204 
On arrival at Antwerp the goats w T ere at once transferred to the 
quarantine station, where they remained for the five da} r s that \ 
elapsed before they were reembarked on the steamship St. Andrew 
bound for New York, and during this voyage a large quantity of 
milk was again available for consumption. New York was reached 1 
about September 24, and the animals were transferred to the quaran- 
tine station at Athenia, N. J., where they remained under observation. 
Subsequent bacteriological examination resulted in the recovery of 
M. melitensis first from the milk of 2 of the goats and afterwards 
from that of several more. 
2. THE INCIDENCE OF MEDITERRANEAN FEVER AMONG THOSE 
WHO PARTOOK OF THE MILK. 
(a) In the steamship Joshua Nicholson. — In addition to 4 passen- 
gers (Mr. Thompson and 3 goatherds) present on the voyage from 
Malta to Antwerp, the J oshua Nicholson carried 23 officers and men. 
Of the crew of 19, the carpenter, boatswain, and messroom steward, 
together with others (11 in all), left the ship at Antwerp; the boat- 
swain was afterwards in hospital suffering from hernia; the move- 
ments of the remainder can not be traced. Of the 12 remaining offi- 
cers and crew, 8 fell sick at intervals varying from eighteen to thirty- 
four days from the embarkation of the goats, and in the cases of 5 of 
these 8 the blood reactions leave no room for doubt that Mediter- 
ranean fever was the cause of their illness. 
The 4 members of the ship’s crew who did not show any signs 
of illness were the second mate and the cabin boy, with whom the milk 
disagreed and who consequently had but very little, and 2 engineers 
(Germans) who drank the milk, it is true, but appear tp have always 
boiled it. 
Of the 3 goatherds, 1 (the chief goatherd) had undoubtedly been 
infected with M. melitensis previous to July, 1906, as evidenced by 
the presence of specific agglutinins in his blood, but whether recently 
or remotely it was impossible to say; about the 2 assistant goatherds 
no information could be obtained. 
(h) At Antwerp. — The staff of the quarantine station and many 
individuals in the neighborhood are said to have partaken of the 
milk, both raw and boiled, during the five days the goats were in- 
terned here, but no information can be obtained of the subsequent 
occurrence of cases of illness resembling Mediterranean fever. 
( c ) In the steamship St. Andrew. — The steamship St. Andrew car- 
ried 30 cattlemen and 3 goatherds, and Mr. Thompson, in addition to 
a crew of 30 men. Most of these drank of the milk, but the master of 
the ship and also his owners state that none of the men suffered from 
any illness. 
