NARRATIVE OF THE CHOLER AEPIDEMIC OF 1873 IN THE UNITED STATES. 43D CONGRESS, 2d Session, House of Representatives. Ex.Doc.No.95 Images submitted by Deb Haines Transcribed by: Sherri Hall ************************************* USGENWEB NOTICE: In keeping with our policy of providing free genealogical information on the Internet, data may be freely used for personal research and by non-commercial entities as long as this message remains on all copied material. These electronic pages may not be reproduced in any format or presentation by other organizations or persons. Persons or organizations desiring to use this material for profit or any form of presentation, must obtain the written consent of the file submitter, or his legal representative and then contact the listed USGENWEB archivist with proof of this consent. ************************************* Pages 302 through 307 infected with cholera, arrived at Lancaster and lodged at the house of a friend who resides on Richmond street, upon the hill-side, and immediately above the well and the eastern drain. We are informed by Dr. C.D. Riggs, of Russellville, Tenn., that prior to Bewley's departure from that town cholera had become epidemic, and that Bewley himself had been the subject of a "suspicious diarrhea" before he started for Kentucky. Bewley was ill when he arrived, and stated to his firends that he had been sick several times on the trip, which he had made on horseback. He was so ill that he was obliged to at once go to bed. Vomiting, purging, and cramps were soon developed; the man became collapsed, remained in that stage for several hours, reacted, passed into a typhoid condition and lingered until the twelfth day of his illness, when he died. the excreta of this case were not disinfected, but were thrown out upon the ground in rear of the out-houses. This case was not recognized as cholera by the attending physicians, although one gentleman expressed himself as being suspicious, but having no knowledge of the epidemic from which the patient had escaped, and not having informed himself of the gradual northward advance of the disease, concluded that the case was not one of cholera. On the 14th day of August a negro man named Jenkins died in his cabin, nearly at the head of the eastern drain, of unmistakable cholera. this man had, up to the day on which he died, waited upon Bewley. by Jenkins all vessels containing the dejections and vomit had been emptied. this man obtained his drinking water from the well on Richmond street. The excreta of this case were not disinfected, and they were thrown into the drain. August 15, the father-in-law of Bewley, a Mr. Turner, who resided ten miles northeast of the town, was taken with cholera and died after an illness of eight hours. This man had come to Lancaster to visit Bewley. He remained with him one day and slept in the sick-room one night; the next morning he started for home and was taken sick on the road. August 16, a negro woman named Bailey, who lived upon the same street as Bewley, and one short block distant, in a miserably dirty cabin, was taken sick and died after an illness of twenty- two hours. The excreta of this case were added to the general mass of filth around the cabin. No disinfectants were used. August 19, four fatal cases occurred in cabins and rooms immediately adjoining the room in which the woman Bailey had died. the disease in no case continued longer than ten hours. the same day a lady who lived in the vicinity of the slaughter-house abandoned her home and with her family fled to the house of friends upon the bank of the Kentucky River, some ten miles distant from the town. Upon the road she was attacked with the disease, and died within a few hours after reaching a place of safety. August 20, three new cases were reported and all terminated fatally. One, Fanny Bailey, was the daughter of the woman of that name who died on the 16th. Fanny had continued to occupy the room in which her mother had died. The second case of that day, Sam. Salter, a negro, lived with his wife and sister in a cabin upon the banks of the eastern drain and close to the cemetery. the excreta were thrown into the privy which was used by the two women. The third case was in the person of a negro woman who had fled to Camp Nelson, on the Kentucky River, twenty miles from the infected district. It has been positively ascertained that until this date all who had been attacked with cholera had not only lived in the vicinity of the house at thich Bewley was ill, but that they had obtained their drinking-water from the Richmond-street well. On the evening of this day the writer, in obedience to orders, arrived at Lancaster, to inspect the garrison so far as its sanitary condition was concerned, and to make any necessary arrangements to secure to the troops full and competent medical attention. The town was found to be almost entirely deserted. All who could do so had left, save a few brave men and devoted women, who remained to fight the disease, comfort the sick, subsist the destitute, and put away the dead. It is well to note that the authorities of this little town expended over $3000 in charity during the epidemic. This amount of money was not contributed by foreign charity, but was in and of the inhabitants of Lancaster alone. Up to this date, August 20, disinfectants, outside of the barrackgrounds had not been used. An effort was made to institute a thorough system. as far as was practicable, the ground already infected was treated with a solution of the sulphate of iron, and each householder was required