(* In The Oriental Plague (Another Form Of Typhus Characterised By Great Disorder Of The Lymphatic System) Immediate Contact Is Less To Be Feared Than Is Generally Thought.

Larrey maintains that the tumified glands may be touched or cauterized without danger; but he thinks we ought not to risk putting on the clothes of persons attacked with the plague.

- Memoire sur les Maladies de l'Armee Francoise en Egypte page 35.) The sick, when removed to the inland country, and especially to cooler and more elevated spots, to Xalapa, for instance, do not communicate typhus to the inhabitants of those places, either because the disease is not contagious in its nature, or because the predisposing causes are not the same as in the regions of the shore. When there is a considerable lowering of the temperature, the epidemic usually ceases, even on the spot where it first appeared. It again breaks out at the approach of the hot season, and sometimes long before; though during several months there may have been no sick person in the harbour, and no ship may have entered it.

The typhus of America appears to be confined to the shore, either because persons who bring the disease disembark there, and goods supposed to be impregnated with deleterious miasms are there accumulated; or because on the sea-side gaseous emanations of a particular nature are formed. The aspect of the places subject to the ravages of typhus seems often to exclude all idea of a local or endemical origin.

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