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
It is not quite clear whether Strother’s fever with relapses and jaundice
corresponded exactly to the little fever, hysteric fever, or nervous fever
of the same years; but it is worthy of note that relapsing fever in
Ireland a century later was called febricula or the “short fever.” It was
not until 1746 that the excellent essay upon it by Sir Richard Manningham
was written. By that time a good deal was being said in various parts of
Britain of a slow, nervous, or putrid fever, Huxham, in particular,
identifying the nervous fever with Manningham’s febricula or little
fever[111]. Some have supposed that the nervous fever of the 18th century
included cases of enteric fever, if it did not stand for that disease
exclusively. Murchison takes Manningham’s essay to be “an excellent
description of enteric fever, under the title of febricula or little
fever, etc.[112]” The following are brief extracts from his description,
by which the reader will be able to form his own opinion on the question
of identity[113].
At the beginning patients feel merely languid or uneasy, with flying
pains, dryness of the lips and tongue but no thirst; in a day or two
they find themselves often giddy, dispirited and anxious without
apparent reason, and passing pale urine. They have transient fits of
chilliness, a low, quick and unequal pulse, sometimes cold clammy
sweats and risings in the throat. They go about until more violent
symptoms come on, simulating those of quotidian, tertian or quartan
fever; sometimes the malady simulates pleurisy. There may be attacks
of dyspnoea, nausea and haemorrhage; the menses in women are checked.
A loss of memory and a delirium occur at intervals for short periods.
The malady is very difficult to cure and too often becomes fatal in
the end. It will last thirty or forty days, unless it end fatally in
stupor or syncope. A form of mania is a consequence of it, where it
has been neglected or badly treated; “of late years this species of
madness has been more than ordinarily frequent.” All sorts were liable
to it, but mostly valetudinarians, delicate persons, and those in the
decline of life; the fatalities were “especially among the opulent
families of this great metropolis[114].”
This fever-period in London corresponds on the whole closely with a series
of unhealthy years in Short’s tables from the registers of market towns
and country parishes, and with high mortalities in the Norwich register.
It was not specially a smallpox period, as the last unhealthy year, 1723,
was. On the other hand the epidemiographists in Yorkshire, Devonshire and
Ireland dwell most upon fevers of the nature of typhus, some of which were
due to famine or dearth, and upon “agues.”
_Market Towns._
Registers No. with excess Deaths Births
Year examined of deaths in same in same
Public-domain text, read in full here on John Shaqi.
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