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
About two years ago (says he) I was called, in the course of my
profession, to see a gentleman, advanced in life, well known to many
members in this house and intimately known to the Speaker. This
gentleman one Sunday went into a dissenting chapel, where the
principal part of the hearers, as they died, were buried in the
ground or vaults underneath. I was called to him on Tuesday evening,
and I found him labouring under symptoms of malignant fever; either
on that visit or the visit immediately following, on questioning him
on the circumstances which could have given rise to this very
malignant form of fever, for it was then so malignant that its fatal
issue was evident, he said that he had gone on the Sunday before
(this being on the Tuesday afternoon) to this dissenting chapel, and
on going up the steps to the chapel he felt a rush of foul air
issuing from the grated openings existing on each side of the steps;
the effect upon him was instantaneous; it produced a feeling of
sinking, with nausea, and so great debility, that he scarcely could
get into the chapel. He remained a short time, and finding this
feeling increase he went out, went home, was obliged to go to bed,
and there he remained. When I saw him he had, up to the time of my
ascertaining the origin of his complaint, slept with his wife; he
died eight days afterwards; his wife caught the disease and died in
eight days also, having experienced the same symptoms. These two
instances illustrated the form of fever arising from those
particular causes. Means of counteraction were used, and the fever
did not extend to any other members of the family.
Assuming that that individual had gone into a crowded hospital with
that fever, it probably would have become a contagious fever. The
disease would have propagated itself most likely to others, provided
those others exposed to the infection were predisposed to the
infection, or if the apartments where they were confined were not
fully ventilated, but in most cases where the emanations from the
sick are duly diluted by fresh air, they are rendered innocuous. It
is rarely that I have found the effects from dead animal matter so
very decisive as in this case, because in the usual circumstances of
burying in towns the fetid or foul air exhaled from the dead is
generally so diluted and scattered by the wind, as to produce only a
general ill effect upon those predisposed; it affects the health of
the community by lowering the vital powers, weakening the digestive
processes, but without producing any prominent or specific disease.
Mr. Barnett, surgeon, one of the medical officers of the Stepney Union,
who has observed the symptoms observable in those persons who are
exposed to the emanations from a crowded grave-yard, thus describes
them:—
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