Folios 24-26: case no 18, Emmanuel Simmonds, aged 21, convict, taken ill at Sydney...

Folios 24-26: case no 18, Emmanuel Simmonds, aged 21, convict, taken ill at Sydney Harbour; sick or hurt, dysenteria; put on sick list 22 October 1849, sent 3 November 1849 to Hospital at Brisbane.

Folio 26: nosological return of cases mentioned in the journal.

Folios 27-30: Surgeon's general remarks. The male convict ship Mount Stuart Elphinstone left Deptford for Woolwich on 21 May 1849, and the Guard consisted of 50 rank and file embarked on 22nd under the command of Lieutenant Reney of the 96th Regiment. The Guard were accompanied by 5 women and 8 children. They all seemed to be in a healthy condition. On the 25-26 May [1849] 163 convicts were received on board; 69 from Pentonville prison; 39 from Milbank; 24 from Wakefield and 21 from the hulks off Woolwich. The men from the hulks appeared more healthier than those from the different prisons. 32 convicts embarked from the hulks at Portsmouth on 30 May [1849]. Two or three of these convicts were rejected on the ground of being unfit for the voyage, but two of the thirty two who embarked were in the bad state of health, and they died of phthisis during the passage. The ship arrived at Cove of Cork on the 7th June, Messers Martin and O'Doherty, two state prisoners were embarked from HM Steamer Trident on the 17th [June 1849]. On the 19th June a soldier of guard who was on the list for a venereal complaint was brought into hospital in a state of collapse having all the signs of Asiatic Cholera, which in the surgeon's opinion its origin was not owing to any epidemic influence. Two days after the first case of cholera appeared on board on the 21st [June 1849], 1 soldier and 2 convicts were attacked with the malady which subsequently lead the surgeon to communicate this to Rear Admiral Dixon, who directed Mr Babing surgeon of the flag ship to arrange the landing of these patients as soon as possible. For the treatment of these patients see case numbers, 2, 3, 4 in the foregoing journal.