[1372] Mr Jones, of Fletching, Sussex, wrote that scores of cases (probably at least 50 or 60) have had more or less eruption. In one case it was general and bright.... It was like scarlatina ... but the whole surface was covered with minute miliary vesicles of clear fluid, ‘one mass of small vesications.’ There was a great deal of itching and no subsequent dropsy. In other cases the eruption was partial. Rep. Med. Off. Privy Council, II. (1859), p. 284.
[1373] Starr’s description for 1748 is referred to supra, p. 695. Sanderson, Report, u. s. p. 263, says of the disease in 1858: “At Launceston the diphtheritic pellicle was tough, leathery, and highly elastic; and on the mucous surface of the fauces and pharynx it attained so great thickness (from one-tenth to one-eighth of an inch) that it was compared by several practitioners to the coriaceous lichens which grow on rotten bark. In the other districts this was never observed.”
[1374] G. B. Longstaff, M.D., “The Geographical Distribution of Diphtheria in England and Wales,” in Supplement to the 17th Annual Report of Loc. Gov. Board, 1887-8, p. 135. See also Downes, Trans. Epid. Soc. N. S. VII. 193. Farr, Rep. Reg. Genl. for 1874, p. 219, gave the following illustration: “It is remarkable that of diphtheria, out of the same number born, more die in the healthy districts of England than in Liverpool; the proportions are 1029 in the healthy districts and 442 in Liverpool of 100,000 born. The deaths from scarlet fever are 2140 in the healthy districts to 3830 in Liverpool.”
[1375] 8th Detailed Report of the Reg. Gen. Scot., p. xxxix.
[1376] R. T. Thorne, M.B., Diphtheria: its Natural History and Prevention. Milroy Lectures for 1891. London, 1891.
[1377] Farr, Rep. Reg.-Genl. XXIV. (1861), p. 217.
[1378] Longstaff, u. s.
[1379] G. Budd, M.D., “Obs. on Typhoid or Intestinal Fever.” Brit. Med Journ., 9 Nov. 1861, p. 485.
[1380] Supra, pp. 210, 213.
[1381] Matthew A. Adams, cited by Thorne, u. s. with diagram.