"During the winter of 1832 it appeared at New Orleans, and passed
thence up the Mississippi Valley. Extending into the Indian
country, causing sad havoc among the aborigines, it advanced
westward until its further progress was stayed by the shores of
the Pacific Ocean. In 1834 it reappeared on the east coast of the
United States, but did not gain much headway, and in the
following year New Orleans was again invaded by way of Cuba. It
was again imported into Mexico in 1833. In 1835 it appeared for
the first time in South America, being restricted, however, to a
mild epidemic on the Guiana coast.
"In 1846 the disease again advanced beyond its natural confines,
reaching Europe by way of Turkey, in 1848. In the autumn of this
year it also appeared in Great Britain, Belgium, the Netherlands,
Sweden, and the United States, entering by way of New York and
New Orleans. In the succeeding two years the entire extent of
country east of the Rocky Mountains was invaded. During 1851 and
1852 the disease was frequently imported by emigrants, who were
annually arriving in great numbers from the various infected
countries of Europe. In 1853 and 1854 cholera again prevailed
extensively in this country, being, however, traceable to renewed
importation of infected material from abroad.
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