OF THE PAIL SYSTEM AND WATER CLOSET SYSTEM CONTRASTED. The following interesting statement is made by Dr. Henry Littlejohn, the Medical Officer of Health for Edinburgh. It ap- pears in a report upon the Liernur system made to the corpora- tion of the city of London by their engineer, Lieutenant-Colonel Haywood : " Edinburgh consists of two distinct towns, and old and a new, but with very different populations. The new town is inhabited by the better classes, and is pre-eminently a water-closet town, whereas the old town consists for the most part of strongly built tenements, which, in the process of years, have undergone re- peated sub-divisions, until individual rooms, by means of partit- ions, are found to contain several families. " It has been found impracticable to supply these tenants with ordinary water-closet accommodation, and to this day they have to make use of pails for the reception of the excreta of those con- fined to the house. These pails are brought to the street daily, and emptied into carts provided by the authorities. " The authorities have also provided numerous public privies, which are daily cleansed by scavengers, and the contents of these pails and pans add largely to the value of the refuse of the city of Edinburgh. From a return made to the corporation in 1874, I find that 41,613 houses were examined. Of these, 27,294 had water-closets, and 14,319 [population about 70,000] none. The latter mainly constitute the worst part of the old town of Edin- burgh. Some notion may be formed of the nature of the house accommodation when it is stated that of these 14.319 houses, no less than 13,506 were rented under £12. " From this state of things—the low morality of the popula- tion, the bad ventilation, the crowding together, and the reten- tion of the filth in the lining rooms for the greater part of the day, it might naturally have been imagined that typhoid and dip- theria were endemic in the old town. This is not the case, how- ever, for, despite the surrounding circumstances, these diseases may practically be said to be unknown. "In the new and water-closeted town, however, the case is EVIL AND REMEDY OF THE PRIVY SYSTEM. 181 quite different; typhoid and diptheria are never entirely absent, are frequently epidemic, and it has been noticed that the ravages of these diseases have been the greatest in the best houses." I may add to this that the water supply in both towns is the same, that the corporation have, as opportunity offered, intro- duced water-closets into various houses as improvements upon the old arrangements. Dr. Littlejohn states that whenever this has been done typhoid fever or diptheria has invariably broken out within six or nine months, end Dr. Murchison, in the second edition of his book on " Fever," page 444, states that typhoid fever was unknown in Edinburgh until its sanitary arrangements were altered. The lesson which this teaches is, that any system of removal cannot be sanitary unless, by it, in the words of Mr. Simon, all the excremental produce of a population is so promptly and so thoroughly removed that the inhabited place, in its air and soil} shall be absolutely without facal impurities. [From the Journal of the Society of Arts, May 26, 1876, p. 664.] EDINBURGH AND GLASGOW WATER-FLUSHING SYS- TEMS. BY ADAM SCOTT. Dr. Fergus, the President of the Health Section of the Glas- gow Philosophical Society, was, I believe, the first to point out the startling fact that, according to the returns of the Registrar- General, the death rate in this country from cholera, diarrhoae, and dysentery, which are recognized as diseases all more or less arising from excremental pollution of air, soil or water, was nearly four times what it was thirty-five years ago. The figures are as follows : Deaths per million per annum. Mean of five years, 1S38--42......• ■......298 Mean of five years, 1867-71.....•.........1,161 During these years there was no epidemic to disturb the nor- mal rate, and typhoid fever, which sickens 150,000 each year, and which is recognized to be solely an excremental disease, is not included in the above figures, as until lately the deaths from this cause were not separated from those arising from other fevers. 182 THE EPIDEMIC AT SAVANNAH. Up to the present time neither the government nor any scien- tific association has ever instituted an inquiry into this subject. Of its importance, no one can have the least doubt, as the question involved is whether the great so-called sanitary movement of the last thirty years, which is every day extending, is really a sanitary movement, or the reverse, and my object in writing this paper is to induce the Society of Arts to undertake an open and comprehen- sive inquiry into the matter. The figures obtained from the Registrar-General's return fur- nish in themselves a prima facie case that justifies such an inquiry > but as facts regarding individual towns, which facts are not gen- erally known, can be brought forward in support of the argument founded on such figures, it is important that this should be done. With regard to Glasgow. I may state the fact that in the period 1838-1842, typhoid