Hygiene: a manual of personal and public health (New Edition)Newsholme, Arthur, Sir
Science
Hygiene: a manual of personal and public health (New Edition)
Newsholme, Arthur, Sir
Hygiene; Public health -- Great Britain; Sanitation
In this country great ignorance of the laws of Health has prior to
the last fifty years prevailed, and consequently preventible diseases
have been rampant, and have claimed innumerable victims. Each
century has been marked by great epidemics, which have swept through
the country, scattering disease and death in their course. In the
fourteenth century, for instance, there was the Black Death, a disease
so fatal that it left scarcely one-fourth part of the people alive;
while Europe altogether is supposed to have lost about 40 millions
of its inhabitants, and China alone 13 millions. A century and a
half later came the Sweating Sickness (though there were a score of
minor epidemics in between). This was carried by Henry the Seventh’s
army throughout the country, and so great was the mortality, that
“if half the population in any town escaped, it was thought great
favour.” Considerable light is thrown on the rapid spread of this
disease after its importation, when we remember that there were no
means of ventilation in the houses; that the floors were covered with
rushes which were constantly put on fresh without removing the old,
thus concealing a mass of filth and exhaling a noisome vapour; while
clothing was immoderately warm and seldom changed; baths were very
seldom indulged in, and soap hardly used.
In the sixteenth and seventeenth centuries there were five or six
epidemics of The Plague, and it was only eradicated from London, when
all the houses from Temple Bar to the Tower were burned down in the
Great Fire of September 2nd, 1666, which destroyed the insanitary and
necessitated the building of new and larger houses.
Scurvy, jail-fever, and small-pox, are other diseases which were
formerly frightfully prevalent. Jail-fever, the same disease as the
modern typhus-fever, has now become practically extinct in its former
habitat, owing largely to the noble work of John Howard, “whose life
was finally brought to an end by the fever, against the ravages of
which his life had been expended.” This disease was fostered by
overcrowding, ill-ventilation, and filth.
Scurvy formerly produced a very great mortality, especially among
sea-faring men. In Admiral Anson’s fleet in 1742, out of 961 men, 626
died in nine months, or nearly two out of every three, and this was no
solitary case. Captain Cook, on the other hand, conducted an expedition
round the world, consisting of 118 men; and although absent over three
years, only lost one life. He was practically the first to demonstrate
the potency of fresh vegetables in preventing scurvy.
The striking facts respecting small-pox will be found on page 293. The
general death-rate has also greatly declined. Thus while the annual
death-rate in London 200 years ago was 80 per 1,000, it only averaged
18.8 in the four years 1896-99; and the death-rate of England and Wales
has declined from 22.4 in 1841-50 to 18.7 per 1,000 in 1891-95 and 17.6
in 1896-99.
Public-domain text, read in full here on John Shaqi.
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