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PDF (Whole thesis) - UTas ePrints - University of Tasmania

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. · '<br />

ennumerated population.<br />

273<br />

Interestingly, he disclosed that 1861 was<br />

remarkable for the great rainfall, 28. 19 inches, exceeding the twenty<br />

years' standard mean by 6.61 inches .<br />

On October 23, 1862, Hall comp leted the paper "On the Epidemic<br />

Diseases <strong>of</strong> <strong>Tasmania</strong>" requested by M ilroy for the Quarantine Committee.<br />

It is much to be regretted that the queries <strong>of</strong> the Quarantine<br />

Committee, forwarded by the Secretary <strong>of</strong> State, did not elicit<br />

any response from the <strong>Tasmania</strong>n authorities; I have done my<br />

best to remedy the neglect.<br />

This was certainly true, as the article was his most ambitious, and was<br />

highly regarded in the science <strong>of</strong> medicine .<br />

On April 6, 1863 , it was<br />

read by Milroy to the Epidemiological Society and subsequently published<br />

in that society 's Transactions , Part II Volume II. Like Abbott's 40 Tables<br />

<strong>of</strong> Meteorol o gy<br />

it was the culmination <strong>of</strong> over twenty years <strong>of</strong> observation<br />

and research into the colony 's diseases , and consequently <strong>of</strong> inestimab le<br />

value to the Australian medical historian. Cumpston, indeed, in 1923,<br />

described it as a '1most exhaustive and valuable paper" and its author as<br />

"the pioneer epidemiologist <strong>of</strong> the Australian colonies". 21<br />

As a product <strong>of</strong> his mature years , the article was clear ,<br />

straightforward and simple in arrangement.<br />

After a brief statistical<br />

introduction he merely tabulated each disease which had appeared in the<br />

island and discussed its origin, history, incidence , and sometimes<br />

treatment , concentrating on the broad social implications <strong>of</strong> each epidemic<br />

rather than on small medical details, in accordance with his life-long<br />

custom <strong>of</strong> looking upon 'unhealth' as a social malady , not a physical one<br />

peculiar to an individual . Told in his inimitable fashion , the story <strong>of</strong><br />

<strong>Tasmania</strong>'s early diseases was a fascinating one.<br />

Measles , he found, was<br />

first introduced from an unknown source in the early part <strong>of</strong> 1854 , and<br />

had reached epidemic proportions again in 1861;<br />

epidemically in 1843 , and again in 1853 and 1858;<br />

scarlatina first appeared<br />

diphtheria "this novel<br />

disease" was first observed almost simultaneously in two inland districts<br />

<strong>of</strong> the island (New Norfolk and Oatlands) in January, 1859 .<br />

According to<br />

Cump ston , Hall 's remarks on diphtheria revealed "a lively spirit <strong>of</strong><br />

investigation" on his part.<br />

a "filth" disease, he wrote<br />

21<br />

At a time when diphtheria was still considered<br />

The first deaths in Hobarton were two children, brought to the<br />

city for medical treatment from Oatlands . • . . In the same family<br />

two other children had previously died there with the disease,<br />

and three <strong>of</strong> their cousins. The next- death in this city occurred<br />

in April , though it was registered as from croup . The fourth ,<br />

a young lady <strong>of</strong> eighteen , was a well-marked case which removed al l<br />

H.L. Cumpston "The First Australian Sanitarian", Health, April 1923,<br />

p. 89 .<br />

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