Report on epidemic cholera in the Army of the United States, during the year 1866








Jefferson, Texas, September 30, 1867. General: I have the honor, respectfully, to report as follows upon the appearance of yellow fever at this post: Sergeant Joseph Hogan, Company "D,"20th U. S. Infantry, arrived here on the evening of the 22d ultimo direct from Baton Rouge, La., by steamboat direct from New Orleans, (where he had gone about one month previous as witness at a court martial,) with no apparent symptoms of disease but those of the character to which unacclimated persons are so subject in this climate, and similar to attacks he had had during the season. Several days previous to his departure he was seized with a violent attack of vomiting and retching, which recurred, while en route, several times during the day, but less violently. It is my opinion that what he had here was a relapse, the disease having been contracted at Baton Rouge, La., and that he had gone through the first and a portion of the second stage before arriving here—in a very mild form, however; three prominent resident physicians whom I had in consultation fully concur with me in this. It is my opinion, further, that his was a sporadic case, as he was not directly exposed to any contagious influence, it not having been epidemic at Baton Rouge, La., nor was there even a case there so far as I can learn; neither were there a case on board the boat which brought him here. Though the season was far advanced and our camp distant four miles from the city, upon a high and open site, yet every precaution was taken to prevent its spreading, by isolating those who had been directly exposed upon sites to leeward of the camp, keeping large fires burning continually to windward of it, and administering quinine and whiskey as a prophylactic to the well portion of the command three times per day for the period of two weeks. Out of five who were directly exposed, but one took it; this case was of a very mild form, recovery was rapid and without one untoward symptom, having used no other treatment than that known here as the domestic.

I am, General, very respectfully, your obedient servant,

A. L. BUFFINGTON, Acting Assistant Surgeon, U. S. A.
Brevet Major General J. K. Barnes, Surgeon General.


Report on epidemic cholera in the Army of the United States, during the year 1866