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
observations in civil life.
[Footnote 3: See _A Systematic Treatise on the Principal Diseases of
the Interior Valley of North America, etc., etc._, 2d Series, pp. 795,
796.]
A study of these same military statistics, representing the mean ratio
of the prevalence of diseases of the respiratory passages for a period
of ten years at nearly all the posts, will justify some other
inferences of interest besides the one just stated. According to this
general inference or rule, which is assented to by all the authors
within my reach, the three important factors in the climates most
favorable for producing bronchial inflammation are cold, variableness,
and dampness, the latter being emphasized by most writers as of
predominating influence. Yet the tables before us show that the highest
ratio of prevalence of inflammatory attacks of the mucous membrane of
the respiratory passages in the northern part of the interior valley
was at Fort Snelling, in the immediate vicinity of St. Paul, Minnesota,
being 600 attacks for every 1000 soldiers, while the lowest ratio was
at Fort Dearborn, on the site now occupied by the city of Chicago,
being only 102 for every 1000 soldiers. Looking at the posts in the
eastern part of the northern belt of country, Madison Barracks, at
Sackett's Harbor, at the eastern end of Lake Ontario, gives a ratio of
637 attacks for every 1000 soldiers, while Fort Niagara, at the mouth
of the Niagara River, near the western end of the same lake, gives a
ratio of only 355. Again turning to the posts in the southern belt of
country, the tables show at Fort Jessup, in the interior of Western
Louisiana, a ratio of 432.8, while at Fort Jackson the ratio was only
47.5 and at Fort King 101.2. As Fort Snelling is on the high rolling
prairie of the interior of Minnesota, noted for its cold and dry air,
and Fort Jessup on the elevated arid plateau between the head-waters of
the Sabine and the Red River, they cannot be noted for a high degree of
atmospheric moisture. On the other hand, Fort Dearborn was located on
the south-west shore of Lake Michigan, on the borders of a low and wet
prairie with a substratum of impervious clay, giving all the conditions
favorable for the prevalence of a high degree of atmospheric moisture.
And Forts Jackson and King are both on low alluvial lands only fifty
miles from the Gulf. Again, Fort Niagara is surrounded by all the
conditions favoring a high degree of atmospheric moisture, certainly
equal to those surrounding Madison Barracks in nearly the same
latitude, and yet the ratio of attacks in the latter was nearly double
those in the former. It is evident, therefore, that there exists some
important factor in the climatic relations of the inflammatory
affections of the respiratory passages besides temperature, humidity,
and changeableness. A glance at the topography of the whole country
will show that each of the posts giving a high ratio of
attacks--namely, Madison Barracks and Forts Snelling and Jessup, to
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