Abstract
At the Elks' National Home, Bedford, Va., following the noon meal, Nov. 10, 1924, twenty-eight of the Elks became violently ill. The illness was so severe that three were dead and many were moribund when we saw them in consultation ten hours later. At that time Dr. J. A. Rucker, the attending physician, had made the provisional diagnosis of arsenic poisoning from the clinical symptoms. Acting on this suggestion, a Marsh's arsenic apparatus was quickly set up and large quantities of arsenic demonstrated to be present in cider contained in a small barrel from which some of the Elks had been served at the noon meal. It was later learned that the barrel had contained an arsenic compound used for spraying trees. In the beginning, the symptoms were practically the same in all cases, varying only in intensity, time of appearance and rate of progression.<sup>1</sup>Many began to vomit
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