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
We have some particulars for Kidderminster, which can hardly have been
exceptional for an industrial town, and according to the accounts were
true also for villages and market towns near. Kidderminster was, in the
year 1756, a town of about four thousand inhabitants, mostly hand-loom
weavers of worsted and silk. There were no power-looms anywhere in England
at that time; and the condition of the Kidderminster weavers’ houses was
doubtless what that of the Tiverton community had been fifteen years
before. Many of the weavers, we are told, are lodged in small nasty
houses, for the most part crowded with looms and other utensils[215]. Many
of these houses were built on a low flat of the river Stour, whence rose
putrid vapours after floods. Its situation had served to render the town
specially unhealthy before, as in the epidemic of 1727-29[216].
The first notice by Dr Johnstone is of a low miliary fever from Midsummer
1752 to the end of the year. This was a comparatively mild affair,
although it carried off several. But after Christmas it was succeeded by a
fever which would then have been classed as of the putrid kind. The first
great season was in 1753, it ceased in the fine years 1754-55, but came
back in 1756 and 1757. It began with languor, lowness, flutterings,
faintness, vague pains in the limbs, a low quick pulse, giddiness and
slight sickness. Some had a propensity to loose stools and to profuse
hurtful sweats; some bled at the nose, others coughed and spit blood; some
had pain in the throat, and crimson-red tongue, the sweat and breath of
the sick had a strong, offensive, putrid smell. In some of the worst cases
livid petechiae, large livid blotches, and dark brown spots occurred over
the trunk and limbs. The successful treatment was by mineral acids, bark,
port wine, and vesication. “This malignant fever was very often (though
not constantly) complicated with, and in general bore great analogy to the
malignant sore-throat which at this time prevailed in many parts of
England.” The fever which prevailed during that remarkable year (1753) was
very evidently contagious, for whole families were either all together or
one after another seized with it. One of the most distinctive symptoms was
a tendency to trembling of the whole body, as well as leaping of the
tendons at the wrists. In some the tonsils were beset with aphthous
sloughs, and towards the decline there would be aphthae of the mouth, but
symptomatic only, and not the dominant lesion as in the ulcerous
sore-throat. About the 15th day the fever was generally at its height. The
miliary eruptions were critical to the few that had them; the flat livid
petechiae appeared at all times of the disorder. Johnstone then compares
the fever with that described by Le Cat at Rouen in the winter of the same
year; and although he had been unable to satisfy his curiosity by opening
any body dead of the fever, he felt sure that these dreadful symptoms
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