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
In the first of the two explosions the three towns were almost equally
attacked per head of their populations; in the second explosion, in
mid-winter, Darlington had relatively only half as many cases as each
of the other two, which had about the same number of cases as in the
former six-weeks’ period. In both periods, of six weeks each, the
three towns had together 1334 cases of typhoid, while the country
districts near them had a mere sprinkling. A flooded state of the Tees
appeared to be a relevant antecedent to each of the explosions. The
Tees is a broad shallow river flowing rapidly, subject to frequent
inundations, tortuous in its lower course, forming at its mouth, where
Middlesborough stands, a wide estuary bordered by low flat grounds.
The rainfall at Middlesborough was 6·3 inches in August, of which 2·2
inches fell on the 12th of the month, the river being high in flood
thereafter. There were again high floods in November, chiefly caused
by the melting of snow in the upper basin (5 inches fell at Barnard
Castle in November, 3·1 inches at Middlesborough, while the December
fall was 1·2 inches at the former and 1·4 inches at the latter). To
apply correctly the ground-water doctrine of enteric fever to these
explosions, other particulars would have to be known, more especially
the extent of the previous dryness of the subsoil (the rainfall at
Middlesborough was 9·3 inches in the first half of 1890, 15·6 in the
second half, and below average for the whole year). But the flooded
state of the Tees valley in August and November must have changed
abruptly the state of the ground-ferments within the areas of the
respective towns and so afforded, according to the general law, the
conditions for an abrupt increase of enteric fever in these its
endemic or perennial soils[408].
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