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
By physicians of the first eminence, such occurrences as that referred
to in connection with the Royal Infirmary of Edinburgh, are held as
decisive proof of the operation of contagious atmosphere.
Dr Alexander Tweedie, a physician of London, and one justly eminent,
after mentioning the self-same cause, goes on to say, in a sufficiently
assured tone,—“No statement more conclusive, as to the contagious nature
of fever, need be adduced: and if such facts will not lead to
conviction, the mind of such a sceptic must be strangely constructed
indeed.”
The case had been made much stronger, and would have stood inquiry much
better, had Dr Tweedie shewn, that the occurrence he treats of was not
solitary or uncommon, but was such as is wont to be observed in all like
institutions.
He should have known, that it is not from extraordinary, nor even from
unique cases alone, that knowledge is to be obtained, nor laws deduced,
of the ordinary characters, and action of disease. It is dangerous to
deduce inferences, and construct laws, from the knowledge of one
circumstance, and where, too, many can be obtained bearing on the case.
Let us see if this occurrence holds with other establishments. We will
find that it by no means always holds.
Dr Bateman, who saw much of fever, and gave it much of his active
consideration, in his excellent Treatise on Contagious Fever,
says,—“During the fourteen years, in the course of which I have almost
daily been in contact with persons labouring under contagious fever, not
only myself, but all the nurses have been preserved from infection, with
one exception, down to the period of the present epidemic” (in the
London House of Recovery).[3]
Footnote 3:
Bateman on Contagious Fever, p. 154. 1818.
Similar cases of exemption might be given, but it seems unnecessary to
say more here.
But though Dr Bateman’s evidence in a manner meets the case recorded,
connected with the Royal Infirmary of Edinburgh, yet it does not
disprove its correctness; and we proceed to explain what has been held
as only to be explained by the presence of atmospheric contagion.
But though the case could not at present be explained, we deny that one
such circumstantial piece of evidence should outweigh the many facts,
and the results of reasoning, that have been laid before the reader, and
that are yet to follow.
When evidence is contradictory, it is well to ascertain on which side it
preponderates; and even when it is nicely balanced, which is not the
case here, it should be tested by a reference to general principles.
That was done in the first part of this work, and the reader cannot have
forgotten the result.
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