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
4. The summer and autumnal diseases of our country have often followed
the erection of mill-dams. They may easily be obviated by surrounding
those receptacles of water with trees, which prevent the sun's acting
upon their shores, so as to exhale miasmata from them. Trees planted upon
the sides of creeks and rivers, near a house, serve the same salutary
purpose.
5. It has often been observed, that families enjoy good health, for many
years, in the swamps of Delaware and North-Carolina, while they are in
their natural state, but that sickness always follows the action of the
rays of the sun upon the moist surface of the earth, after they are
cleared. For this reason, the cultivation of a country should always
follow the cutting down of its timber, in order to prevent the new
ground becoming, by its exhalations, a source of disease.
6. In commercial cities, no vessel that arrives with a cargo of
putrescent articles should ever be suffered to approach a wharf, before
the air that has been confined in her hold has been discharged. The same
thing should be done after the arrival of a vessel from a distant or hot
country, though her cargo be not capable of putrefaction, for air
acquires a morbid quality by stagnating contiguous to wood, under
circumstances formerly mentioned.
All these modes of removing the causes of malignant and yellow fevers,
and of promoting strict and universal cleanliness, are of more
consequence in the middle and northern states of America, than in
countries uniformly warm, inasmuch as the disease may be taken as often
as our inhabitants are exposed to its sources. In the West-Indies, a
second attack of the yellow fever is prevented by the insensibility
induced upon the system, by its being constantly exposed to the
impressions of heat and exhalation. After a seasoning, as it is called,
or a residence of two or three years in those islands, the miasmata
affect the old settlers, as they do the natives, only with mild
remittents. Nearly the same thing takes place at Madras, in the
East-Indies, where, Dr. Clark says, the exhalations which bring on
bilious fevers, colic, cholera, and spasmodic affections in new comers,
produce a puking in the morning, only in old residents. But very
different is the condition of the inhabitants of the middle and northern
states of America, in whom the winters prevent the acquisition of habits
of insensibility to the heat and exhalations of the previous summers, and
thus place them every year in the condition of new comers in the West and
East-Indies, or of persons who have spent two or three years in a cold
climate. This circumstance increases the danger of depopulation from our
malignant epidemics, and should produce corresponding exertions to
prevent them.
Public-domain text, read in full here on John Shaqi.
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