to supply himself with disinfectants for use on his premises. August 21, five fatal cases are reported, and on this day the first person living out of the infected district was attacked. this was in the person of a negro named West, who had been employed by the town authorities as a cholera- nurse. A second case was husband of one of the women who died on the 19th. this man had continued to occupy the room in which his wife had died. the third and fourth cases occurred in the wife and sister of Sam. Salter, who died on the 20th. These women, had, after the death of the husband, separated. the wife had gone to her father's house, on the southwest side of town. the sister had gone to Stanford, Lincoln County, where she was taken with cholera, but was carried back to Lancaster. these women both died after a few hours' illness. The last case occurred in the person of Mrs. Temple, who had left her home, which was upon the same street as the house at which Bewley had been ill, and died in the country of cholera. August 22, a white man, forty-five years of age, of intemperate habits, who had been constantly drunk for the past week, was seized with cholera, and died in ten hours. A negro man named Ned. Cecil, who lived in the house next to that at which Edna Salter had died, and who had used the privy in which the cholera- dejections of the women had been thrown, was taken with cholera while on the public square. He was carried into an unfinished building and carefully attended, but died after an illness of twenty hours. The excreta of this case were disinfected. The same day a young carpenter, named Spoonamore, who had been employed at work upon the new building of the national bank, died of cholera at his home near Stanford, Lincoln county. On the evening of this day Bewley, the initial case of the epidemic, died. August 23, a fatal case occurred at the United States barracks. This case occurred in a married soldier, who lived with his wife in a room in the rear of an officer's quarters. August 24, two fatal cases occurred. The first in the wife of the soldier who died on the preceding day. The contact of these persons with the infection was for a time obscure. The room they occupied was scrupulously clean. The location was high and well drained. Neither of the individuals had been in the town during the prevalence of the disease. They had not used the water of the Richmond- street well, as had been charged in a history of this demon- stration published in October, 1873. It has, however, been determined by an investigation instituted by Acting Assistant Surgeon Smith, United States Army, the medical officer of the command, that the clothing of this couple had been washed by a negro woman who lived in the infected quarter of the town, and that this lot of clothing was received back but a short time before the attack. On this day a lady who had nursed Bewley in his illness died of cholera in the country. August 25, a young man named Singleton was attacked with cholera at the residence of his brother-in-law, who lived some four miles from Lancaster, upon the Sugar Creek. Singleton had a diarrhea for some days before his attack, during which time he used the common privy of the family. In this case the disease was well marked. Dr. Berry, who reports the case, states that there was complete suppression of the urine for forty-eight hours. The system, however, responded to the treatment, and the case recovered. During this illness a brother and sister had a mild attack, which yielded to treatment and rest. The house occupied by this family obtained their supply of water from the public well to which reference has so frequently been made. The family consisted of Singleton, his wife, and four children. August 26, Moses Doty, the father of Alice Salter, and at whose house she died, was attacked, and died after an illness of eight hours. During the evening of the same day the sister of Singleton, Mrs. Finley, was attacked and died in eighteen hours. This lady had used the privy in which the diarrheal discharges of young Singleton were deposited, but when the disease under which he was suffering became pronounced, Mrs. Finley and her husband left the house for another about one mile distant, where she sickened and died. August 27, a negro man sixty-eight years of age, named French Smith, died of cholera after an illness of sixty hours. August 28, a negro child thirty months old, the son of a man employed by the authorities as a nurse for the cholera sick, died of cholera after an illness of six hours. August 29, two soldiers, named Rathjon and Hasbrouck, were taken with cholera and died, the first in sixteen, the last in twelve hours. One of these men had nursed and assisted in preparing for burial the remains of the private, Rushbrook, and his wife, who died on the 23d and 24th instant. The second of these cases, Private Hasbrouck, had not been in direct contact with the cholera sick, but he was the "bunkee" of Private Rathjon; that is, these man occupied the same tent and bed. They were both dissipated, reckless men, and it is supposed that they had bith visited negro cabins in the infected district of the town. Mr. and Mrs. Stephens, who lived in the infected district, occupying a portion of the house that was abandoned by the family of Collier on the 19th instant, were both taken with cholera in the country. The wife died, the husband recovered. The same day a male negor died after an illness of sixteen hours. September 1, Ellen Lusk, the grandmother of the child who died August 28, was taken ill and died. This