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 — John Shaqi
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
His opinions on the subject were, at the time of their publication,
quite original; and as they are such as are usually held, to this day,
by most intelligent practitioners, the most important will be
transcribed here.
In a letter to Dr Percival, on the prevention of infectious diseases,
published in 1801, Dr H. says—“I have long thought that there is no
subject on which a physician could employ his time and ability more
advantageously for the benefit of his fellow-creatures, than in the
investigation of febrile contagion, in order to ascertain the laws by
which it is communicated, and by what means it may be prevented. It is
well known to be the cause of very extensive destruction in the army,
the navy, and in large towns.”
“In 1777 I began to ascertain, by clinical observations, (_i. e._
observations made at the bedside of a patient,) according to what law
the small-pox infection, and, in 1780 and 1781, according to what law
the febrile infection, is propagated.”—“I found that the pernicious
effects of small-pox miasms (that is, airs or vapours) were limited to a
very narrow sphere. In the open air, and in moderate cases, I discovered
that the infectious distance does not exceed half a yard.”—“Hence it is
probable that, even when the distemper is malignant, the infectious
influence extends to but a few yards from the poison.”—“I soon also
discovered, that the contagion of fevers was confined to a much narrower
sphere.”
“You will recollect, my dear friend, that at this time (1781) my
attention was much engaged in the investigation of the nature of the
small-pox poison. I was struck with the difference of the periods in
those two maladies during which the infection remains in a latent state,
that is, the interval of time which elapses between the patient’s
exposure to the pestilential influence and the commencement of the
fever. In the typhus, this period appeared to be much longer than in
small-pox.”
The period between the exposure to what is considered infection, and the
period of the manifestation of disease, certainly does vary in different
distempers. In those in which palpable contagious poisons are produced,
and where they are palpably applied to the system, the interval is
known, and seldom varies; but in those where a palpable poison is not
recognised, or where it is said to act exclusively through the air, it
is found that the interval is sometimes short, sometimes long, and
manifests none of that precision almost always observed in reference to
the first class of diseases.
Dr Haygarth again says, “When the room of a patient ill of an infectious
fever is spacious, airy, and clean, few or none of the most intimate
attendants will catch the disease.”
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