A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
The influence of climate in causing disease, although well known for
over two thousand years, has not led to much effort to avoid or
prevent effects which are accepted as inevitable by the great
majority. It is true that in the effort to secure physical comfort by
houses, clothing, artificial heat, and the like, much hygienic work
has been done, and the steadily increasing tendency on the part of all
who can afford it to seek rest and comfort at the seaside or in the
mountains during hot weather is no doubt due, in part, to the fact
that experience has shown that the money expended in thus securing
health and strength is a good investment. It is unfortunate that
"health resorts," so called, do not always prove to be such: they
become fashionable, overcrowded; the arrangements for the disposal of
excreta are cheap makeshifts, leading to soil- and water-pollution,
until finally an epidemic of diarrhoea or typhoid fever occurs, with
the usual results.
The consideration of climate as a therapeutic agent belongs with the
articles relating to the several diseases to which it is applicable.
The great desideratum wherewith to place this subject upon a
scientific and practical basis is a system of reliable returns of the
deaths, and if possible of {186} certain diseases, throughout the
country, and especially at those points most in vogue as health
resorts.
V. HABITATIONS.--That a man's health depends very much on the
character, condition, and location of his dwelling-place is now so
generally admitted that in many cases where a physician is called in
he will be asked whether he thinks the disease has been caused by any
peculiarity about the house or the bedroom of the patient. And a
careful examination will usually discover in one of them several evils
to be remedied, although their connection with the case in hand may be
very doubtful. There are very few homes properly constructed from a
sanitary point of view; and, although we may not agree with Dr.
Wilson, that "the modern prison is in all sanitary essentials the best
existing type of what a healthy dwelling ought to be," it is
nevertheless certain that the health of the inmates is much more
carefully consulted in planning a penitentiary than it usually is in
planning a college, a hotel, or a dwelling-house. Matters are
gradually improving in this respect: the worst of the tenement-house
rookeries and fever-nests in most of our large cities have been
improved or abolished, and our wealthier citizens are beginning to pay
some attention to their house-drainage as well as to the pattern of
their mantelpieces. But the great majority of men are still careless
and negligent as to the sanitary condition of their homes, and
probably two physicians out of three live in houses in which numerous
defects would be pointed out by a sanitary engineer--defects of which
they are themselves more or less aware. The majority of people in our
large cities under existing conditions cannot afford to have healthy
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