Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 3: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
3. I have before remarked, that a quantity of damaged coffee was exposed
at a time (July the 24th) and in a situation (on a wharf and in a dock)
which favoured its putrefaction and exhalation. Its smell was highly
putrid and offensive, insomuch that the inhabitants of the houses in
Water and Front-streets, who were near it, were obliged, in the hottest
weather, to exclude it by shutting their doors and windows. Even persons,
who only walked along those streets, complained of an intolerable
f[oe]tor, which, upon inquiring, was constantly traced to the putrid
coffee. It should not surprise us, that this seed, so inoffensive in its
natural state, should produce, after its putrefaction, a violent fever.
The records of medicine (to be mentioned hereafter) furnish instances of
similar fevers being produced, by the putrefaction of many other
vegetable substances.
4. The rapid progress of the fever from Water-street, and the courses
through which it travelled into other parts of the city, afford a strong
evidence that it was at first propagated by exhalation from the putrid
coffee. It was observed that it passed first through those alleys and
streets which were in the course of the winds that blew across the dock
and wharf, where the coffee had been thrown in a state of putrefaction.
5. Many persons who had worked, or even visited, in the neighbourhood of
the exhalation from the coffee, early in the month of August, were
indisposed afterwards with sickness, puking, and yellow sweats, long
before the air of Water-street was so much impregnated with the
exhalation, as to produce such effects; and several patients, whom I
attended in the yellow fever, declared to me, or to their friends, that
their indispositions began exactly at the time they inhaled the offensive
effluvia of the coffee.
6. The first cases of the yellow fever have been clearly traced to the
sailors of the vessel who were first exposed to the effluvia of the
coffee. Their sickness commenced with the day on which the coffee began
to emit its putrid smell. The disease spread with the increase of the
poisonous exhalation. A journeyman of Mr. Peter Brown's, who worked near
the corner of Race and Water-streets, caught the disease on the 27th of
July. Elizabeth Hill, the wife of a fisherman, was infected by only
sailing near the pestilential wharf, about the 1st of August, and died at
Kensington on the 14th of the same month. Many other names might be
mentioned of persons who sickened during the last week in July or the
first week in August, who ascribed their illnesses to the smell of the
coffee.
7. It has been remarked that this fever did not spread in the country,
when carried there by persons who were infected, and who afterwards died
with it. During four times in which it prevailed in Charleston, in no one
instance, according to Dr. Lining, was it propagated in any other part of
the state.
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