PRO FO118/145 pp.256-70
This document is the original report by Dr C. B. Greenfield. It has at
sometime in the past been damaged. At the least, the final page is lacking;
there are also some pages of which the final line is torn away.
This document is the original report by Dr C. B. Greenfield. It has at sometime in the past been damaged. At the least, the final page is lacking; there are also some pages of which the final line is torn away.
May 20th 1871
The Epidemic which has been desolating this city having ceased, I beg to forward a report of the Medical Assistance rendered to the English poor on behalf of the British Legation.
On the 24th March in accordance with instructions received therefrom, I placed myself in communication with the Revd Father Leahy, the Irish pastor, and the Revds Messrs Ashe, Lett and Smith, with a view to obtaining information as to pauper members of their various congregations who might stand in need of Medical Assistance.
Through the valuable aid of these gentlemen, especially the hearty co-operation of the Revd Mr Lett, I was enabled to carry out the object in view, and the result is shown by the appended list.
According to your desire, Sir, that I should give a slight sketch of the nature of the disease, I may state that I believe it differed in no respect from the same disease as witnessed in other parts of the world. Of course there were cases of every degree of intensity from those of the mildest form to others of the most malignant character, in which Black Vomit, haemorrhages from the nose, gums, bowels, &c, deep orange colour of the skin, suppression of urine &c were one or all present. Many of the cases which I have classed in my list as cases of Febricula might by some physicians have been placed under the head of Yellow fever, but the symptoms were so slight that I have preferred to separate them.
I may state that in addition to those on my list I prescribed for many poor English, of whom I was unable from press of work to make any note.
As regards the treatment of the disease, Emetics, in universal repute among the foreign physicians (line missing) at all used by the English practitioners. I did not use one during the whole course of my practice. It is very easy to produce vomiting but it is a very difficult thing often to allay irritability of the stomach when once started.
Purgatives were extensively used, and to keep the bowels freely open was found one of the greatest safeguards against the occurrence of severe gastric irritation. After the preliminary strong purge of Calomel or Calomel & Jalap & Castor oil, the favourite medicine for gently keeping up the effect was the Limonade Rogé, a French preparation of Citrate of Magnesia, which answered (line missing).
In addition to the Emetics used by some practitioners & the preliminary purge, a hot bath with mustard was nearly always administered at the outset, where practicable & the patient put at once into blankets in order to excite diaphoresis. Needless to say, that in my pauper practice, such a proceeding was in no case feasible though I saw the beneficial effect of it amongst my patients of other classes.
Of Antiseptic remedies used internally, a solution of Chlorince (Chlorine?) & a mixture containing Sulpho Carbolate of Soda with Glycerine were both extensively exhibited. I made use of the former in a large number of cases. The patients in spite of its strong, pungent odour in most cases spoke of it as refreshing, & it always remained on the stomach, even when everything else was rejected. As to any marked effect produced on the course of the disease by its use, I saw none, & latterly used it much less. Gastric irritation I relieved in various cases by the exhibition of Chloroform on Sugar.
Haemoptysis, Epistaxis & Haematemisis were in various cases checked by the administration of the Tincture of the Perchloride of Iron. Pills containing Acetate of Lead and opium were used with great success by some practitioners, in cases where the state of the urine would allow it, to check the Black Vomit.
Opiates however, were in the majority of cases inadmissible. On the occurrence of suppression of urine, frequent enemata of Castor oil & Turpentine, the application of Turpentine stupes externally or frictious with a liniment containing Spirit of Mustard & Compound Camphor liniment were the most generally adopted means and they were attended in some cases with success, but too frequently proved of no avail.
Light diet, administered in small quantities could alone be borne on account of the gastric irritation.
I further enclose a few remarks suggested by the appended list and an account of small sums disbursed to needy persons. The amount expended in charity has been small, because in all cases abundant pecuniary aid was afforded by the clergy.
