In this engaging tale of movement from one hemisphere to another, we see doctors at work attending to their often odious and demanding duties at sea, in quarantine, and after arrival. The book shows, in graphic detail, just why a few notorious voyages suffered tragic loss of life in the absence of competent supervision. Its emphasis, however, is on demonstrating the extent to which the professionalism of the majority of surgeon superintendents, even on ships where childhood epidemics raged, led to the extraordinary saving of life on the Australian route in the Victorian era.