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
Both decaying and putrefying matters are capable of communicating
their own state of putrefaction or of decay to any organic matter
with which they may come in contact. To take the simplest case, a
piece of decayed wood, a decaying orange, or a piece of tainted
flesh is capable of causing similar decay or putrefaction in another
piece of wood, orange, or flesh. In a similar manner the decaying
gases evolved from sewers occasion the putrescence of meat or of
vegetables hung in the vicinity of the place from which they escape.
But this communication of putrefaction is not confined to dead
matter. When tainted meat or putrescent blood-puddings are taken as
food, their state of putrefaction is frequently communicated to the
bodies of the persons who have used them as food. A disease
analogous to rot ensues, and generally terminates fatally. Happily
this disease is little known among us, but it is of very frequent
occurrence in Germany.
The decay or putrefaction communicated by putrid gases or by
decaying matters does not always assume one form, but varies
according to the organs to which their peculiar state is imparted.
If communicated to the blood it might possibly happen that fever may
arise; if to the intestines, dysentery or diarrhœa might result; and
I think it might even be a question worthy of consideration, whether
consumption may not arise from such exposure. Certainly it seems to
do so among cattle. The men who are employed in cleaning out drains
are very liable to the attacks of dysentery and of diarrhœa; and I
recollect instances of similar diseases occurring among some
fellow-students, when I attended the dissecting-rooms.
The effects produced by decaying emanations will vary according to
the state of putrefaction or decay in which these emanations are, as
well as according to their intensity and concentration. Thus it
occurs frequently that persons susceptible to contagion may be in
the vicinity of a fever patient without acquiring the disease. I
know one celebrated medical man who attends his own patients in
fever without danger, but who has never been able to take charge of
the fever-wards in an infirmary, from the circumstance of his being
unable to resist the influence of the contagion under such
circumstances. This gentleman has had fever several times. This
shows that the contagion of fever requires a certain degree of
_concentration_ before it is able to produce its immediate effects.
A knowledge of this circumstance has induced several infirmaries
(the Bristol infirmary, for example) to abolish altogether
fever-wards and to scatter the fever cases indiscriminately through
the medical wards. Owing to this distribution, cases in which fever
is communicated to other patients or nurses in the infirmary are
very unfrequent, although they are far from being so in those
hospitals where the fever cases are grouped together.
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