Joint Diseases Following Variola

One day in last October I was hurriedly called to see a European child, who was suffering from fever and had a convulsion an hour previously. Three days after characteristic variolar eruptions appeared on the wrist and forehead. The small-pox gradually extended and became confluent. Two days after a younger brother of the child got fever and afterwards small-pox. On the 9th day of his illness the elder child died, the younger recovered. This was the first case of small-pox that occurred, or at least came to my notice in the autumn of last year in Srinagar, the capital of Kashmir. Cases began to multiply till smallpox began to rage in epidemic form. For nearly two months and a half the epidemic lasted, and there were over 300 deaths amidst a population of 1,25,000. It is interesting to note here that during the year 1889 only 20 deaths