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[Inclosure 2.]

SYNOPSIS OF THE SWORN EVIDENCE OF PERSONS EXAMINED BY ACTING ASSISTANT SURGEON WALDAUER AND SUBMITTED WITH HIS REPORT.

George Riley, colored, states as follows: Had been living at Holly Springs. Went to New Orleans in early part of July. Staid only one day. Went to buy a suit of clothes. Bought a second-hand suit from a store on Poydras street, near the market. Came back and joined Snellin's gang July 7 at Goodman, Miss. Was taken sick at Taylor July 10. Had just arrived. Had chill, followed by fever, headache, backache, and severe pain in the eyes, and sick stomach, lasting some time. Was sick eight or nine days, and very weak afterwards. Gained strength slowly. Was attended by Dr. Gray. Several others in the shanty cars got sick after he got well; also Mr. Snellin. These were attended by Dr. Gray and a one-armed man (Dr. Mathis).

Snellin states that George Riley got sick at night, and when he recovered went back to his home.

The examination of the evidence of W. W. Snellin, foreman of gang. Mrs. Snellin, Fred. Snellin, the foreman's son, Elbert Gilmore, John Thomas, John Highmoore, Theodore Thomas, John Hightower, and Sam Stillwater, members of the gang, shows that Riley was taken sick as aforesaid; that he was sick six or eight days; that there was much sickness in this gang (of negroes) after Riley got well, the names of seven men being given as sick at Taylor in the early part of July, a number of them sick enough to go home in convalescence. There had been but little sickness in this gang prior to this time. Of three, it is stated that they had their chills at night; of the others the time is not stated, it not having been asked. Mrs. Snellin and her two children, who had been well, became sick about two and one-half weeks after her husband's return (on account of sickness, from Taylor); they had a single attack each, of some day's duration. She believed the attacks to be malarial. The description of the sickness in the shanty cars is mainly indefinite, but where definite, is like yellow fever, and in none is more than one attack predicated. These men were attended by Dr. Gray, and after he sickened with yellow fever, by Dr. Mathis. The latter saw Mr. Snellin when sick at Taylor and says he had had a chill and had a severe backache and headache. “I should call it a very suspicious case, for, looking backward, Snellin's certainly looked like a yellow fever case.” A sick negro whom he saw there gave similar symptoms. Dr. Mathis had not seen yellow fever when he saw Snellin, but had seen and attended it and had it himself before making above statement.

It is to be noticed that every case of sickness at Taylor seen by Drs. Haralson, Gant, and Carter the last of August and early part of September, was with one exception yellow fever, and the subsequent history of those who had been sick, with a diagnosis of malarial fever, showed them immune to yellow fever. There were certainly then not many cases of malarial fever among the residents of Taylor in August and September.

YELLOW FEVER PREVALENCE IN OTHER COUNTRIES
YELLOW FEVER IN CUBA.

Cuba has continued to be the great menace of the United States as regards the introduction of yellow fever into this country, for, as I have stated in former reports, it is possible to trace nearly all of the epidemics in this country to the introduction of one or more cases from Cuba, usually from Havana. In that city alone, from the 2d of July, 1897, until March 31, 1898—since which time, owing to the withdrawal of the United States sanitary inspector from the city during the Spanish-American war, no reports have been received relative to the mortality of the city—562 deaths occurred from yellow fever. No reports have been received from any of the Cuban cities—with the exception of Santiago after its surrender—since March 31, 1898. From July 1, 1897, to March 31, 1898, there were 1,410 deaths from yellow fever reported from various localities in the island of Cuba, of which the more important were the following cities: Cienfuegos, Havana, Manzanillo, Matanzas, Sagua la Grande, and Santiago. During the calendar year 1897 the following number of deaths from

yellow fever are reported, the figures being confined exclusively to cities:

Matanzas ---------------------------------------------------------------- 2 Santiago ----------------------------------------------------------------- 658 Saguala Grande-------------------------------------------------------... . . 378 Cardenas----------------------------------------------------------------- 235 Cienfuegos ------------------,-------------------------------------------- 313 Manzanillo --------------------------------------------------------------- 230 Holguin, Guines, Remedios, Sancti Spiritus, etc.---------------------------. 1, 500 3, 451 Deaths from yellow fever in Havana during this same period-------------- 2,583 Total -------------------------------------------------------------- 6.034

The greater number of these deaths occurred among the recruits for the Spanish army, and it is presumable that when reports for the latter half of the fiscal year are available, as regards the prevalence of yellow fever in Cuba during that period, they will show a considerable decrease in the totals, as but comparatively few recruits have been sent from Spain to Cuba during 1898.

JAMAICA–OUTBREAK IN 1897.

On July 10, 1897, a case of yellow fever was discovered at Kingston, Jamaica, and from this time until the end of December cases appeared in the following parishes of the island: Kingston and St. Andrew, St. Thomas, Portland, St. James, Westmoreland, Manchester, and St. Catherine.

According to the statement of cases furnished the United States consul at Kingston by the colonial secretary, there were in all 150 cases and 58 deaths from yellow fever. Of this number–104 cases—40 deaths occurred in the city of Kingston and the parish of St. Andrew. Manchester was the next most severely afflicted parish, having 33 cases, of which one-third had a fatal termination.

Of the cases occurring in the parish of St. Andrew 20 of them occurred at the naval and military stations there.

