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June 23, 1894


JAMA. 1894;XXII(25):960. doi:10.1001/jama.1894.02421040028006

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Doubts as to the identity of the disease reported to be Asiatic cholera in Canton and Hong Kong, noted in the Journal of the 9th inst., are resolved through recent advices by the Pacific steamers. It is obviously an epidemic of bubonic plague and one of marked severity. The disease appears to have originated in Hong Kong and to have made its appearance in Canton about the end of April. Some idea of its ravages may be formed from the reports of a resident missionary in Canton, who made systematic investigations which showed a total of 6,000 deaths among the Cantonese in the first eight days; and its virulence and fatality may be inferred from the returns of one hospital, in which out of 393 cases received there were 320 deaths.

The symptoms of the disease, as reported by a district physician to Colonial Surgeon Ayres, are as follows: "With

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