Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
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Medical Inquiries and Observations, Vol. 4: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
To persons who have retired from infected cities, or countries, it will
be necessary to suggest a caution, not to visit them while the malignant
fever from which they fled prevails in them. Dr. Dow informed me, in his
visit to Philadelphia in the year 1800, that the natives and old citizens
of New-Orleans who retired into the country, and returned during the
prevalence of the yellow fever in that city, the year before, were often
affected by it, while all such persons as did not change their residence,
escaped it. The danger from visiting an infected city is greater to
persons who breathe an atmosphere of a uniform temperature, than one that
is subject to alternate changes in its degrees of heat and cold. The
inhabitants of Mexico, Baron Humboldt informed me, who descend from their
elevated situation, where the thermometer seldom varies more than ten
degrees in the year, and visit Vera Cruz during the prevalence of the
yellow fever in that city, are much oftener affected by it than the new
comers from the variable climates of European countries. But the habits
of insensibility to the impressions of the miasmata of this disease in
one country, do not always protect the system from their action in
another. The same illustrious traveller informed me, that the inhabitants
of the Havannah who visit Vera Cruz, and the inhabitants of Vera Cruz who
visit the Havannah, are affected in common with strangers with the fever
of those places.
I shall take leave of this part of our subject, by adding, that I am so
much impressed with a belief in the general, and almost necessary
connection of an exciting cause with a yellow fever, that were I to enter
a city, and meet its inhabitants under the first impressions of terror
and distress from its appearance, my advice to them should be, "BEWARE,
not of contagion, for the yellow fever of our country is not contagious,
nor of putrid exhalations, when the duties of humanity or consanguinity
require your attendance, but BEWARE OF EXCITING CAUSES!"
In the mild grades of the summer and autumnal fevers of the United
States, the means of prevention should be different from those which have
been recommended to prevent the yellow fever. They consist of such things
as gently invigorate the system, and thus create an action superior to
that which the miasmata have excited in it. The means commonly employed
for this purpose are,
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