By July 20, 1838, after Cherokees had been collected and marched among internment camps with sudden and major changes to daily life affecting men, women, and children of all ages and conditions, Captain John Page at the Cherokee Agency in Charleston, Tennessee, reported widespread and often deadly illness, including severe diarrhea, dangerous dysentery, remittent fever, measles, and whooping cough. Medical professionals were hired to care for the Cherokees at the various camps, and monthly reports by physicians at places such as the eastern fork of the Mouse Creek encampment at Fort Cass recorded diseases treated, vaccinations, deaths, and general remarks.