A supplementary report on the results of a special inquiry into the practice of interment in towns. — John Shaqi
A supplementary report on the results of a special inquiry into the practice of interment in towns.Chadwick, Edwin
History
A supplementary report on the results of a special inquiry into the practice of interment in towns.
Chadwick, Edwin
Burial; Cemeteries -- Great Britain; Mortality -- Statistics; Public health -- Great Britain; Working class -- Great Britain
§ 5. So far as observations have been made on the point (and the more
those reported upon it are scrutinized, the less trustworthy they appear
to be), workmen so exposed do not appear to be peculiarly subject to
epidemics; many, indeed, appear to be exempted from them to such an
extent as to raise a presumption that such emanations have on those
“acclimated” to them an unexplained preservative effect analogous to
vaccination. That one miasma may exclude, or neutralize, or modify the
influence of another, would appear to be _primâ facie_ probable. But it
is now becoming more extensively apparent that the same cause is
productive of very different effects on different persons, and on the
same persons at different times; as in the case mentioned by Dr. Arnott
of the school badly drained at Clarendon Square, Somers’ Town, where
every year, while the nuisance was at its height, and until it was
removed by drainage, the malaria caused some remarkable form of disease;
one year, extraordinary nervous affection, exhibiting rigid spasms, and
then convulsions of the limbs, such as occur on taking various poisons
into the stomach; another year, typhoid fever; in another, ophthalmia;
in another, extraordinary constipation of the bowels, affecting similar
numbers of the pupils. Such cases as the one before cited with respect
to the depôt for animal matter in Paris, where the workmen suffered very
little, whilst the people living near the depôt were “tormented with
fevers,” are common. The effects of such miasma are manifested
immediately on all surrounding human life (and there is evidence to
believe they are manifest in their degree on animal life[4]), in
proportion to the relative strength of the destructive agents and the
relative strength or weakness of the beings exposed to them; the effects
are seen first on infants; then on children in the order of their age
and strength; then on females, or on the sickly, the aged, and feeble;
last of all, on the robust workmen, and on them it appears on those
parts of the body that have been previously weakened by excess or by
illness. Whilst M. Parent Duchâtelet was looking for immediate
appearances of acute disease on the robust workmen living amidst the
decomposing animal effluvium of the Montfaucon, I have the authority of
Dr. Henry Bennett for stating that he might have found that the
influence of that effluvium was observable on the sick at half a mile
distant. “When I was house surgeon at St. Louis,” says Dr. Bennett, “I
several times remarked, that whenever the wind was from the direction of
the Montfaucon, the wounds and sores under my care assumed a foul
aspect. M. Jobert, the surgeon of the hospital, has told me that he has
repeatedly seen hospital gangrene manifest itself in the wards
apparently under the same influence. It is a fact known to all who are
acquainted with St. Louis, that the above malady is more frequent at
that hospital than at any other in Paris, although it is the most airy
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