ASIATIC CHOLERA in 



Two or three years later the disease prevailed in 

 Syria and Palestine, and for the first time, so far 

 as is known, appeared in a European country, in 

 Astrakan. A second great epidemic, beginning in 

 India in 1826, reached Astrakan in 1830. Thence it 

 extended as far north as St. Petersburg. The fol- 

 lowing spring it invaded Poland and extended from 

 Austria into Germany. At the same time it had 

 been carried by way of Persia, Mesopotamia, Arabia, 

 and Palestine into Egypt. Hungary, Austria, and 

 Turkey were invaded during the same year (1831), 

 and it finally reached Great Britain, where in 1832 it 

 obtained wide prevalence. In this year also France, 

 Belgium, and Holland were invaded. 



In 1832 it reached the United States by way of 

 Canada, where it was carried by Irish immigrants. 

 It spread rapidly along the St. Lawrence and the 

 shores of Lake Ontario. By an independent import- 

 ation it was brought in the same year to New York 

 and spread thence southward and westward, invading 

 the States of Pennsylvania, Virginia, Maryland, Ken- 

 tucky, Ohio, Indiana, and Illinois, and in October 

 first appeared in the city of New Orleans. The fol- 

 lowing summer it broke out afresh in this city and 

 rapidly spread through the southern, central, and 

 western States. It also invaded the Indian Territory 

 and California. In 1834 it reappeared in the eastern 



