THE DISEASES OF THE CREW. flS5 



Aleutians, wlio eat these fish raw, cut them into 

 very thin slices to avoid these animals. I mention 

 this fact only for those who are of opinion that in- 

 testinal worms in the human species may be pro- 

 duced by the eating of animals, especially fish 

 which have such worms. This is the opinion also 

 of my estimable predecessor, Dr. Espenberg, in his 

 instructive treatise on the diseases of the crew of 

 the Nadeshda, during the voyage of Captain Kru- 

 senstern round the world, which, in particular, gave 

 me so many valuable hints for the treatment of the 

 sick on the present voyage. 



It may be easily supposed that the attacks of 

 catarrh were not confined to the sailors, but that 

 the natives, the Aleutians, likewise suffered from 

 hoarsenesses and coughs. The frequent rheumat- 

 isms in the joints, and particularly in the reins, and 

 the attacks of gout, which many of the Russian fox- 

 hunters, in the service of the Russian American 

 Company were affected with, were generally con- 

 sidered as syphilitic symptoms. Among the many 

 patients that I attended here, I could not, at this 

 time-, find any thing of a syphilitic nature. But I 

 do not mean to say that syphilis has not yet reached 

 this country ; for how could this be possible, con- 

 sidering the numerous ships of various nations that 

 have resorted hither since 1742 ? Nor do I know 

 to what disorder I should ascribe a sunken nose. 

 The patient, as he told me, had cured himself of 

 syphilis, with fiuTiigations of cinnabar : at present, 



