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
This was the well-meant but somewhat fanatical application of a trite and
commonplace notion. It was well understood by reflective persons at that
time, who were quite sound on the contagiousness of fever, that the whole
question of segregating the poor in fever hospitals was beset with
difficulties, not merely of expense but also of expediency. A Select
Committee of the House of Commons sat upon it in 1818, and published their
report, with the minutes of evidence, on the 20th May. So much had been
said in Parliament by Peel and others, and said so truly, of the spreading
of fever all over Ireland by whole families turned adrift in beggary, that
the Select Committee were full of ideas of contagion, and of the great
opportunity of suppressing fever by destroying its germs or seeds. But
they had soon occasion to learn that a fever may be potentially
contagious, yet not contagious in all circumstances, and that segregation
in fever hospitals had a rival in dispersion through general hospitals.
Half-a-dozen London physicians of position, answering respectively for
Guy’s, St Thomas’s, the London, St Bartholomew’s, St George’s, the
Westminster and the Middlesex Hospitals, declared that they mixed their
cases of contagious fever in the ordinary wards among the other patients;
and when asked by the astonished Committee whether the fever did not
spread, they answered one after another with singular unanimity, “Never,”
which under cross-examination, became in one or two instances, “hardly
ever,” as, for example, in the evidence for St Thomas’s Hospital, where a
sister and a nurse had caught fever and died. The point of this London
evidence was that the great safeguard against febrile contagion was free
dilution with air, and that the great provocation of a contagious
principle was to “concentrate” the cases of fever[333]. The Bristol
experience in the same epidemic, although it did not come before the
Select Committee, was wholly in agreement with medical opinion in London.
The fever-cases there were received either into St Peter’s Hospital, which
was the city poor-house, or into the General Infirmary. The former was an
old irregular building, badly ventilated, in which the contagion spread
freely to the ordinary inmates and became very virulent. Contrasting with
the apartments of the old poor’s house, the wards of the Bristol General
Infirmary were spacious, lofty, well-ventilated:
Public-domain text, read in full here on John Shaqi.
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