On June 28, 1774, Dr. J. Quier wrote a letter to Dr. Donald Monro of Edinburgh in which he gives an account of an epidemic of measles in Jamaica. His description of "Koplik's spots" equals that of Koplik himself.1

The usual symptoms, (of cough, inflamed eyes and throat, anxiety and restlessness,) were observed here in a very great degree. But the most certain diagnostic of the disease in its beginning, (and which I do not remember to have found mentioned by any author that I have met with,) was the appearance of the white aphthous specks about the gums; which were always visible several days before the eruption, and not unfrequently before the fever began. By this symptom, I discovered several to be affected with the measles, before they were themselves sensible of any indisposition.2

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