Your most Obedient Servant
C. B. Greenfield
H. G. MacDonnell Esqre
|List of Poor patients attended on behalf of the British Legation|
during the Epidemic of Yellow Fever between March 24th May 15th 1871
|1||Ed. Gannon||27||143 Brazil||Yellow Fever||cured|
|3||Ed McMore||34||255 Balcarce||ditto||Died|
|4||Thos. Crozier||36||255 Balcarce||ditto||Died|
|5||Jas. Orquote Loghlen||26||175 Balcarce||ditto||cured|
|6||Wm. Tweedle||26||175 Balcarce||ditto||Died|
|7||John Cooney||26||175 Balcarce||ditto||cured|
|8||Mrs Wilks||48||260 Temple||ditto||cured|
|9||Mary Tallon||27||326 Independencia||ditto||cured|
|10||Mrs Smith||30||285 San Martín||ditto||cured|
|11||Mrs Hill||70||286 San Juan||ditto||cured|
|12||Jane Hill||13||286 San Juan||ditto||cured|
|13||Caroline Hill||10||286 San Juan||ditto||cured|
|14||Mrs Fowell||53||228 Temple||ditto||cured|
|15||William Matthews||14||326 Independencia||ditto||cured|
|16||Alf. Schroeder||32||332 San Martín||ditto||cured|
|17||Eliza Schroeder||29||332 San Martín||ditto||cured|
|18||Otto Seaman||22||175 Balcarce||ditto||Died|
|19||John Hill||45||286 San Juan||ditto||Died|
|20||Thos. Cusack||7||177 Balcarce||ditto||cured|
|21||Sam. Tapling||28||25 Tucumán||Y.F. & Del. Trem||Died|
|22||Chas. James||75||226 25 de Mayo||Yellow Fever||Died|
|23||Mrs Roberts||40||Calle Nueva||ditto||cured|
|24||Mary Parkinson||30||59 Paraguay||ditto||cured|
|25||Robt. Tallon||12||399 Buen Orden||ditto||cured|
|26||John Sinnott||38||Calle Nueva||ditto||Died|
|27||Mrs Sinnott||27||Calle Nueva||ditto||cured|
|28||John Hill||18||286 San Juan||ditto||Died|
|29||William Barrett||35||158¾ 25 de Mayo||ditto||cured|
|30||Bridget Barrett||27||158¾ 25 de Mayo||ditto||cured|
|31||Thos. Hayden||38||206 25 de Mayo||ditto||cured|
|32||Mary E Parkinson||16||59 Paraguay||ditto||cured|
|34||William Greenslade||30||Railways Cars||ditto||cured|
|35||Fanny Fowell||20||228 Temple||ditto||cured|
|36||Chas. Woodley||19||327 Estados Unidos||ditto||Died|
|37||Harriet Woodley||13||327 Estados Unidos||ditto||cured|
|38||Arthur Woodley||15||327 Estados Unidos||ditto||cured|
|39||Alex. Woodley||17||327 Estados Unidos||ditto||cured|
|40||Harry Thompson||38||327 Estados Unidos||ditto||cured|
|41||Wm. Cross||40||156 Balcarce||ditto||cured|
|42||J. Thompson||37||156 Balcarce||ditto||Died|
|43||J Stanton||34||156 Balcarce||ditto||cured|
|44||Mrs Emery||40||Railway Cars||ditto||cured|
|45||Matilda Tallon||15||399 Buen Orden||ditto||cured|
|46||Emilia Matthews||9||399 Buen Orden||ditto||cured|
|47||Robert Tallon||11||399 Buen Orden||ditto||cured|
|48||Harriet Nunes||15||158 25 de Mayo||ditto||cured|
|49||Peter Duffey||20||102 Paseo de Julio||ditto||cured|
|50||Alice Parkinson||4||59 Paraguay||ditto||cured|
