ASIATIC CHOLERA 115 



the year 1866, 114,683 deaths were reported. In 

 England the disease, in 1865 and the next year, 

 caused a mortality of 14,378, nearly half of the deaths 

 occurring in the city of London. In Belgium a mort- 

 ality of 32,812 occurred during the year of greatest 

 prevalence (1866). 



In North America the disease was introduced in 

 1866 by three independent importations, to New 

 York, New Orleans, and Halifax. The following 

 year it obtained wide extension, especially in the 

 western States and in Texas. 



Again cholera invaded Europe during 1871-73, 

 and again it was introduced into the United States 

 by way of New Orleans, and thence spread to some 

 extent in the valley of the Mississippi, and along its 

 principal tributaries. The epidemic of 1872 is esti- 

 mated to have cost 120,000 lives in Russia, and the 

 previous year the mortality was still greater. In 

 Hungary the disease claimed 190,000 victims during 

 the years 1872 and 1873. In Prussia the number of 

 deaths in 1873 was 28,790. 



Cholera disappeared from Europe and America in 

 1873, and the next great epidemic was inaugurated 

 in 1884, when it reached the shores of France and 

 Italy. According to Dr. Shakespeare, 1 this epidemic 

 "cost France 15,000 of its inhabitants in 1884, J 885, 



1 Report on Cholera in Europe and India, by E. O. Shakespeare, M.D. (1890). 



