Dr. Southwood Smith: A RetrospectLewes, Gertrude Hill
History
Dr. Southwood Smith: A Retrospect
Lewes, Gertrude Hill
Physicians -- Great Britain -- Biography; Smith, Southwood, 1788-1861
"That epidemic diseases prevail most in certain countries, in certain
districts, in certain towns, and in certain parts of the same town. They
prevail most in those countries which are the least cultivated; in those
districts which are the most woody, the most exposed to particular winds
and to inundations; in those towns which are placed in low and damp
situations, and which are unprotected from certain winds; in those
streets and houses, and even in those apartments of the same house,
which are the most low and damp, the worst built, and the least
sheltered.
"That epidemics commence, spread, and cease in a manner perfectly
peculiar. They arise, for example, in some particular quarter of a town,
and do not attack the other districts which happen to be nearest it in
regular succession, but break out suddenly in the most distant and most
opposite directions. People are attacked, _not in proportion as the
inhabitants of the affected mix with the inhabitants of the unaffected
places, but in proportion as the inhabitants of the unaffected expose
themselves to the air of the affected places_.
"That the termination of epidemics is peculiar, since they cease
suddenly at the exact period when the greatest number of persons is
affected by them, and when the greatest mortality prevails. This fact is
inexplicable under the supposition that epidemics owe their spread from
person to person. To suppose that a disease which is propagated by
contagion can rapidly decline and even suddenly cease, just when most
persons are affected and the mortality is greatest--that is, when the
contagious matter is proved to be in its most active and malignant
state--is utterly absurd.
"That epidemics attack the same person more than once, and that relapses
are frequent amongst those suffering from them, whereas contagious
diseases seldom affect the same individual a second time, and relapses
are most uncommon."
From all this it will be clear that the object of these articles was to
prove that all epidemics have their origin in the bad sanitary
conditions (as we now say) of the places in which they arise.
It happened then, as very frequently happens in all sciences when the
time is ripe for a discovery, that those working in different fields of
observation noticed, at the same period, the same facts--some, as for
example Dr Maclean, in their posts of observation during the epidemics
in distant countries; Dr Southwood Smith in the fever-haunts of London.
But it remained for him, collecting together all the experience and
generalising from it, to announce the law on which they depend.
Public-domain text, read in full here on John Shaqi.
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