Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
Upon my leaving Mrs Le Maigre's, I expressed my distress at what I had
discovered, to several of my fellow-citizens. The report of a malignant
and mortal fever being in town spread in every direction, but it did not
gain universal credit. Some of those physicians who had not seen patients
in it denied that any such fever existed, and asserted (though its
mortality was not denied) that it was nothing but the common annual
remittent of the city. Many of the citizens joined the physicians in
endeavoring to discredit the account I had given of this fever, and for a
while it was treated with ridicule or contempt. Indignation in some
instances was excited against me, and one of my friends, whom I advised
in this early stage of the disease to leave the city, has since told me
that for that advice "he had hated me."
My lot in having thus disturbed the repose of the public mind, upon the
subject of general health, was not a singular one. There are many
instances upon record, of physicians who have rendered themselves
unpopular, and even odious to their fellow-citizens, by giving the first
notice of the existence of malignant and mortal diseases. A physician,
who asserted that the plague was in Messina, in the year 1743, excited so
much rage in the minds of his fellow-citizens against him, as to render
it necessary for him to save his life by retreating to one of the
churches of that city.
In spite, however, of all opposition, the report of the existence of a
malignant fever in the city gained so much ground, that the governor of
the state directed Dr. Hutchinson, the inspector of sickly vessels, to
inquire into the truth of it, and into the nature of the disease.
In consequence of this order, the doctor wrote letters to several of the
physicians in the city, requesting information relative to the fever. To
his letter to me, dated the 24th of August, I replied on the same day,
and mentioned not only the existence of a malignant fever, but the
streets it occupied, and my belief of its being derived from a quantity
of coffee which had putrified on a wharf near Arch-street. This, and
other information collected by the doctor, was communicated to the health
officer, in a letter dated the 27th of August, in which he mentioned the
parts of the city where the disease prevailed, and the number of persons
who had died of it, supposed by him to be about 40, but which subsequent
inquiries proved to be more than 150. He mentioned further, in addition
to the damaged coffee, some putrid hides, and other putrid animal and
vegetable substances, as the supposed cause of the fever, and concluded
by saying, as he had not heard of any foreigners or sailors being
infected, nor of its being found in any lodging-houses, that "it was not
an imported disease."
In the mean while the disease continued to spread, and with a degree of
mortality that had never been known from common fevers.
Public-domain text, read in full here on John Shaqi.
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