y Tipperary, the fever cases doubled in 1846 what
they had been in the previous year. The disease commenced in Clonmel in
November. The accounts from the Counties of Limerick and Kerry do not
record any increased sickness during this year. The epidemic commenced
in the County of Tyrone in the December of 1846. Young persons were
those chiefly attacked there. The fever commenced at Loughgall, County
Armagh, in the end of this year. The lower classes were chiefly
attacked; the majority of those affected having been previously in bad
health. The epidemic materially declined as the poor were better fed.
The fever was frequently preceded by scurvy. Individuals at the age of
puberty were chiefly attacked,--females more generally than males. In
Newry, dysentery existed as an epidemic during the autumn of 1846, being
very fatal among the old and infirm, who, if not carried off, were so
debilitated by its effects, as to render them an easy prey to the fever
which followed. In Dublin, although the great outbreak of the fever was
in 1847, yet, cases were noticed to have occurred in the latter end of
1846, in a greater proportion than usual. Those first attacked were
individuals who had been reduced by bad diet or insufficiency of food,
and throughout the continuance of the epidemic, the lower classes were
chiefly affected. In many cases, the fever set in immediately after
recovering from the effects of starvation, and although scurvy preceded
the disease, neither it nor purpura was noticed to have occurred as a
concomitant symptom. In the Province of Connaught, the epidemic
commenced in many places during the year 1846, especially in the
Counties of Sligo and Leitrim; in the former locality the young were
chiefly attacked; in the latter fever broke out so early as June, when
upwards of two hundred cases were at one time in the Workhouse of
Carrick-on-Shannon; while, in the remote northern hilly districts of the
county, it did not appear until December, 1847; those attacked were, for
the most part, reduced from want of food. In some parts, the fever was
preceded by aphthous ulcers on the tongue and gums; young persons were
those chiefly attacked, and females more than males. In the County of
Roscommon, the previous health of the population was much impaired;
bowel complaints were frequent; the fever commenced in the end of 1846
or beginning of 1847, and was very prevalent. The Workhouse of Castlerea
was one of the most severely affli