fever was simply unknown in that town. My authority for the statement is Dr. A. P. Stewart, the eminent physician of Grosvenor street, who at the time was engaged in the Glasgow Hospital. Dr. Stewart is an authority upon typhoid fever, for it may be remembered that he was one of the first to point out the difference between it and typhus, at the time when these diseases were supposed to be identical. Dr. Stewart, to whom I am permitted to refer, states that typhoid cases did ap- pear in the hospital, but in every case they came in for treatment from Campsie, a place ten miles off. In Glasgow itself the disease was unknown, nor did it appear until the sanitary arrangements of the town began to be altered. Since then that fearful disease has never left the town. The following statements, made by the late medical officer of Glasgow at two different periods, are in- structive : " It was accurately stated that the evils inseparable from the water closet system were likely to be less felt in Glasgow than in many other places, owing to the considerable fall of the greater number of sewers, and the almost unlimited supply of water by which the matter is diluted. " It has been conclusively shown that houses presumed to be beyond suspicion of any possible danger to health from this cause—houses in which the* most skillful engineers and architects had, as they believed, exhausted the resources of modern sanitary sciences—have, nevertheless, been exposed in a high degree to the diseases from air in contact with the products of decomposition in sewers, and this for a very obvious reason. Such houses are EVIL AND REMEDY OF THE PRIVY SYSTEM. 183 usually built on high levels, when the drains have a very rapid fall." Dr. Stewart also mentions that in Edinburgh typhoid fever was unknown, and this is confirmed by the writings of the late Prof. Reid, of St. Andrew's, who remarks that, like as in Glasgow, the only cases were those not originating in the town, but which were brought in for treatment in the infirmary from the county of Fife. I find this is also confirmed by Dr. Murchison in the second edition of his book upon " Fever," pages 443-4, in which he states that typhoid fever did not exist in Edinburgh until the alteration in its sanitary arrangements took place. As to its prevalence now, the following statement made this year by the Medical Officer of Health, tells its own tale : " In the new and water-closeted town of Edinburgh, typhoid and diphtheria are never entirely absent, and are frequently epi- demic, and it has been noticed that the ravages of these diseases have been the greatest in the best houses." Can anything be more striking than the fact which he also states (see pan and pail system in Edinburgh on another page) that in certain districts containing 14,319 houses (or, at five per- sons a house, 70,000 people), where the sanitary arrangements were never changed, typhoid and diphtheria are to this day unknown. The water supply in Edinburgh for the districts afflicted and not afflicted with the typhoid, is derived from the same sources. The sewage is partly disposed of in irrigation fields, partly carried out to sea and partly discharged into a small burn. The fall of . the sewers is great, the whole town being built on high ground. In Glasgow the sewers are of very rapid fall, are nowhere of any great extent, but run direct into the river that passes through the town, and they are flushed by the enormous quantity of fifty-three gallons of water per head per day. The water, which comes from Loch Katrine, is above suspicion. The sewers in both towns, as in the case of every town in the kingdom, allow precolation of sewage into the subsoil and the formation of sewage gas, and the house drains, like the house drains of all other towns in the kingdom, are frequently imper- fect, and also allow free access of the sewage to the soil. It may be that if the sewers were made impervious, and the house drains also made perfect, and of impervious material—it may be that then, but not till then, excremental matter might be safely flushed 184 THE EPIDEMIC AT SAVANNAH. into them. This simply means that every sewer in the kingdom should be rebuilt and every drain examined, and in most cases relaid. As a system of perfect sewers and drains, however, comes under the head of "systems not yet tried," I suppose it must not be discussed. Meanwhile we may well assert that the great prin- ciple which the sanitariau should advocate, in regard to water- flushing towns, is that the filth, which is the cause of disease, should be utterly excluded from those imperfect sewers and drains which allow of pollution of air, soil and water, and should be removed in such a manner that none of these three elements should be tainted with excremental refuse. In this alone lies the first great principle of safety. [From the Journal of the Society of Arts, May 26,1876, p. 665.] THE MUNICH SEWERS, AS ILLUSTRATING HOW THE SUBSOIL AND SUBSOIL WATER OF TOWNS ARE POLLUTED BY SEWAGE. BY CAPTAIN LIERNUR. The fluid mass in sewers does not flow away without infecting the soil in which they are built simply because