[81] At the time of writing his treatise Dr. Fordyce informs us, that he had been “for upwards of twenty years one of the three physicians of St. Thomas’s Hospital (in London) whose walls have contained nearly four thousand patients every year, where the proportion of fevers to other diseases is much greater than the general proportion.” 1. _Infection_, or “a peculiar matter generated in the body of a man in fever, which is carried by the atmosphere, and applied to some part of the body of a person in health, and which causes fever to take place in him.” That such a cause exists, he proves from observing that “of any number of men, one half of whom go near a person ill of a fever, and the other half do not, a greater number of the former will be infected, in a short period afterwards, than in those who do not.” He says he has known, in such circumstances, seven out of nine infected with the disease. This infection is not discoverable by smell or any other organ of sense; neither can the greatest attention to cleanliness disarm it of its malignity. Of this the Doctor says that he has known instances; nay, of a person going into a room where a feverish patient was, and bringing with him the infection, which was communicated to others in the room to which he came. He owns, however, that by allowing the air to stagnate in which feverish patients are, the infection will become extremely violent and fatal. This may naturally be supposed, even without having recourse to putrid effluvia; because, independent of these, the imperceptible infectious matter itself will undoubtedly be accumulated in the atmosphere of the room, and act more powerfully than it could have done had it been partly carried off and diluted by attention to cleanliness and ventilation. He also says, that “when a number of persons live in a small space, supposing even that they are kept as clean as possible, it happens frequently that fever arises in some, often in many of them. It has been in this case supposed, and is extremely probable, that some peculiar species of matter is _produced_, capable of producing fever, on being applied to the body.” 2. _Effluvia from putrid animal or vegetable matters._ Of this our author seems to be less fully ascertained than of the former, as he does not say that he has observed any instances of fevers arising from this cause; and he concludes by observing that “either the cause of fever, consisting of matter produced in the body of a person affected with this disease, seems probably different from that produced by putrefaction, or might be generated without any putrefaction taking place.”