Climate and Health in Hot Countries and the Outlines of Tropical Climatology: A Popular Treatise on Personal Hygiene in the Hotter Parts of the World, and on the Climates That Will Be Met Within Them.Giles, George Michael James
Science
Climate and Health in Hot Countries and the Outlines of Tropical Climatology: A Popular Treatise on Personal Hygiene in the Hotter Parts of the World, and on the Climates That Will Be Met Within Them.
Giles, George Michael James
Hygiene -- Popular works; Medical climatology; Tropical medicine
PRICKLY HEAT AND DHOBI’S ITCH.
Among the minor ills which European flesh inherits in the Tropics there
is none that is more distressing than this troublesome malady. The
symptoms and appearance are too well known to require description, and
the disease is, as a rule, rather irritating and distressing than
involving any danger. The process of regulating the temperature of the
body depends, however, almost entirely on the action of the skin, and
where prickly heat is so extensive and severe as to partially
incapacitate it from its functions, it is obvious this usually trifling
disease may be a predisposing cause of more serious maladies. Then,
again, the loss of sleep and nervous irritation kept up by the constant
itching, pricking, and soreness, are powerful helps in pulling down the
already severely tried powers of resistance to the climate, and often
have a great deal to say in determining an ultimate breakdown.
There is a common popular notion that prickly heat is “healthy,” people
saying that “it is a sign of health,” and that it is a mistake to check
it. This, however, except in so far that healthy, full-blooded persons
usually suffer worse than those in an anæmic condition because they
usually perspire more freely, is an entire fallacy; as though good
health may predispose to prickly heat, it cannot but have an influence
in rapidly reducing that factor in its causation. Then, too, the
numerous small abrasions that result from the bursting of the minute
vesicles, and from scratching, are extremely liable to become infected
with the germs of suppuration, and give origin to crops of boils.
Boils are extremely common, and are most painful and debilitating when
present in large numbers, as they often are in hot climates, and I
believe they should be really regarded merely as _sequelæ_ of neglected
prickly heat and not as a distinct condition. For these reasons the
writer is strongly of opinion that prickly heat should always be
treated, especially as it is usually quite possible to keep it within
moderate bounds, by the use of appropriate remedies. At sea the use of
salt water for bathing should be avoided, but frequent bathing in fresh,
and especially in rain water, is not only a great alleviation, but
tends towards cure by removing the irritating accumulation of saline
matter that results from the constant evaporation of the perspiration.
Almost any metallic astringent, such as sulphate of copper or sulphate
of zinc, 4 grains to the ounce, will be found to be extremely useful in
reducing the extent of the irritation, but none of these are nearly as
effectual as a lotion of perchloride of mercury of a strength of one per
thousand.
Public-domain text, read in full here on John Shaqi.
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