old woman had nursed her grandchild during its illness, but after its death had returned to her own home. September 2, CHarity Dunn, a negro woman, who had been confined to her house with rheumatism for two months, was taken with diarrhea. At first bilious in its character, in a few hours she was in fully-developed cholera, and died in about twenty- four hours. A fatal case of the disease had occurred at a house within a few yards of the one in which this woman was sick. At Paint Lick, some nine miles distant from Lancaster, a negress named Lucy Reid, the mother of a large family, was taken with diarrhea at 5 o'clock a.m. At 2 o'clock p.m., when she was visited by Dr. L.S. McMurtry of Danville, who reports the case, she was in collapse, and died at 8 o'clock p.m. This woman had been in no cholera-district and had remained at her house during the entire summer. She had committed no imprudence in diet. Her cabin was clean and comfortable, but its ventilation at night was very bad. A careful inquiry instituted by Dr. McMurtry into the history of this case developed the fact that a young boy was then living in the family who had some days previously come from the infected district of Lancaster after his parents had died of the disease. The only possible connection that his family could have had was through the person of this boy; after the death of the mother, two children sickened and died, but the boy who was the porter of the disease remained well. The same day a man named Robert Perrin, who lived in a distant portion of the Paint Lick township, was taken sick, and died after an illness of thirty-six hours. September 3, Ann Mason, who lived quite near to the house at which Alice Salter had died, was taken with cholera, and died after twenty-four hours. The same day William Arnold, who is the undertaker of the town, and who lived quite near to the houses at which Alice Salter, Anderson West, and Ann Mason had died, was taken ill, but was convalescent in four or five days. September 4, Private W. Graff was taken sick at the camp, some miles out of the town, to which the troops had been removed, but recovered after a short illness. September 5, a negro woman name Burdett, the mother of the child who died August 28, and the daughter of Ellen Lusk, who died on the 1st instant, was taken sick. She recovered, as did also a man named Alexander Harris, who sickened the same day. From the last date no new cases occurred. Those sick rapidly convalesced, and the inhabitants of the town who had fled from their homes to escape the disease, returned. Individuals living in the country began again to visit the town; business was resumed; but on September 21 the community was alarmed by the occurrence of another case. An old lady named Guthrie had come from her home in the country to visit the Tate family, at whose house Bewley had been sick of cholera, and where he had died. The day after her arrival (September 26) she was taken ill, cholera was rapidly developed, and she died after an illness of thirty-six hours. This case closed the demonstration of the disease; but it is a singular fact that initial and terminal cases of the epidemic occurred and died in the same house, the same room, and on the same bed. The cholera sick at Lancaster were treated by Drs. Pettus, Jackman, and Hill, of the town; Drs. J.L. Warren and S.L.S. Smith, who were on duty with the troops; and by Drs. William Berry and F.C. Wilson, of the city of Louisville. Dr. Warren abandoned a lucrative practice at the Crab Orchard Springs, Drs. Smith, Berry and Wilson their professional engagements at Louisville, to render professional aid to the inhabitants of this stricken town. MARION COUNTY. Lebanon, the county town of Marion County, is located upon the Knoxville branch of the Louisville and Nashville Railroad, situated nearly in the center of the county; it is not only the market-town of the farming community, but is the base of supplies and shipping-point of several small towns and hamlets. The railroad passes through the center of the town, from east to west, upon low ground, following the course of a small stream, which, heading in a spring to the northeast, forms within the corporation limits two ponds for the use of the railroad company and a large flouring mill. From these ponds the stream to which the name of Jordan has been given flows through the town in a southwest direction. The course of this stream is protected by stone walls, and the crossings of the several streets are securely covered. This stream is the receptacle of filth of all kinds. Flowing in rear of the buildings on the north side of the main street, the privy of every establishment facing upon the street is built over it. Upon the southease of the town is a small stream, the head of Hardin's Creek, fed by impure springs and the drainage from high ground. THese two streams form the natural drainage of the town. The water-supply of the town is obtained from wells, which are all more or less influenced by surface-washings. SOme few dwellings are supplied with cisterns. THe public water-suppy consists of two wells, one of which, in front of the court- house, supplies the inhabitants of the center of the town; the other, upon lower ground, is used by negroes and the lower classes almost exclusively. Both of these wells were in miserable condition, and through their deective walls surface- drainage gained access to each well. The street through which passes the railroad is lined with dwellings, some few of which are comfortable, but the largest number are huts occupied by negroes. At