File:Professor Koch on the bacteriological diagnosis of cholera, water-filtration and cholera, and the cholera in Germany during the winter of 1892-93 (1895) (14765682762).jpg

Identifier: professorkochonb00koch (find matches)
Title: Professor Koch on the bacteriological diagnosis of cholera, water-filtration and cholera, and the cholera in Germany during the winter of 1892-93
Year: 1895 (1890s)
Authors: Koch, Robert, 1843-1910 Duncan, George Gairdner, W. T. (William Tennant), Sir, 1824-1907
Subjects: Cholera Cholera Water Supply Cholera Cholera Water
Publisher: New York : William R. Jenkins Edinburgh : David Douglas
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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o cholera. After the outbreak of cholera in Ham-burg, for instance, the patients sent to the Berlin hospitalson suspicion of cholera were strikingly numerous ; a some-what imaginative observer might unquestionably have seenthe hand of the genius epidemicus in that. In reality,however, they were the usual cases of summer diarrhoea,indigestion, alcoholic intoxication, etc., cases which, but forthe fear of cholera, would not have been sent to the hospitalsin such numbers at all. In Berlin, then, there were premonitory cases of diarrhoeain sufficient number, yet no cholera followed; in Hamburgand Nietleben, on the other hand, where cholera broke outunexpectedly, they w^ere wanting, and the much talked-ofgenius epidemicus showed no trace of himself just where hiswarning influence would have been quite specially in place. The Cholera in Germany during tJie Winter of 1892-93. 121 The first case of cholera was observed at Nietleben on the14th of January 1893. One of the patients of the asylum
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Fig. 10.—The Distribution of the Cholera Cases in the Lunatic Asyhim at Nietleben. + Indicates the Cases that occurred in the upper story. 122 The Cholera in Germany during the Winter of 1892-93. fell ill quite suddenly of violent diarrhoea with vomiting, anddied on the same day. The clinical symptoms were thoseof Asiatic cholera, the results of the autopsy agreed withthem, and the cholera-bacteria were found in the contentsof the intestines of the corpse. This first case,-which happened in the building markedA in diagram 10 (4 in diagram 3), was followed next day(the 15 th) by six, all of which proved fatal, and by elevenmore on the i6th, eight of which proved fatal. In direct contrast to the epidemics of 1850 and 1866, inwhich the cholera had begun at a definite point and onlygradually crept on to the adjacent rooms and wards, it brokeout this time suddenly in the most different parts of theestablishment, both on the mens and on the womens side.The eighteen cases of the first thre

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