Abstract

The following "Notes" are the result of an investigation undertaken by me in an official capacity at the time of the outbreak, and since continued through private and professional intercourse. The epidemic was one of an acute nervous disease whose chief distinguishing characteristic was motor paralysis, more or less complete, of one or more members or groups of muscles, and which prevailed in the State of Vermont, chiefly in a single valley, during the summer of 1894. The results of my investigations as far as completed at the time were published in the<i>Yale Medical Journal</i>for Nov., 1894, and in the<i>New York Medical Record</i>for Dec. 1,1894. At the time of making these reports it did not seem possible to speak of the epidemic more definitely than as one of "acute nervous disease of unusual type." A further careful study of the complex features of the epidemic, however, and

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