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. In the construction of cities, narrow streets and alleys should be
carefully avoided. Deep lots should be reserved for yards and gardens for
all the houses, and subterraneous passages should be dug to convey, when
practicable, to running water, the contents of privies, and the foul
water of kitchens. In cities that are wholly supplied with fresh water by
pipes from neighbouring springs or rivers, all the evils from privies
might be prevented by digging them so deep as to connect them with water.
Great advantages, it has been suggested, would arise in the construction
of cities, from leaving open squares, equal in number and size to those
which are covered with houses. The light and dark squares of a
chequer-board might serve as models for the execution of such a plan. The
city of London, which had been afflicted nearly every year for above half
a century by the plague, has never been visited by it since the year
1666. In that memorable year, while the inhabitants were venting their
execrations upon a harmless bale of silks imported from Holland, as the
vehicle of the seeds of their late mortal epidemic, Heaven kindly pointed
out, and removed its cause, by permitting a fire to destroy whole
streets and lanes of small wooden buildings, which had been the
reservoirs of filth for centuries, and thereby the sources of all the
plagues of that city[22]. Those streets and lanes were to London, what
Water-street and Farmer's-row are to Philadelphia, Fell's-point to
Baltimore, the slips and docks to New-York, and Water-street to the town
of Norfolk.
[22] A proposal was made to replace the houses that had been burnt, by
similar buildings, and upon the same space of ground. Sir
Christopher Wren opposed it, and with the following argument: "By
so doing, you will show you have not _deserved_ the late fire!"
3. Where the different forms of summer and autumnal disease arise from
marsh exhalations, they should be destroyed by drains, by wells
communicating with their subterraneous springs, or by cultivating upon
them certain grasses, which form a kind of mat over the soil, and, when
none of these modes of destroying them is practicable, by overflowing
them with water.
I have met with many excellent quotations from a work upon this part of
our subject, by Tozzetti, an Italian physician, from which, I have no
doubt, much useful information might be obtained. The Rev. Thomas Hall,
to whom I made an unsuccessful application for this work, speaks of it,
in his answer to my letter, in the following terms. "It is in such high
estimation, that the late emperor Leopold, when grand duke of Tuscany,
caused it to be re-printed at his own expence, and presented it to his
friends. The consequence of this was, it influenced the owners of low
marshy grounds, in the neighbourhood of the river Arno, to drain and
cultivate them, and thereby rendered the abode of noxious air, and
malignant fevers, a terrestrial paradise."
Public-domain text, read in full here on John Shaqi.
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