In the autumn of 1822, the physicians appointed to report on the subject state that the general health of the prisoners in Millbank began visibly to decline. They became pale and languid, thin and feeble; those employed in tasks calling for bodily exertion could not execute the same amount of work as before, those at the mill ground less corn, those at the pump brought up less water, the laundry-women often fainted at their work, and the regular routine of the place was only accomplished by constantly changing the hands engaged. Throughout the winter this was the general condition of the prisoners. The breaking down of health was shown by such symptoms as lassitude, dejection of spirits, paleness of countenance, rejection of food, and occasional faintings. Yet, with all this depression of general health, there were no manifest signs of specific disease; the numbers in hospital were not in excess of previous winters, and their maladies were such as were commonly incident to cold weather. But in January, 1823, scurvy—unmistakable sea scurvy—made its appearance, and was then recognized as such, and in its true form, for the first time by the medical superintendent, though the prisoners themselves declared it was visible among them as early as the previous November. Being anxious to prevent alarm, either in the Penitentiary itself or in the neighbourhood, the medical officer rather suppressed the fact of the existence of the disease; and this, with a certain tendency to make light of it, led to the omission of many precautions. But there it was, plainly evident; first, by the usual sponginess of the gums, then by “ecchymosed” blotches on the legs, which were observed in March to be pretty general among the prisoners. Upon this point, the physicians called in remarked that the scurvy spots were at their first appearance peculiarly apt to escape discovery, unless the attention be particularly directed towards them, and that they often existed for a long time entirely unnoticed by the patient himself. And now with the scurvy came dysentery, and diarrhœa, of the peculiar kind that is usually associated with the scorbutic disease. In all cases, the same constitutional derangement was observable, the outward marks of which were a sallow countenance and impaired digestion, diminished muscular strength, a feeble circulation, various degrees of nervous affections, such as tremors, cramps, or spasms, and various degrees of mental despondency.