no masonry can con- tain it. The chemical action of water upon mortar has been repeat- edly ignored or denied by eminent sewer builders (they can be no engineers). They ascribe the percolation of sewage to bad ma- terials, bad sectional profiles, insufficient gradients, or to crevices caused by subsidence, etc. They say, " build really good sewers of the best material, keep up a constant flow in them, and there will be no fear of percolation." But as it always happens, when scientific truth has been tempo- rarily silenced through the noisy violence of ignorance or interest (too often taken as a test of the correctness of judgment of so- called "practical" men), experience has also corroborated its dicta. She has shown that the very best kind of sewers, con- structed by the very ablest of that class of engineers, with all the care and skill they could muster, become in a short time as a leaky basket, and impart to the soil a great deal of the putrid* fluid passing through them. EVIL AND REMEDY OF THE PRIVY SYSTEM. 185 [From the Journal of the Society of Arts, May 18, 1877, p. 621.] THE PRACTICAL EXPERIENCE OF THE DRY SYSTEM, SHOWN BY THE USE OF MOSER'S CLOSETS IN A SMALL DISTRICT, FOR TWO AND A QUARTER YEARS. BY ALFRED CARPENTER, M. D., (LONDON), C S. S., (CAMBRIDGE). It may interest the conference to have laid before them the practical facts connected with the application of ash closets in a small district. It is well known that Croydon is drained in the ordinary way; that is, more or less imperfectly, but there are small areas which are not sewered at all. Among these, is the hamlet of Waddon; it lies between Beddington and the southwestern part of the parish of Croydon. It is a district in which the water line is constantly changing, according to the requirements of the miller who works the water mill, which has existed from time immemo- rial at the confluence of the several small streams which give rise to the river Wandle. The occupiers of some of the fields close to the hamlet have also the right to dam up the Wandle, and use it as a sheep wash, and also the right to irrigate the pastures themselves. The result of the maintenance of these rights is, that the subsoil is generally water-logged, water existing within a few inches of the surface of the ground. Notwithstanding this state of things, a number of cottages were built on a part of this land close to the left bank of the principal stream of the Wandle. When the plans were first deposited by the speculators who pro- posed to erect these houses, there was no law by which they could be compelled to provide a dry basement. Application was made by the builders to the local authority to sewer that district at the public expense, but the local board declined to do it except at the expense of the owners. It was contended by the writer that the rate-payers of the parish ought not to be called upon to turn a swamp into building land for the benefit of speculators. Never- theless, the houses were built, and immediately occupied by a swarm of poor. The result, which was predicted when the plans were deposited witji the local board, soon came to pass- The inhabitants suffered continually from the effects of enthetic disease. Scarlatina, diphtheria and fever were constant visitors. The neighbors then began to complain. Many deaths occurred. The stench from the continually overflowing cesspools was plainly perceptible in the public roads, and great pressure was brought 186 THE EPIDEMIC AT SAVANNAH. to bear upon the local authority to compel them to sewer the dis- trict, at an expense almost equal to the value of the cottages themselves. But it appeared to the writer that to put sewers into such a district would be a sanitary mistake. At least one-half of the time they would be waterlogged, and be the means of retain- ing mischief in close proximity to the houses instead of conveying it away. It appeared that, before sewering the district, the water line should be permanently lowered, that the owners should give up the right to flood the neighborhood, and thus make the land fit for building purposes, before the local authority provided sew- ers for the sewage. There was also another consideration in the case. The sewage from these cottages would have to be conveyed to Beddington sewage farm. There would then be a twelve-inch sewer, constantly discharging subsoil water instead of sewage upon a farm which already receives more subsoil water than it is entitled to. The owners refused to do this duty, and it was left to the sanitary committee of the Croyden Local Board of Health to devise a remedy for the insanitary state of the hamlet, which state the law had allowed to grow up close to our own noses and in spite of our protests. The year 1874 was a very fatal one to the inhabitants of the cottages. The owners did not—indeed, they could not—empty the cesspools which had been constructed, and it was evident that something must be done. The property had changed hands, and the new owners were willing to do what the sanitary committee recommended. The writer had been much struck with the simplicity and cheapness of Moser's