An Enquiry Into the Origin and Intimate Nature of MalariaWilson, Thomas, active 1795-1858
Science
An Enquiry Into the Origin and Intimate Nature of Malaria
Wilson, Thomas, active 1795-1858
Malaria
The armies certainly did not escape fever and cholera in their most
terrible forms. The French, the British, and the Sardinians alike
suffered, both in the field and in hospital, at the commencement. The
British alone, however, by means of sanitary works and regulations,
reduced cholera attacks to a _minimum_, and almost abolished fever. A
few simple alterations to the sewers from the great hospitals on the
Bosphorus and other places; ventilation--in many instances by simply
breaking the top squares of windows; regular scavenging without and
cleansing within the works of the hospitals, and the regular use of
the lime-wash brush, emptied the hospital wards of fever patients.
Surface cleansing at Balaklava, and regular scavenging both the shores
and water of the harbour; covering the shallow graves with gravel
and earth; scavenging the camp, and daily disinfecting all latrines,
soon reduced the British army mortality below home or barrack life
and service. The French neglected these things, or blundered in their
execution, as the 5000 deaths per month in the hospitals on the
Bosphorus, from hospital and camp fever alone, during the last three
months of the war, testify. That certain diseases are contagious,
such as scarlatina, measles, small-pox, &c., few will deny. That
plague and cholera are equally contagious many doubt. Sanitary works
and regulations of a very primitive and simple kind can certainly
check the contagibility of cholera, as witness the experience in
Newcastle-upon-Tyne and Tynemouth, in London, in many other English
towns and districts, and in the British hospitals and camps throughout
the Crimean campaign. The lesson taught by experience ought to be
this:--Let the Board of Health at Marseilles cleanse the town, cause
all the foul rooms to be ventilated and lime-washed, disinfect the
foul cesspools and sewage, and cut it off by “interception” from
the harbour and docks, and they may bid defiance to plague from any
quarter. It may be imported in silks, &c., but it will not spread.
Let there be a sanitary staff for the harbour, and another for the
town, armed with brooms, barrows, and lime-wash brushes, in place of
sidearms and muskets, and persons may land at once to go about their
business, and merchandize may be forwarded to its destination without
fear of consequences. During periods of epidemics there can be cholera
without dirt; improper food and mental and bodily exhaustion may bring
on isolated cases; but to have cholera rampant there must be numbers
of human beings fouling air, earth, and water, and habitually living
contrary to known sanitary laws and entirely neglecting sanitary
precautions.
CIVIL ENGINEER.
_August 14, 1858._
NOTE 7.--_Mud, Water, and Air._
Public-domain text, read in full here on John Shaqi.
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