In the following
two years it also broke out in numerous South American States,
where it prevailed at intervals until 1863. Hardly had this third
great pandemic come to an end before the disease again advanced
from the Ganges, spreading throughout India, and extending to
China, Japan, and the East Indian Archipelago, during the years
1863 to 1865. In the latter year it reached Europe by way of
Malta and Marseilles. It rapidly spread over the Continent, and
in 1866 was imported into this country by way of Halifax, New
York, and New Orleans. This epidemic prevailed extensively in the
Western States, but produced only slight ravages on the Atlantic
Coast, being kept in check by appropriate sanitary measures. In
the same year (1866) the disease was also carried to South
America, and invaded for the first time the states bordering on
the Rio de la Plata and the Pacific coast of the Continent.
"Cholera never entirely disappeared in Russia during the latter
half of the sixth decade, and in 1870 it again broke out with
violence, carrying off a quarter of a million of the inhabitants
before dying out in 1873. It spread from Russia into Germany and
France and was imported, in 1873, into this country, entering by
way of New Orleans and extending up the Mississippi Valley.
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