?(130) was present in January in places far apart from each other, but as the pilgrims flocked in the disease rapidly increased, and became epidemic about the end of February, first in Puri town, and then along the pilgrim routes in Puri, Piplee, and Khurdah circles; it also prevailed in remote places, such as Gôp, Nemapara, Bolia, Patra, and Bisnapur. In ordinary years the Ruthjatra (car festival), held in June or July, is by far more largely attended than the Doljatra (swing festival) held in February or March; but in 1877 the latter festival was a specially holy one, said to occur only once in a hundred years; and the crowd of pilgrims who come from all parts of India to visit Juggernath was estimated at 200,000-nearly four times as many as attended in ordinary years. In March cholera was at its height, and the mortality in the town of Puri was very severe, the residents suffer- ing more than the pilgrims. In April the disease ceased in the town and began to abate in the district generally but slowly. In former years it has been observed to abate rapidly until May, to revive in June and July when the second festival takes place, and abate again a second time by October. This year (1877) the disease did not abate until May, but then it slowly and steadily declined until October, a marked feature being the absence of the usual epidemic during the second festival in June and July. "In November and December the usual autumnal prevalence was coincident with a minor festival held in November. Of the total 5,795 cholera deaths registered during the year 3,905 occurred in the months of February, March, and April, and 1,230 of the number were pilgrims. The overcrowding in the town during the festival was very excessive." The existing lodging-houses could not furnish room for more than a small fraction of these men, and thousands of pilgrims had to pass their short stay in Puri in the open streets, gardens, under trees, &c., &c., with an area of three square miles nearly and a resident population of nearly 200,000 souls during the months of February and March. "The insanitary conditions of the town which have ordinarily been great were very materially increased during, and some time after this great festival. With regard to food and drink, the rice cooked in the temple and offered to Jaganath formed the main part of the food of this immense crowd. This food is often cooked of bad and unwholesome materials, and is made available for use at extremely irregular hours, sometimes very late in the evening. It is often sold when putrid and consequently injurious to robust health and deadly to those in low health. These irregularities were multiplied manifold at the great festival in March 1877, hence partial starvation on the one hand, and unwholesome food on the other no doubt predisposed the system of the pilgrims to attacks of sickness. This combined with high religious excitement, preceded by the physical discomforts of a prolonged and wearisome journey, paved the way for any disease, especially cholera. The water-supply of Puri town has been naturally bad. The nature of the soil is porous. The human excre- tions were never removed, and the soil got quite saturated with ordure. During the rains these animal matters got dissolved and percolated through the soil. Wells and tanks, which form the sources of water supply in the town, could never be expected to remain uncontaminated. Besides, the tanks are used for bathing purposes, and thousands of people are seen bathing daily. Many vegetable matters, such as rice, flowers, fruits, and leaves, are largely thrown into the tanks as necessary items of religious ceremonies. These get decomposed and vitiate the tank. During the festival the water must have grown very filthy indeed. The mass of pilgrims, who had every form of physical disadvantages predisposing them to disease, drank this concentrated filth in the shape of water, and so added another potent cause of sickness to many already existing. There is no existing means of draining the city. It is said that the roads serve the purposes of surface drains, while there is absolutely no provision for subsoil drainage. "With regard to conservancy, the efforts of the health office establishment were mainly confined to street conservancy and to providing a few latrines for public use." But they were not comprehensive, and the "work of removing night-soil had just begun when the great festival and epidemic of cholera occurred. The conservancy arrangements in private houses are bad, the private latrines consist of holes dug in the earth, and when one is filled another is opened until all available ground is dotted with these