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
SAMUEL P. GRIFFITTS,
_Secretary_.
From a conviction that the disease originated in the putrid exhalations
from the damaged coffee, I published in the American Daily Advertiser, of
August 29th, a short address to the citizens of Philadelphia, with a view
of directing the public attention to the spot where the coffee lay, and
thereby of checking the progress of the fever as far as it was continued
by the original cause.
This address had no other effect than to produce fresh clamours against
the author; for the citizens, as well as most of the physicians of
Philadelphia, had adopted a traditional opinion that the yellow fever
could exist among us only by importation from the West-Indies.
In consequence, however, of a letter from Dr. Foulke to the mayor of the
city, in which he had decided, in a positive manner, in favour of the
generation of the fever from the putrid coffee, the mayor gave orders for
the removal of the coffee, and the cleaning of the wharf and dock. It was
said that measures were taken for this purpose; but Dr. Foulke, who
visited the place where the coffee lay, repeatedly assured me, that they
were so far from being effectual, that an offensive smell was exhaled
from it many days afterwards.
I shall pass over, for the present, the facts and arguments on which I
ground my assertion of the generation of this fever in our city. They
will come in more properly in the close of the history of the disease.
The seeds of the fever, when received into the body, were generally
excited into action in a few days. I met with several cases in which they
acted so as to produce a fever on the same day in which they were
received into the system, and I heard of two cases in which they excited
sickness, fainting, and fever within one hour after the persons were
exposed to them. I met with no instance in which there was a longer
interval than sixteen days between their being received into the body and
the production of the disease.
This poison acted differently in different constitutions, according to
previous habits, to the degrees of predisposing debility, or to the
quantity and concentration of the miasmata which had been received into
the body.
In some constitutions, the miasmata were at once a remote, a
predisposing, and an exciting cause of the disease; hence some persons
were affected by them, who had not departed in any instance from their
ordinary habits of living, as to diet, dress, and exercise. But it was
more frequently brought on by those causes acting in succession to each
other.
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