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illness occurred at the Greenwich Union Workhouse, which had
the appearance at first of being true Asiatic Cholera.
There were upwards of 260 cases and eleven deaths.
On October 18th I submitted the following report on the
outbreak:—
"I beg to report that a sudden and remarkable outbreak of
illness has occurred at the Greenwich Union Workhouse during
the past ten days.
"The first two cases that were recognised occurred at about
four o'clock a.m. on Monday, October 9th, in two different
blocks of the Workhouse.
"The symptoms are characterized by vomiting, diarrhœa,
cramps in the feet and legs, and collapse.
" There have been more females attacked than males.
"The cases that have occurred within the last few days are
of a milder type than the first.
"In all, there have been over 200 cases, and nine deaths
(including the case of the woman who left the Workhouse on
Tuesday, October 10th, and died in the Parish of Lambeth.)
"Post-mortem examinations have been made by Drs. Burney
and Keats, in the presence of Dr. Bulstrode and myself, without
revealing anything in particular which can throw light upon the
cause of the disease. The viscera have been forwarded to Dr. Klein
for bacteriological examination.
" I have visited the Workhouse daily, and consulted with