. A text-book upon the pathogenic Bacteria and Protozoa for students of medicine and physicians. Bacteriology; Pathogenic bacteria; Protozoa. 544 Plague in 1901 there were 362,000 cases and 278,000 deaths. In the first six months of the epidemic of 1907, the deaths in India were much more numerous, reaching a total of 1,062,908. Where' sanitary precautions are possible and co-operation between the people and the authorities can be brought about, as in New York, San Fran- cisco, and other North American and European ports, the disease remains confined pretty well within limits and does not spre
. A text-book upon the pathogenic Bacteria and Protozoa for students of medicine and physicians. Bacteriology; Pathogenic bacteria; Protozoa. 544 Plague in 1901 there were 362,000 cases and 278,000 deaths. In the first six months of the epidemic of 1907, the deaths in India were much more numerous, reaching a total of 1,062,908. Where' sanitary precautions are possible and co-operation between the people and the authorities can be brought about, as in New York, San Fran- cisco, and other North American and European ports, the disease remains confined pretty well within limits and does not spread. An interesting account of "The Present Pandemic of Plague" by J. M. Eager, was published in 1908 in Washington, D. C, by the U. S. Public Health and Marine Hospital Service. Plague is an extremely fatal affection, whose ravages in the hospital at Hongkong, in which Yersin made his original observa- tions, carried off 95 per cent, of the cases. The death-rate varies in different epidemics from 50 to 90 per cent. In the epidemic at. Fig. 224.—Axillary bubo. (Reproduced from Simpson's "A Treatise on Plague," igos, by kind permission of the Cambridge University Press.) Hongkong in 1894 the death-rate was per cent, for Chinese, 77 per cent, for Indians, 60 per cent, for Japanese, 100 per cent, for Eurasians, and per cent, for Europeans. It affects both men and animals, and is characterized by sudden onset, high fever, pros- tration, delirium, and the occurrence of exceedingly painful lym- phatic swellings—buboes—affecting chiefly the inguinal nodes, though not infrequently the axillary, and sometimes the cervical, nodes. Death comes on in severe cases in forty-eight hours. The pneumonic form is most rapidly fatal. The longer the duration of the disease, the better the prognosis. Autopsy in fatal cases re- veals the characteristic enlargement of the lymphatic nodes, whose contents are soft and sometimes purulent. Wyman,* in his very instructive
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