A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present TimeCreighton, Charles
History
A History of Epidemics in Britain, Volume 2 (of 2): From the Extinction of Plague to the Present Time
Creighton, Charles
Epidemics -- Great Britain -- History
It was in these circumstances that the most fatal infections of typhus
took place. Such extraordinary malignancy of typhus happened often when
the type of sickness (if indeed there was definite disease at all) among
the originally ailing failed to account for it; it was the great
disparity of condition that accounted for it. There were, however, more
special occasions when a higher degree of malignancy than ordinary was
bred or cultivated among the classes at large who were habitually liable
to typhus. But even the old pestilential spotted fever which used to
precede, accompany, and follow the plague itself, was fatal to a
comparatively small proportion of all who had it. Thus, towards the end of
the great London plague of 1625, on 18th October, Sir John Coke writes to
Lord Brooke: “In London now the tenth person dieth not of those that are
sick, and generally the plague seems changed into an ague[176].” One in
ten is probably too small a fatality for the old pestilential fever; but
that is the usually accepted proportion of deaths to attacks in the typhus
fever of later times. The rate of fatality is got, naturally, by striking
an average. But in truth an aggregate of typhus cases, however homogeneous
in conventional symptoms or type-characters, was not always really
homogeneous. We have seen that ninety cases of typhus could occur in the
slums of Manchester with only two deaths. On the other hand there were
outbreaks of gaol-fever in which half or more of all that were attacked
died; and I suspect that the average fatality in typhus of one in ten was
often brought up by an admixture of cases of healthy and well-conditioned
people who caught a much more malignant type of fever from their contact
with those inured to misery. To strike an average is in many instances a
convenience and a help to the apprehension of a truth; but for the average
to be instructive, the members of the aggregate must be more or less
comparable in their circumstances. It has been truly said that there is no
common measure between Lazarus and Dives as regards their subjective views
of things; it is not a little strange to find that they are just as
incommensurable in their risk of dying from the infection of typhus fever.
The rule seems to be that the degree of acuteness or violence of an attack
of typhus was inversely as the habitual poor condition of the victim. In
adducing evidence of the tragic nature of typhus infection conveyed across
the gulf of misery to the other side, I shall endeavour to keep strictly
to the scientific facts, leaving the moral, if there be a moral (and it is
not always obvious), to point itself.
Let us take first the common case of country-bred people migrating to the
towns. Any lodging in a crowded centre of industry and trade would be
high-rented compared with the country cottage which they had left, and
they would naturally gravitate to the slums of the city.
Public-domain text, read in full here on John Shaqi.
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