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Updated: May 8, 2025
There are certainly more forms than one, without considering the common variation between the confluent and distinct, in which the smallpox appears in what is called the natural way.
Its effects fall as far short of what might have been expected from its virulence as the pearly vaccine vesicle falls short of the terrors of the confluent small-pox. They might with as much propriety call them matricides, if they did not agree with the milder teachings of their mothers. I can imagine Jonathan Edwards in the nursery with his three-year-old child upon his knee.
That same night it hastened forwards thirty miles to Ham's Fork, a confluent of Black's Fork, which empties into Green River, where several supply-trains were gathered, upon which there was danger that the Mormons would make an attack. The other divisions followed within the week, and the whole force was concentrated.
The swellings from the bites have become confluent, and are scarlet with inflammation. It is truly humiliating that "the crown of things" cannot defend himself against these minute enemies, and should be made as miserable as I am just now. But it is a most healthy climate, and when I write of mosquitoes, land leeches, centipedes and snakes, I have said my say as to its evils.
In the Autumn of 1846, the famine, which all saw advancing, seized upon certain districts of the South and West; but as ulcers, which first appear in isolated spots upon the body, enlarge until, touching each other, they become confluent, so had the famine, limited in its earlier stages to certain localities, now spread itself over the entire country.
Think of him, I say, and of the concentrated gaze of good society through its thousand eyes, all confluent, as it were, in one great burning-glass of ice that shrivels its wretched object in fiery torture, itself cold as the glacier of an unsunned cavern! No, there will be angels of good-breeding then as now, to shield the victim of free institutions from himself and from his torturers.
A few days of this beverage within, and of wind-drifted alkali invading every pore of the body without, often serve to cover the miserable passenger with an erysipelatous eruption which presently becomes confluent and irritates him to madness. Meanwhile he jolts through alkali-ruts, unable to sleep for six days and nights together, until frenzy sets in, or actual delirium comes to his relief.
'Now for a season, if need be, ye are in heaviness through manifold temptations. There are confluent streams that one has sometimes seen, where a clear river joins, and flows in the same bed with, one all foul with half-melted ice, and the two run side by side for a space, scarcely mingling their waters.
There would have been head lines an inch deep in the local papers, the school would have been closed for two weeks, a general vaccination furor would have set in, and many mammas and little children would have dreamed of confluent smallpox for weeks to come. But we did none of these things in the Philippines.
It all came back to me with a shock, the horrible scene of which I had scarcely thought for years, so vividly indeed that I seemed to hear the old hag's voice crying in cracked accents, "Si, senor, viruela, viruela!" I ought to have sent to warn the police and the health officers of the city, for I was sure that the man was suffering from what is commonly called confluent smallpox. But I did not.
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