A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Science
A system of practical medicine. By American authors. Vol. 3 : $b Diseases of the respiratory, circulatory, and hæmatopoietic systems
Medicine -- Practice
substances, increase the liability of such workmen to attacks of all
grades of bronchial inflammation.
It is universally conceded that bronchitis, as well as inflammation of
all other parts of the mucous membrane lining the air-passages,
prevails most in such countries as are characterized by a cold, damp,
and variable climate. This can be well illustrated by comparing the
prevalence of this class of diseases in that belt of our own country
lying north of the fortieth parallel of latitude and east of the Rocky
Mountains with the prevalence of the same class in the belt south of
the thirty-third parallel and bordering upon the Atlantic and Gulf of
Mexico. In the former the summers are comparatively short, with brief
periods of high temperature, the winters cold, and the transition
seasons, spring and autumn, long and exceedingly variable, with a
predominance of cold and dampness. In the latter all the conditions
just mentioned are substantially reversed. Perhaps the earliest
reliable statistics we have bearing upon this subject are those
collected by Samuel Forrey from the several military posts occupied by
the United States Army, and given in a series of articles in the
_American Journal of Medical Science_, and subsequently in an octavo
volume, on the climate of the United States and its influence over the
prevalence of diseases. The valuable facts presented by Forrey were
added to by Daniel Drake, and given in full in his large work on the
topography and diseases of the great interior valley of this continent.
From these sources we learn that the average annual number of attacks
of inflammation of the mucous membrane of the respiratory passages in
every 1000 soldiers at Fort Snelling, in Minnesota, latitude 44° 53'
N., was 600. At Fort King, fifty miles from the Gulf of Mexico,
latitude 28° 58' N., the annual number of attacks average only 101.2 in
every 1000 persons. Again, at Madison Barracks, near Sackett's Harbor,
New York, the average number of attacks for every 1000 persons was
637.2, while at Key West, Florida, the average number of attacks was
208.9, and at Baton Rouge, Louisiana, only 207.2. Lest it should be
thought that these five posts had been selected for the purpose of
showing the most extreme contrasts, it may be added that Drake, after a
laborious comparison of the statistics at all the military posts in the
great interior valley from Fort Snelling at the north to Fort Jessup in
Louisiana, the most southern, makes the "ratio of decrease in bronchial
inflammations" as we pass from the north to the south as 31.5 for each
degree of latitude.[3] A similar comparison of the statistics of all
the posts on the Atlantic Slope from Madison Barracks to Key West gives
nearly the same results. The general inference here drawn concerning
the much greater prevalence of bronchitis in the colder and more
variable climate of the northern belt of our country {167} than in the
southern is fully corroborated by all the facts to be gathered from
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