closets, as exhibited at the Social Science Congress at Glasgow in 1874, and ultimately twenty closets were erected by Mr. Moser, at a cost to the owners of something under £3 per closet. They were com- pleted December 24th, 1874. The cottages are in a block close to the road, and about one-third of a mile from the outfall sewer, near to which the town refuse of the Croydon district is conveyed. It was agreed with the owners that they should erect the closets, but that the Croydon Local Board should collect the refuse, and supply the hoppers with dry ashes and the pails with sawdust as often as should be necessary. The whole of the arrangements were carried out, and have since been superintended by Mr. Mitchell, the sanitary inspector of the Croydon Local Board of Health, and I learn from him the following results: He states that, whereas serious illness always prevailed in those houses before the erection of the closets, there has been very little since> EVIL AND REMEDY OF THE PRIVY SYSTEM. 187 and scarcely any of that class of disease which formerly visited them ; that the houses, instead of being pest houses to the neigh- borhood, are now perfectly healthy. It is also stated in Dr- Buchanan's report upon the epidemic of fever which visited Croy- don in 1875 that these cottages at Waddon altogether escaped. [From the Journal of the Society of Arts, June 16, 1876, p. 755,] FOREIGN SYSTEMS. FLORENCE. Mr. C. N. Cresswell said he was in a position to give the con- ference some interesting information with reference to the city of Florence. Ten years ago he was engaged in negotiating a con- cession for improving and enlarging the city of Florence just at the time it was made the capital of the kingdom of Italy. The houses were to be drained into cesspools, to be constructed under the superintendence of the authorities. It was necessary that he should explain to the meeting the construction of these cesspools and the mode of emptying them. Every cesspool was designed and built upon a system approved by the municipal engineers, and subject to their supervision, the size being fixed in proportion to the number of inmates resident in each block of buildings. It was air and water-tight, and provided with a suc- tion pipe inserted at the bottom, and also a tube from the arched roof of the cistern, carried up to the level of the surface similar to an ordinary water main. These cesspools were periodically emptied by the municipal employes by means of an air-tight tum- brel, connected with an exhaust pipe, and drawn upon wheels to the spot where it was required between the hours of one and four o'clock in the morning. The process was as follows: The air was exhausted in the tumbrel sufficiently to produce a partial vacuum; the hose was then attached by a nozzle screw to the' suction tube before mentioned, the air pipe was opened to let in the outer air, and, by atmospheric pressure, the cesspools were emptied in a minute and a half. The contents are sold for the benefit of the municipality to the farmers in the vicinity, who compete eagerly for the privilege, and use this sewage to fertilize the vine, fig and olive gardens, which abound in the highly cultivated valley of the 188 THE EPIDEMIC AT SAVANNAH. Arno. Mr. Cresswell mentioned that the Italians were great con- sumers of vegetable food, and that the kitchen slop waters were also carried into cesspools by means of pipes, well trapped to pre- vent the escape of gases into the sculleries, which, in Italian houses, were on the same floor as the drawing room. This ren- dered it the more imperative to take precautions against a nuis- ance of which Italian noses are peculiarly sensitive. He stated that the pneumatic scavenging cars were supplied by the munici- pality, and that, partly from the unpopularity of the Grand Duke of Tuscany at the time of their introduction, and partly from the pungent odor which surrounded them, they were styled the Grand Duke's snuff-boxes. The value of the contents of the Florentine cesspools was estimated so highly by the neighboring farmers that they stipulated eagerly for the privilege of emptying them at an annual rent varying from £3 to £7 per year for each cesspool. The lessors of the company's offices justified the high rent demanded for the premises occupied by them in Via del Gig- lio by the fact that the garden surrounding them possessed the special advantage of three large cesspools, which would be worth at least from £15 to £20 per annum to the proprietors. In con- clusion, Mr. Cresswell said that he was not prepared to give any statistical data as to the death rate of Florence, but that during the last two visitations of cholera, while the neighboring towns were decimated by that scourge, Florence had altogether escaped the epidemic. SUPPLEMENT TO THE MAYOR'S REPORT, JANUARY 1,1879. THE ER DEMISTS A VAlji x) 1876. j ITS CAUSES-THE MEASURES OF PREVENTION, ADOPTED BY THE MUNICIPALITY DURING THE ADMINISTRATION OF HON. .1. F. WHEATON, MAYOR. BY JAMES J. WARING, CHAIRMAN DRY CULTURE COMMITTEE. SAVANNAH. GA.: MORNING NEWS STEAM PRINTING HOUSE, 1879. 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