Medical Sketches of the Expedition to Egypt, from IndiaMcGrigor, James, Sir
History
Medical Sketches of the Expedition to Egypt, from India
McGrigor, James, Sir
Great Britain. Army -- Sanitary affairs; Medicine, Military
This did not frequently appear in the Indian army while they were in
Egypt: on the voyage thither, however, it prevailed very much, and a
great deal of it came under my own particular notice. On my return to
India I found, that, in the manner of its first appearance, as well as
in its progress afterwards, much of what I had observed was considered,
by medical men, as new and remarkable. I shall, therefore, give some
detail of it here: though this may be going a little out of my way, it
may be useful. When cases of this disease crowded on me, and with the
very severe symptoms with which they appeared, I was both perplexed and
embarrassed; and I regretted much the not having had a previous knowledge
of the disease.
This disease, as will be shewn by the table, was but little seen in
Egypt. It appeared only in two European corps, the 86th and 88th
regiments; and in two native Indian corps, the 1st and 7th Bombay
regiments. It is a disease, of which I believe that we know but little.
Industry and attention might be usefully employed in the investigation of
the natural history of the dracunculus.
In September, 1799, the 86th regiment relieved the 84th in the fort of
Bombay. The 86th remained in the king’s barracks there until October,
1800, at which time they were relieved by the 88th regiment from the
island of Coulabah.
The 86th, on coming into the fort of Bombay, had never had a case of the
Guinea-worm; and they continued free from it till the setting in of the
monsoon of 1800. The king’s barracks in the fort are close to the bazar
in Bombay. Here Mr Dean, the surgeon of the 86th regiment, remarked,
that the Guinea-worm prevailed very much among the natives. In the course
of the monsoon, nearly three hundred cases of this disease appeared in
the 86th regiment. I saw, at one time, one hundred cases of it in Mr
Dean’s hospital.
The 88th regiment, from the time of their arrival in India, in June,
1799, till October, 1800, was quartered in the island of Coulabah,
distant one mile from Bombay. During the fifteen months of their stay
at Coulabah, only one case of Guinea-worm appeared in the regiment; and
this happened, as they were about exchanging quarters with the 86th
regiment, in an old man, debilitated with repeated attacks of hepatitis
and dysentery. No case appeared in the 88th regiment in October, nor
for nearly a month after their coming into the king’s barracks in
Bombay; but, in that part of November which immediately preceded their
embarkation for service, three cases occurred.
The artillery, 86th and 88th regiments, as already mentioned, were
embarked, at Bombay, for the Egyptian expedition. In the course of the
voyage to Ceylon, a case of Guinea-worm first appeared in the detachment
of the 86th regiment, on board the Minerva; and, thereafter, six cases in
the 88th regiment, on board the same ship.
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