London's Pulse: Medical Officer of Health reports 1848-1972

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City of London 1899

Report on the sanitary condition of the City of London for the year 1899

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47
" In many instances it would mean a destruc"
tion of all chance of recovery by inducing
" fatal exhaustion, apart from the physical
" suffering entailed by such removal.
" Imagine a case of acute vomiting and
" purging attended by agonising cramp of the
" belly and lower extremities, soon to be followed
" by still more urgent complications, and it will
" be easily comprehended that medical men will
" not incur the odium of removing patients in
" such circumstances. This is not the place to
" say much upon the professional aspect of the
" matter, but that the danger just foreshadowed
" is not exaggerated will be endorsed by
" physicians who have seen, as I have, in the
" tropics and elsewhere, the frightful rapidity
" with which persons enfeebled by previous
" ailments, or their own profligacy, or intern"
perance of all kinds, will succumb to cholera.
" A few hours only may separate life from
" death, and in such a contingency the sufferer
" must perforce be treated upon the spot where
" he receives his first knock-down blow, be it in
" his own home or otherwise