An inquiry into the propagation of contagious poisons, by the atmosphere : $b as also into the nature and effects of vitiated air, its forms and sources, and other causes of pestilence : with directions for avoiding the action of contagion, and observations on some means for promoting public healthAlison, Somerville Scott
Science
An inquiry into the propagation of contagious poisons, by the atmosphere : $b as also into the nature and effects of vitiated air, its forms and sources, and other causes of pestilence : with directions for avoiding the action of contagion, and observations on some means for promoting public health
Alison, Somerville Scott
Communicable diseases; Public health
The medical attendants are not free from the hurtful operation of this
doctrine. If believers in infectious air, they are under a feeling of
apprehension which, perhaps with some, may not be strongly felt, on
account of the frequency of impunity from exposure; but with many it is
strongly felt, and influences their attendance on the sick, their
communication with them, and their own comfort and feeling of security.
Many instances are known—they are of very frequent occurrence—where the
physician, from apprehension, has failed to pay so many visits as were
necessary, or to remain with his patient sufficiently long to ascertain
his situation, and watch well the progress of the case. Cases are known
where patients have been looked at by their advisers, stationed at the
door, where it was impossible to ascertain the expression of the
countenance, the condition of the tongue, the state of the skin, not to
say any thing of that of the pulse.
We are acquainted with instances in which medical men have so acted
under the apprehension of taking infection, and where, too, they have
not felt they were doing any thing reprehensible, as was sufficiently
evident from the fact, that they themselves were the informants.
These facts prove that injury has been done to the patient from
insufficient care; and cases are not wanting, where medical men
themselves have taken disease, where the circumstances of the case
warranted the belief that fear was the chief, if not the only cause.
Many very cunningly-devised plans have been recommended for the adoption
of the physicians visiting patients labouring under infectious diseases,
such as standing in a current of air passing between windows, or doors
and windows,—keeping a handkerchief applied to the mouth and nose,
washing the mouth with water, &c. These are sometimes adopted, yet there
is room to think that, where a man of merely ordinary fortitude supposes
that he inspires an atmosphere holding in solution a very virulent, nay
deadly poison, that he will be anxious to make his visit as short as
possible, even though the preventives above mentioned be religiously
adopted.
Several of the cases of death among medical men, which have been
unhesitatingly attributed to infectious air, the Author is convinced,
from his knowledge of particular circumstances, and from the known
tendency of fear, have arisen from depression, in consequence of that
passion.
The prejudicial operation of the doctrine of infectious air has been
proved in reference to the patient himself, _1st_, From his apprehension
for the safety of others ministering to him; _2d_, From the neglect and
desertion of friends and others; _3d_, From the insufficient medical
treatment which his case frequently obtains.
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