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An Account of the Diseases which were most frequent in the British military hospitals in Germany

OF THE Epidemical Catarrhal Fever Of APRIL, 1762; CALLED, The INFLUENZA.

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After a very cold severe Winter at Bremen, the Weather, from being very cold, became of a sudden extremely hot, about the 10th of April. In a few Days after, many People were seized with a violent Catarrhal Disorder. It often began with such a Cold and Shivering, that many imagined at first that they were going to have Agues; but soon after they were attacked with a Cough, and a Difficulty of Breathing, and Pain of the Breast, with a Head-Ach, and Pains all over the Body, especially in the Limbs.—The first Nights they commonly had profuse Sweats.—In several, it had the Appearance of a remitting Fever, for the two or three first Days.—Many had a slight Inflammation of the Throat, and a Hoarseness. In all it was attended with an acute Fever in the Beginning, and the Urine was of a high Colour; and when the Disorder had put on the Appearance of a Remittent Fever in the Beginning, it dropt a Sediment towards Morning after the second Day; and did the same in all, when the Disorder was going off.—Some had a Purging, but the greater Number were rather inclined to be costive.—The Cough in many was very violent; and the Patients, after each Fit of Coughing, had Reachings, or Strainings to vomit, exactly resembling those which come after violent Fits of the Hooping Cough.—At first the Patients spit up only a little Phlegm; but in the Decline of the Disorder, they expectorated freely.—The violent Cough and Feverishness generally continued for four, five, or six Days; with others it continued longer; and some had a Cough for two or three Weeks after the Fever left them.

This Catarrhal Fever seized most of the People of the Town of Bremen; and there were very few of the British who escaped it; at the same Time, it was epidemical in most Countries in Europe.

We treated it entirely as an inflammatory Disorder, and none died who applied early for Relief.—Most People recovered by one plentiful Bleeding, and taking the mild cooling Medicines, such as the mixtura e spermate ceti cum nitro, the saline or mindereri Draughts, or such like. When the Fever and Difficulty of Breathing continued after the first Bleeding, in a Day or two a Vein was opened a second Time; and immediately after a Blister was applied to the Back, which commonly removed the Fever, and relieved the Breathing.—When the Patients were inclined to be costive, a Dose of Physic was of Service.

None of the British died, except one or two of the Soldiers, who remained in Quarters after being taken ill; and, instead of bleeding and living low, indulged in the Use of spirituous Liquors; and were not brought to the Hospital, till they were in the last Stage of a Peripneumony.—Many of the Inhabitants of the Town died of this Disorder, which was probably owing to Want of Care.

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