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
About the last quarter of the 18th century medical writers were inclined
to drop the names of nervous and putrid as distinctive of certain fevers.
Pringle, in his edition of 1775, says he had been careful to avoid the
terms nervous, bilious, putrid and malignant, which conveyed either no
clear idea or a false one. Armstrong, another army physician, writing in
1773, says: “Nervous, putrid, bilious, petechial or miliary, they are all
of the malignant family; and in this great town [London] these are almost
the only fevers that have for many years prevailed, and do so still, to
the great destruction of mankind. For inflammatory fevers ... have for
many years been remarkably rare[228].” Dr John Moore becomes sarcastic
over the variety of names given to continued fever, some such generic name
as Cullen’s “typhus,” then newly introduced, being what he desired[229].
Haygarth, writing of the Chester fevers in 1772, said that the miliary
fever had been “supposed” endemic there for more than thirty years past,
but he thought it probable that the eruption had generally, or always,
been fabricated “by close, warm rooms, too many bed-cloaths, hot medicines
and diet.” He had seen only one case in the epidemic that year, and he
believed its rarity at that time was due to the treatment by fresh air and
by “such regimen and medicines as are cooling and check
putrefaction[230].” We shall see later that Percival, for Manchester,
contents himself with saying that miliary fevers, which were formerly very
frequent in that town and neighbourhood, now [1772] rarely occur[231]. In
Scotland as late as 1782 the type was still nervous or low, and hardly
ever inflammatory[232].
_Mortalities in London from fever and all causes._
Fever All
Year deaths deaths
1741 7528 32169
1742 5108 27483
1743 3837 25700
1744 2670 20606
1745 2690 21296
1746 4167 28157
1747 4779 25494
1748 3981 23069
1749 4458 25516
1750 4294 23727
1751 3219 21028
1752 2070 20485
1753 2292 19276
1754 2964 22696
1755 3042 21917
1756 3579 20872
1757 2564 21313
1758 2471 17576
1759 2314 19604
1760 2136 19830
1761 2475 21063
1762 3742 26326
1763 3414 26148
1764 3942 23202
1765 3921 23230
1766 3738 23911
1767 3765 22612
1768 3596 23639
1769 3430 21847
1770 3214 22434
It is singular to observe that in the five successive years in this period
with lowest fever-deaths and deaths from all causes, the years 1757-61
England was at war on the Continent. A similar low fever-mortality
corresponded with the wars under Marlborough and Wellington.
Public-domain text, read in full here on John Shaqi.
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