SAN SALVADOR AND MExico.

San Salvador reports a total of 16 deaths from yellow fever during the period June 4 to August 7, 1898, while the country of Mexico, which has been for the past year exceptionally free from yellow-fever infection, has had during the summer of this year a few cases in Monterey, Vera Cruz, and a much more severe outbreak in Tampico, where over 100 deaths from it were reported between July 17 and September 1.

1898.
Rio DE JANEIRo.

It is only the distance of our seaports from Brazil that renders that country a lesser source of danger to us than Cuba.

Since the introduction of yellow fever into Rio de Janeiro in December, 1849, by the American brig Brazil, from New Orleans via Havana and Bahia (November 3, 1849), there have been in Rio alone upward of 54,461 deaths from it among the inhabitants of that city. During the last six months of the present fiscal year there have been 939 deaths from yellow fever in Rio. The rate of mortality of the yearly outbreaks, or rather recrudescences of it—as it is but rarely wholly absent—varies very considerably in different years, even when the meteorological conditions are apparently the same, a fact for which it is difficult to find any sufficient reason. The greatest epidemics in Rio occurred in the years 1850, 1852, 1857, 1860, 1870, 1873, 1875, 1876, 1878, 1880, 1883, 1886, 1889, 1891, 1892 (during these two years there were 8,769 deaths from it in Rio), 1894 (during this year there was the greatest number of yellow-fever deaths in Rio in any one year since its introduction, viz, 4,715), and 1896.

A full and complete report of the deaths from yellow fever in Rio during the first six months of 1898, with statistical tables, etc., and a statement of yellow-fever deaths by years since 1849 is as here with presented, having been furnished by the United States consul-general at Rio:

YELLow FEveR IN Rio DE JANEIRo sINCE 1849, witH STATIsticAL TABLEs. By the UNITED STATEs CoNsul-GENERAL.

The first appearance of yellow fever in Rio de Janeiro in December, 1849, undoubtedly constituted an event of graver importance than anything that has happened here before or since. From that time on this terrible scourge has exercised its pernicious influence on the development of the great Brazilian metropolis, which would otherwise be one of the most healthy of the world's great cities, as it certainly is one of the most beautiful. As far as shown by the official records, yellow fever has caused in Rio, up to July 1 of this year, the death of not less than 54,461 of its victims, 939 since January 1.

The American brig Brazil from New Orleans, by way of Havana, brought the infectious microbes to Bahia (November 3, 1849), whence the disease was carried into Rio, and there are strong reasons to assume that those records do not state the whole truth.

In Yiew of the importance of this matter, I beg leave to submit to the Department of State the inclosed tabular statements which I have compiled from the official figures. Regarding the mortality in yellow-fever cases, the following must be added in explanation: For reasons which the best medical experts have not yet succeeded in explaining, the death rate among the yellow-fever patients is very different in different years, even if the meteorological conditions are the same, but it is never as great as it appears from the public statistics. The law which makes it obligatory that every case of yellow fever should be reported to the medical authorities is frequently circumvented; the number of cases on record is therefore smaller than the actual number, consequently the percentage of deaths apparently larger than in reality, although a considerable number of deaths from yellow fever is not reported or is classified under a less alarming caption. It is a characteristic feature that the foreign-born inhabitants constitute not less than about 85 per cent of the victims of yellow fever. Newcomers are all in great danger during the summer months. (Of the very few foreign diplomatic and consular officers living in Rio there died during the season: The minister of Chile, the Haitian consul, the chancellor of the French consulate, and the chargé ū'affaires of Chile.) One of the results of this condition is the fact that during the fever season (from beginning of December to the end of May) most of the foreigners live in the more or less remote suburbs in the mountains surrounding Rio, where they enjoy a comparative immunity from the disease. This, of course, involves a great expense and a great loss of time. The best known and most frequented of those health resorts is Petropolis, since 1894 the capital of the state of Rio de Janeiro, about 2,500 feet above the level of the sea, in the Serra da Estrella. The diplomatic corps, with but few exceptions, and the majority of the foreign business men reside there with their families, most of whom have to make daily trips to Rio. The permanent injury caused to Brazilian commerce, trade, immigration, etc., by the yellow fever is enormous. It can not be denied that the local authorities are doing a great deal within their limited financial means and under the peculiarly difficult ethnological conditions to fight this plague.

Deaths from yellow fever in Rio de Janeiro during the years 1850 to 1897.

i Years. Deaths. Years. Deaths. | Years. Deaths. l,

. — 1850 | 4.4% o----------------------is. 1884-------------- -- 640

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Deaths from yellow fever in Rio de Janeiro during the first six months of 1898.

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Total mortality in yellow fever cases, from 1850 to 1897 .........

---53,522 From January to July, 1898 -... Total up to July 1, 1898

........ 54,461 Table showing nationality of patients in the Hospital Sao Sebastiao (yellow fever

hospital), Rio de Janeiro. 1892. 1893. 1894.

1895. 1896. 1897

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1890:
1891:

1892:
Recovered.... 595
Recovered.... 1,859

Recovered.... 2,096
Died .....

455
Died .......... 1,614

Died ....

.. 1,546
Total........ 1,050
Total........ 3, 473

Total........ 3,643 Mortuary table, Hospital Sao Sebastiao, arranged according to age of decedents

from yellow fever.

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