the head of this street is located the flour-mill. During the months of June and July the earnest solicitations of the physicians of Lebanon, who had formed themselves into a sanitary association, secured one cleaning and disinfection of Jordan and the removal of much debris of all kinds from public and private dwellings. An offensive effluvia from the lower rooms of the flour-mill attracting attention thereto, it was found that the flooring of the basement story was raised a few inches from the ground, which space was nearly filled with decomposing vegetable matter, and that from one corner, and under the foundation wall, a spring of very considerable volume issued. This water was drained off into the Jordan. The debris was disinfected and removed. On the 19th of July, a negro man, thirty years of age, working upon the line of the Ohio and Cumberland Railroad, some six miles from Lebanon, was suddenly taken ill. His case presented all the symptoms of cholera, and he died after a few hours' illness, perfectly collapsed. He had been guilty of great imprudence in his diet, and the case was at first rated as one of cholera morbus. In the case of July 17, upon the railroad in Taylor County, having come to the knowledge of his physician, some pains were taken to ascertain if any contact had occurred between the two cases; when it was discovered that on the day previous to his attack he had been on a visit to the cabin in which the negro was sick, and that the communication was constant between the two sections and the town of Lebanon. This case was followed by many of acute diarrhea among the other employes of the road, but in none did it advance to a stage of danger. On the 11th day of August, a negro woman, fifty-five years of age, living in the western district of Lebanon, between the line of the Louisville Railroad and the Jordan, was taken ill. She presented all the symptoms of cholera, and died collapsed after ten hours' illness. It was ascertained that some days previous to her attack this woman had left her home in Lebanon to attend her son, who was sick on the line of the railroad in Taylor County, where it will be remembered the disease was in existence. When the man was convalescent his mother removed him to her home at Lebanon, and where she was attacked with the same disease the following day. The excreta of this case were not disinfected, but were thrown upon the ground in rear of the hut. From the 11th to the 18th of August several cases were known to have occurred among the lower classes of the negroes, having symptoms more or less well marked. No record of these cases can now be obtained, from the fact that the physician in whose care they cocurred died himself of the disease at a later date. These cases occurred in the vicinity of the case of the 11th instant. In none of them were disinfectants used. August 18, a white man, fifty years of age, residing on the railroad opposite to the house in which the case of the 11th instant had died, was taken with cholera, and remained perfectly collapsed for nearly twenty-four hours, when he reacted, and made a tedious recovery. No disinfectants were used, and the excreta were thrown upon the ground in rear of the house. August 19, a young lady, eighteen years of age, living in the same vicinity, was attacked with a similar disease, from which she made a slow recovery. It is of importance to note that the preceding cases were rated at the time as cholera morbus; each had been the subject of some imprudence, to which the violence of the symptoms were attributed, and it was only after a subsequent study of each case that its true status was determined. Upon the same day (August 19) a white man, thirty-five years of age, living in a high, well-drained portion of the town, was attacked with cholera. The symptoms were terribly violent; no relief could be obtained from the most active measures, and he died in ten hours from the inception of the disease. In this case the excreta were carefully disinfected, the clothing was washed in a strong solution of carbolic acid, and the mattress on which he died was burned. This death occurred upon ground which was high and well drained; the place of business of the man was equally well located; he had not been away from the town for months, and was thought not to have come in contact with the cases which had already occurred. It was, however, subsequently determined that he habitually passed a portion of each night with a female who lived in a house in the immediate neighborhood of those in which the disease had already occurred. August 25, a negro man, living in a small house built over Jordan, died of the same disease. This man had passed several days preceding his illness among the railroad hands at the section of the Cumberland and Ohio Railroad. In this case the excreta were not disinfected, but were emptied into the bed of Jordan, in which at the time no water was flowing. On the same day, a white man having charge of the twon cemetery died after a few hours' illness, with symptoms almost identical with those presented by the preceding cases. In this case, however, the attack followed an immoderate use of iced water when overheated by great exertion. On the 26th of August the Marion County Fair was commenced upon the grounds near the town of Lebanon, and many visitors attended from Marion and adjoining counties. So great had been the popular prejudice against announcing the fact that any cholera deaths had occurred [cont'd on Page 308] Original images are at http://www.usgwarchives.net/ky/state/cholera.