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Acknowledgments List of Tables ’Some Respectable Body of Men’: An Introduction ’May it be the Last of our Sorrows’: Disease and Death at Sea ’The Obstinately Dirty Character of the People’: Origins, Children, and Epidemics at Sea ’A Most Efficient Body of Officers’: Surgeon Superintendents and their Responsibilities ’His Many Duties and Anxieties’: Supervision and Discipline at Sea ’The Mother’s Milk Generally Fails Them in about Six Weeks’: Infant and Child Health ’The People Suffered Greatly in Consequence’: Disease, Weather, and Great Circle Sailing ’The Dr is Supreame Over All on Board Bar the Capton and Officers’: Matrons, Constables, and Emigrants ’Firmness and Indulgence, Consideration and Strictness’: One Surgeon’s Management of Families and Irish Girls ’I Held a Court in the Ward’: Medicine and Democracy at Sea ’Set Sail with Fowl Wind and Head Sea’: Storms, Routines, and Seasickness ’We have Lost Several Children but this was Quite Expected’: Epidemics and Quarantine Appendix 1: Individual Causes of Death Reported by Surgeons on Voyages to South Australia 1848-1885 Bibliography