Of other general maladies, including fevers, inflammation of the lungs, liver, womb, etc., rheumatism, small-pox, piles, jaundice, gout, dropsy, and diarrhoea, the following are reported: 1837 62 1838 90 1839 100 1844 85 1845 76 1846 77 Convulsions are more rare than in the female sex in general; of hysteria there is scarcely a trace, and a few cases of epilepsy are ascribed to the use of ardent spirits. Delirium tremens seldom occurs. The vigilance of the police, and the prompt committal to prison of every prostitute found drunk and disorderly, may account for this. The proportion of cases of delirium tremens was only about one in one thousand. Mania sometimes shows itself. Remorse may produce this, as may a violent affection for some particular man. Of the actual extent of venereal disease in Hamburg, or any other city, it is impossible to speak with certainty, but the fact that in the general hospital there it is of a very mild type is an argument in favor of medical inspection. Dr. Lippert says: "The usual form is gonorrhoea, with its complications, bubo, inflammation of the scrotum, phymosis, paraphymosis, etc. Inflammation of the prostate gland, and stricture, are comparatively rare. Disease of the rectum is very rare, but there are examples." "We have excoriations and irritations of the sexual organs. The simple chancre is common; the indurated chancre not unfrequent; the phagedænic chancre is seldom met with. In general, the sores have a mild character, and heal easily with simple treatment and regular topical applications. _Herpes preputialis_ is extremely general. This is a group of small pustules, quickly healing up, but as quickly breaking out again, often in regular periodical recurrence. It is found especially on men who have suffered from gonorrhoea or chancre." "Secondary syphilis, ulcers of the neck, eruptions, syphilitic inflammation of the eyes, tumors, etc. These prevail more at some times than at others; how far the _genus epidemicum_, the weather and season, the idiosyncrasy of the person, or the intensity of the infection operate, we have yet to learn." "_Tertiary syphilis is rare._" "In sea-ports it is often observable that the disease takes peculiar aspects, and what may be called exotic forms are occasionally encountered. With sailors, syphilis is frequently latent or only partially cured, and is intensified by their habits and diet. Sexual intercourse with them will produce it in an exaggerated character. This is not so much the case in Hamburg, owing to the constant and prompt medical attention; still, some distinction is observable between the venereal maladies of the city women and those of the St. Paul Suburb. Among the latter the cases of a malignant type generally occur."