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
There did not appear to be any advantage from smelling vinegar, tar,
camphor, or volatile salts, in preventing the disease. Bark and wine were
equally ineffectual for that purpose. I was called to many hundred people
who were infected after using one or more of them. Nor did the white
washing of walls secure families from the disease. I am disposed to
believe garlic was the only substance that was in any degree useful in
preventing it. I met with several persons who chewed it constantly, and
who were much exposed to the miasmata, without being infected. All other
substances seemed to do harm by begetting a false confidence in the mind,
to the exclusion of more rational preservatives. I have suspected
further, that such of them as were of a volatile nature helped to spread
the disease by affording a vehicle for miasmata through the air.
There was great mortality in all those families who lived in wooden
houses. Whether this arose from the small size of these houses, or from
the want of cleanliness of the people who occupied them, or from the
miasmata becoming more accumulated, by adhering to the wood, I am unable
to determine. Perhaps it was the effect of the co-operation of all three
of those causes.
I have said, formerly, that intemperance in drinking predisposed to the
disease; but there were several instances of persons having escaped it
who were constantly under the influence of strong drink. The stimulus of
ardent spirits probably predominated over the stimulus of the miasmata,
and thus excited an artificial fever which defended the system from that
which was epidemic.
I heard of some sea-faring people who lived on board their vessels who
escaped the disease. The smell of the tar was supposed to have preserved
them; but, from its being ineffectual in other cases, I am disposed to
ascribe their escape to the infected air of the city being destroyed by a
mixture with the water of the Delaware.
Many people who were infected in the city were attacked by the disease in
the country, but they did not propagate it, even to persons who slept in
the same room with them.
Dr. Lind informs us that many persons escaped the yellow fever which
prevailed in Pensacola in the year 1765, by retiring to the ships which
lay in the harbour, and that when the disease had been taken, the pure
air of the water changed it into an intermitting fever[47]. The same
changes have frequently been produced in malignant fevers, by sending
patients infected with them from the foul air of a city, into the pure
air of the country.
[47] Diseases of Warm Climates, p. 169.
Persons confined in the house of employment, in the hospital, and in the
jail, escaped the fever. The airy and remote situation of those buildings
was probably the chief means of their preservation. Perhaps they derived
additional security from their simple diet, their exemption from hard
labour, and from being constantly sheltered from heat and cold.
Public-domain text, read in full here on John Shaqi.
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