The Board of Health has published its fifth notification on
the subject of Cholera. It states, that notwithstanding the representations addressed by it to local bodies, in many places preventive measures have not been commenced until after the actual outbreak of the disease: in the instances, however, where the preventive measures have been enforced, the results have been proportionately beneficial. Wherever the disease has spread through a court or street, local conditions of filth, bad ventila- tion, over-crowding, or other causes of atmospheric impurity, have been reported; and wherever these have been changed under faithful superin- tendence, the pestilence has been checked, and in some instances abruptly terminated in a few days.
"In one instance, [Glasgow?] out of 13,089 premonitory cases discovered by the system of house to house visitation, and reported as having been placed under treatment, only 80 are stated to have passed into cholera. In another instance, not a single death occurred out of 1,380 cases of premonitory diarrhma brought under early treatment. But when diarrhrea has been neglected until vomiting has come on, the mortality has risen to 7 per cent; and has increased progres- sively, according to the length of delay, to 39 per cent; while in instances in which it has not been brought under treatment until the evacuations have become serous, and have been accompanied with cramps, 53 persons have died out of every 100; facts which, it has been justly stated, establish the unity of the disease and its progressive danger."
The Board repeats its counsel concerning regimen and medicine; espe- cially enjoining the use of a diet the reverse of laxative, the avoidance of cold and damp, and on the appearance of cl.Mrrhcea a prompt resort to com- petent medical advice.
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