A Mild Epidemic of Jaundice

the same disease were observed among the civil population, but it was not feasible to keep the civil cases in hospital, and consequently the following statistics and remarks apply only to the military element. The first case was admitted on 2nd September 1912 and the last on 27th December 1912. There were a total of 26 cases, giving a percentage of just over 7 of the total strength of the garrison at Gilgit during the period in which the outbreak occurred. The cases were universally mild and without mortality. A perusal of the attached tabular statement shows that all the cases exhibited the classical signs of obstructive jaundice, namely, yellow colouration of the skin and conjunctiva, bile in the urine and clay coloured stools. The weakness and slowness of the pulse is commented upon in the notes and there was the usual lassitude. In 36 per cent, of the cases an enlargement of the liver was detected, but in only one case an increase in the size of the spleen and in this instance not attributable to the attack of jaundice but to old malarial infection. One case only suffered from fever during admission, but there was a history of slight fever before admission in 80 per cent, of the cases. The blood was examined in every case and