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This is a very lengthy report.
The most unique characteristics of it are the inclusion of
- some botanical information (p. 38, 39-40)
- chemical characteristics of Colyer’s Spring “frequented by invalids” (p. 39)
- mention of the canals and a large swamp – Canaseraga and the adjacent Chitteningo Flats (p. 40-41), with a discussion of its impact on fevers (45)
- details of the Asiatic Cholera (50) 1832 and Dysentery 1821 (51), Scarlet Fever (53) epidemics are given
- mentioned assorted patent medicines and then Thomsonian (52-3), to whom he compares his own methods with
- mention of Eupatorium local herb as a medicine, with mind-body powers and influences inferred (49-50)
This was presented by Alvin Foord on Jan 24, 1824
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Brian Altonen, MPH, MS 
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