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
The weather in March resembled that of May; while the weather in April
resembled that of March in common years. A rash prevailed in many
families, in April, accompanied in a few cases by a sore throat. It was
attended with an itching, a redness of the eyes, and a slight fever in a
few instances. The small-pox by inoculation in this month was more mortal
than in former years. However unimportant these facts may appear at this
time, future observations may perhaps connect them with a similar
constitution of the air which produced the previous autumnal epidemic.
The appearance of bilious symptoms in the diseases of the winter, excited
apprehensions in several instances of the revival of the yellow fever.
The alarms, though false, served to produce vigilance and industry in the
corporation, in airing and purifying such houses and articles of
furniture as belonged to the poor; and which had been neglected in the
autumn, after the ceasing of the disease.
The modes of purifying houses, beds, and clothes were various.
Fumigations of nitre and aromatic substances were used by some people.
Burying infected articles of furniture under ground, and baking them in
ovens, were used by others. Some destroyed all their beds and clothing
that had been infected, or threw them into the Delaware. Many
white-washed their walls, and painted the wood-work of their house. I did
not conceive the seeds of the disease required all, or any of those means
to destroy it. I believed _cold_ and _water_ to be sufficient for that
purpose. I therefore advised keeping the windows of infected rooms open
night and day, for a few days; to have the floors and walls of houses
well washed; and to expose beds and such articles of household furniture
as might be injured by washing, upon the bare earth for a week or two,
taking care to turn them every day. I used no other methods of destroying
the accumulated miasmata in my house and furniture, and experience showed
that they were sufficient.
It is possible a portion of the excretions of the sick may be retained in
clothes or beds, so as to afford an exhalation that may in the course of
a succeeding summer and autumn, or from accidental warmth at any time,
create a solitary case of fever, but it cannot render it epidemic. A
trunk full of clothes, the property of Mr. James Bingham, who died of the
yellow fever in one of the West-India islands about 50 years ago, was
opened, some months after they were received by his friends, by a young
man who lived in his brother's family. This young man took the disease,
and died; but without infecting any of the family; nor did the disease
spread afterwards in the city. The father of Mr. Joseph Paschall was
infected with the yellow fever of 1741, by the smell of a foul bed in
passing through Norris's Alley, in the latter end of December, after the
disease had left the city. He died on the 25th of the month, but without
reviving the fever in the city, or even infecting his family.
Public-domain text, read in full here on John Shaqi.
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