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
“Here the patients labouring under fever were dispersed among invalids
of almost every other description; so that, whatever effluvia emanated
from infected bodies became immediately diluted in the mass of air
free from such pollution. Here, accordingly, no instance occurred of
the propagation of fever. None of the nurses were attacked, nor were
patients lying in the adjacent beds in any instance infected, though
cases of the worst description, some of them exhibiting all the
symptoms of typhus gravior, were placed promiscuously among the other
patients, scarcely two feet of space intervening between the
beds[334].”
The same practice was kept up in the Edinburgh Infirmary until 1858 or
longer; Christison, who gives a diagram of an ordinary ward with four
fever-beds in it, declared in 1850 that there had been no spread of fever
for fifteen years before, except on one occasion, when the rules of the
house were neglected[335]. The bold policy of dispersing fever-patients
among the healthy was begun by Pringle and Donald Monro during the
campaigns of 1742-48 and 1761-63 in the Netherlands and North Germany.
They found that concentration raised the contagion to high degrees of
virulence and that dispersion weakened it to the point of non-existence,
Monro’s success at Paderborn in 1761 having been of the most signal
kind[336].
The Select Committee of 1818 were more influenced by what they were told
of the good effects of the earliest Houses of Recovery, at Waterford,
Manchester and other places in the end of the last century. For several
years after their opening they were little needed, the epidemic which gave
the immediate impulse to their establishment having subsided in due time
both in the towns provided with Houses of Recovery and in the innumerable
places where no such provision had been made. The recommendations of the
Committee do not appear to have been carried out; for the London Fever
Hospital, in Pancras Road, which had been enlarged to seventy beds when
the epidemic began in 1817, remained the only special fever hospital in
London until the establishment of the hospitals of the Metropolitan
Asylums Board in 1870[337].
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Public-domain text, read in full here on John Shaqi.
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