Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
History
Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
2. We learn the reason why the disease sometimes spreads through a whole
ship's crew, apparently from one or more affected persons. It is either
because they have been confined to small and close berths by bad weather,
or because the fever has been protracted to a typhus or chronic state, or
because the bodies of the whole crew are impregnated with morbid
miasmata, and thus predisposed to have the disease excited in the manner
that has been mentioned. In the last way it was excited in most of the
crew of the United States frigate, in the Delaware, opposite to the city
of Philadelphia, in the year 1797. It appears to have spread, from a
similar cause, from a few sailors, on board the Grenville Indiaman, after
touching at Batavia. The whole crew had been predisposed to the disease
by inhaling the noxious air of that island.
The same reasons account for the fever expiring in a healthy village or
country; also for its spreading when carried to those towns which are
seated upon creeks or rivers, and in the neighbourhood of marsh
exhalations. It has uniformly perished in the high and healthy village of
Germantown, when carried from Philadelphia, and has three times appeared
to be contagious near the muddy shores of the creeks which flow through
Wilmington and Chester.
3. From the facts that have been mentioned, we are taught to disbelieve
the possibility of the disease being imported in the masts and sails of a
ship, by a contagious matter secreted by a sailor who may have sickened
or died on board her, on a passage from a West-India island. The death in
most of the cases supposed to be imported, in this way, occurs within a
few days after the ship leaves her West-India port, or within a few days
after her arrival. In the former case, the disease is derived from
West-India miasmata; in the latter, it is derived, as was before
remarked, either from the foul air of the hold of the ship, or of the
dock or wharf to which the ship is moored.
Many other facts might be adduced to show the yellow fever not to be an
imported disease. It has often prevailed among the Indians remote from
the sea coast, and many hundred cases of it have occurred, since the year
1793, on the inland waters of the United States, from the Hudson and
Susquehannah, to the rivers of the Mississippi. In South-America, Baron
Humboldt assured me, it is every where believed to be an endemic of that
country.
Public-domain text, read in full here on John Shaqi.
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