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February 1 1.— Simultaneously with Mr. J. W. C, the two sons of Mr. Ch., living next to 
Mr. J. J. F. were down, and Mrs. Ch. followed a week later. Mrs. Ch. had severe gastric symptoms 
and discoloured sclene, but there was nothing of such a special nature to enable one to certify that 
it was a suspicious case. 
Mr. J. I., living at the Jail, then followed. In this case there was a distinct difference between 
the pulse and the temperature. 1 emperature 104 , pulse 88. Later albumin was noticed in the 
urine and the eyes were distinctly jaundiced. Mrs. T. followed a couple of days later. She, too, had 
jaundiced eyes, but there was no great difference in pulse and temperature, and urine had no 
albumin. 
Dr. Harrison, who attended the above cases, added that he has no doubt in his mind now that 
a good many cases which he saw previous to the outbreak of the epidemic were mild “ ambulatory ” 
cases of yellow fever. 
Early in April the two brothers V. suffered from an attack of malarial fever ; they recovered. 
Later the father, mother and three sons, including the boys who had recovered from the malaria, 
developed symptoms of a severe form of what was diagnosed as pernicious malaria. They were 
staying at the time at St. John’s High School, immediately opposite Government House. These 
cases have been regarded as very suspicious, but I was not able to obtain further information 
about the cases. 
April 19.— Dr. Heusner, aged 33 (born in Belize), Regent Street, was taken ill with chill and 
pains in body, accompanied by sudden rise of temperature to 103°. Severe vomiting on following 
day. Trace of albumin. On fourth day temperature fell, and recovery rapid. Sclera; became 
yellow. Dr. Heusner is of opinion that his case was very suspicious. 
May 1. — A child of the Rev. Mr. Crook, living in the Rectory, close to Government House, 
was taken ill with fever, which was regarded as malarial fever, but it might have been a mild case of 
yellow fever, for on May 4th Miss B., in the same house, took ill, recovered, but on May 10th had 
a rigor, and died of yellow fever on May 14th. 
Miss B., governess to Rev. C. Crook at the Rectory. Had come to Belize with the Rev. 
Mr. and Mrs. Crook and two children about eighteen months previously. Temperature on 4th May 
103", pulse 120. Gastric irritability such as seen in bilious remittent fever. No headache or back- 
ache, no albumin. Much prostration. On Ihe 7th, 8th, and 9th pulse almost normal, and patient 
appeared to have recovered. 
May 10.— On the 10th temperature rose to 103% and remained almost stationary till death. 
Little vomiting until 2 a.m. on the 14th when patient vomited an enormous quantity of brown 
fluid, and passed a large quantity of black fluid from the bowel, and died from collapse in half 
an hour. 
There is some doubt here as lo whether the first part of the illness was malaria or yellow fever. 
There was no jaundice, and the pulse was 130 on the 13th. “ No precautions were taken against 
mosquitoes, and the house was one of the worst in the town for them.” The case was not 
diagnosed. 
May 6. — The Rev. Mr. C. developed a suspicious illness in a house opposite St. John’s 
Church, at the back of Government House. There was high temperature, vomiting, but no blood. 
Quinine had no effect. Recovery. 
May 7. — F., Rectory Lane, near Government House. Case was reported as malarial fever at 
the time, but the medical attendant now regards it as suspicious. Recovery. 
May 12. — Father M., living at the Roman Catholic Church, aged about 38. Two years in Belize. 
Temperature 102°, pulse 84. On the third day temperature 99 0 , pulse 60. Skin slightly yellow, 
stools black. No albumin and no vomiting. Recovery. The medical attendant now regards 
the case with suspicion. 
May 14. — C. R. D., aged 38, from Nassau, where he had resided for past four years, staying 
at the International Hotel. Was taken ill with severe chill, temperature of io3'4 a , pulse 120, and 
headache. On May 1 6th temperature was 103°, pulse 80, tongue furred on top, with reddened 
edges. Breath foul. On the 18th temperature fell to 101°, but rose again to ro2'4°, pulse 72 and 74. 
Sclera; yellow. No albumin. After this the temperature gradually fell and patient was 
discharged on the 31st. Probably a mild case of yellow fever. 
