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
All ages were affected by this fever, but persons between fourteen and
forty years of age were most subject to it. Many old people had it, but
it was not so fatal to them as to robust persons in middle life. It
affected children of all ages. I met with a violent case of the disease,
in a child of four months, and a moderate case of it, in a child of but
ten weeks old. The latter had a deep yellow skin. Both these children
recovered.
The proportion of children who suffered by this fever may be conceived
from a single fact. Seventy-five persons were buried in the grave-yard of
the Swedish church in the months of August, September, and October,
twenty-four of whom were children. They were buried chiefly in September
and October; months in which children generally enjoy good health in our
city.
Men were more subject to the disease than women. Pregnancy seemed to
expose women to it.
The refugees from the French West-Indies universally escaped it. This was
not the case with the natives of France, who had been settled in the
city.
It is nothing new for epidemics to affect persons of one nation, and to
pass by persons of other nations, in the same city or country. At
Nimeguen, in the year 1736, Deigner informs us, that the French people
(two old men excepted), and the Jews, escaped a dysentery which was
universal among persons of all other nations. Ramazini tells us, that the
Jews at Modena escaped a tertian fever which affected nearly all the
other inhabitants of the town. Shenkius says, that the Dutch and Italians
escaped a plague, which prevailed for two years in one of the towns of
Switzerland; and Dr. Bell, in an inaugural dissertation, published at
Edinburgh, in 1779, remarks, that the jail fever, which attacked the
soldiers of the duke of Buccleugh's regiment, spared the French prisoners
who were guarded by them. It is difficult to account for these facts.
However numerous their causes may be, a difference in diet, which is as
much a distinguishing mark of nations as dress or manners, will probably
be found to be one of them.
From the accounts of the yellow fever which had been published by many
writers, I was led to believe that the negroes in our city would escape
it. In consequence of this belief, I published the following extract in
the American Daily Advertiser, from Dr. Lining's history of the yellow
fever, as it had four times appeared in Charleston, in South-Carolina.
"There is something very singular (says the doctor) in the constitution
of the negroes, which renders them not liable to this fever; for though
many of them were as much exposed as the nurses to the infection, yet I
never knew of one instance of this fever among them, though they are
equally subject with the white people to the bilious fever[46]."
[46] Essays and Observations, Physical and Literary, vol. xi. page 409.
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