|51||William Heley||24||46 Potosí||ditto||Died|
|52||Lily Wilks||16||260 Temple||ditto||cured|
|53||Eliza Williams||7||91 Santa Fe||ditto||cured|
|54||Jane Kelly||16||27 Tucumán||ditto||cured|
|56||John Chandler||40||Calle Nueva||ditto||cured|
|57||Mrs Chandler||31||Calle Nueva||ditto||cured|
|58||Denis Rickord||27||Calle Defensa||ditto||cured|
|59||Wm. Foster||111 25 de Mayo||ditto||Died|
|60||Geo. Walker||28||158¾ 25 de Mayo||ditto||cured|
|61||Chas. Monroe||38||177 Balcarce||ditto||Died|
|62||Eliza Comley||30||156 Balcarce||ditto||cured|
|63||Mrs Coote||27||32 Paraguay||Y.F. & Uterine Dis.||Refused Treatment|
|64||William Wilkinson||25||14 Venezuela||Yellow Fever||Died|
|65||Thos. Hennedy||40||139 25 de Mayo||ditto||Died|
|66||Charlotte Mowles||6||276 Maipú||ditto||cured|
|67||Robt. Erskine||24||206 25 de Mayo||ditto||cured|
|1||Mrs Gannon||26||143 Brazil||Rheumatism||cured|
|2||Jno. Metcalfe||25||175 Balcarce||Febricula||cured|
|3||(data missing)||(data missing)||Convulsions||Died|
|4||(data missing)||(data missing)||(data missing)||Died|
|5||Mary Forrest||28||260 Temple||Tonsilitis||cured|
|6||John Davison||35||158¾ 25 de Mayo||Debility||to Lazaretto by landlord|
|7||Martin Burke||25||177 Balcarce||Catarrh||cured|
|8||Mary Preston||23||17 México||Debility||relieved|
|9||Emma Emery||18||Railway Cars||Catarrh||cured|
|10||J. Williams||40||Calle Pozos||Diarrhoea||cured|
|11||John Duffey||18||102 Paseo de Julio||Dyspepsia||cured|
|13||Miss Clarke||50||91 Parque||Debility||cured|
|14||Jas. Wyatt||43||183 Charcas||Diarrhoea||cured|
|15||Geo Mitchell||30||158 25 de Mayo||Volvulus||cured|
|16||Chas. Berg||31||158 25 de Mayo||Chron. Bronchitis||relieved|
|17||Wm. Scolbin||40||32 Parque||Phthisis||Died|
|19||Geo. Lynn||7||Barracas||Small Pox||Died|
|20||D. Bretherton||25||Calle Nueva||Tonsilitis||relieved|
|21||Adeline Williams||3||228 Temple||Febricula||cured|
|22||Jas. Wilson||30||183 Charcas||Rheumatism||relieved|
|23||Rd. Hall||25||206 25 de Mayo||Febricula||cured|
|24||Jas. Maguire||26||175 Balcarce||Febricula||cured|
|25||Jas. Riley||26||158¾ 25 de Mayo||Rheumatism||relieved|
|26||Chas. Shields||28||158¾ 25 de Mayo||Debility after Y.F.||cured|
|27||Wm. Harkins||26||158¾ 25 de Mayo||Syph. Ulcus||relieved|
|28||Alf. Jones||34||158¾ 25 de Mayo||Synovitis||relieved|
|29||John Dalton||40||170 Balcarce||Phthisis||Died|
|30||John Welch||25||158¾ 25 de Mayo||Febricula||cured|
|31||Mrs Hayden||30||206 25 de Mayo||Debility||cured|
|32||dau. Lynn||4||Barracas||Small Pox||cured|
|33||Mrs Williams||27||91 Santa Fe||Catarrh||cured|
|34||Thos. Mullins||25||158¾ 25 de Mayo||Dyspepsia||cured|
|35||Chas. Pressley||27||91 Santa Fe||Orchitis||relieved|
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© Jeremy Howat & Graeme Wall 2002