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
We are disposed to think, that the great prevalence of fever among the
nurses and resident medical attendants of fever institutions, and fever
wards in general hospitals, which does occasionally occur, is, in no
small degree, owing to the particularly great contamination of the
atmosphere, which is liable to take place from the peculiarly strong
tendency there is in the body of those labouring under fever, especially
of the low or typhoid character, to run to putrescence.
The body, it is ascertained, so afflicted, is particularly prone to
putrefaction, as is sufficiently attested by the presence of black spots
upon the surface, sordes upon the teeth and gums, and the general
appearance of corruption, often sufficiently manifest.
The secretions and excretions are marked at first by a putrid character,
and in a short time they are in an active state of putrefaction. In that
state, chemical changes take place, gases are evolved, such as nitrogen,
hydrogen, carbureted hydrogen, phosphureted hydrogen, singly and
combined, forming for instance ammonia, which is a combination of
hydrogen and nitrogen: they become mingled with the atmosphere, and
impart to it pestiferous qualities.
In fever, the body is much more prone to run into the state of
putrefaction, than when in health, or even when affected with merely
local disease. The whole system is then affected, the whole functions
are deranged, the decayed parts of the blood and solids are not removed,
nor are they corrected by admixture with new and purer elements obtained
from the products of digestion. The correcting influence of exercise is
lost, and likewise the assistance it gives to the due performance of the
various secretions; and it need not cause surprise that a body so
situated, for days and weeks, becomes at length prone to putrefaction.
It will perhaps be argued, that the same corruption or contamination of
the air is as likely to take place in the surgical wards, where patients
are kept having sores, &c. But in those wards, in general, there is not
the same amount of tendency to putrefaction. Their health is often
excellent, their functions are often not at all deranged, and their
bodies, in general, are not more prone to putrefaction than those in
health.
There are, to be sure, a multitude of sores and the like, but, as long
as they are healthy, and the matter is good, there is no risk of their
injuring the air, provided they are kept tolerably clean.
Healthy matter is a bland and innocent fluid, not more prone to
putrefaction than healthy blood. When healthy, matter may be present in
an apartment or ward in abundance, without the least injury being felt
by those respiring the atmosphere in the room in which it is contained,
as the history of surgical hospitals amply proves.
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