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The naval medical officers' journals of ADM 101 provide a coherent view of the beliefs and practices of a body of rank and file medical practitioners during the late 18th and 19th centuries. They provide a valuable source for examining key themes in the history of medicine in the 19th century, such as encounters with tropical diseases and the changing understanding of the causes of disease. The thorough cataloguing of the series has now made it possible to trace individual patients. This talk will analyse a sample of the records to explore these themes.