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 every natural evil the Author of Nature has kindly prepared an
antidote. Pestilential fevers furnish no exception to this remark. The
means of preventing them are as much under the power of human reason and
industry, as the means of preventing the evils of lightning and common
fire. I am so satisfied of the truth of this opinion, that I look for a
time when our courts of law shall punish cities and villages, for
permitting any of the sources of bilious and malignant fevers to exist
within their jurisdiction.
I have repeatedly asserted the yellow fever of the United States not to
be contagious. I shall now mention the proofs of that assertion, and
endeavour to explain instances of its supposed contagion upon other
principles.
FACTS,
INTENDED TO PROVE
_THE YELLOW FEVER_
NOT TO BE CONTAGIOUS.
When fevers are communicated from one person to another, it is always in
one of the following ways. 1. By secreted matters. 2. By excreted
matters. The small-pox and measles are communicated in the former way;
the jail, or, as it is sometimes called, the ship, or camp, and hospital
fever, is communicated only by means of the excretions of the body. The
perspiration, by acquiring a morbid and irritating quality more readily
than any other excretion, in consequence of its stagnation and
confinement to the body in a tedious jail fever, is the principal means
of its propagation. The perspiration[23] is, moreover, predisposed to
acquire this morbid and acrid quality by the filthiness, scanty, or bad
aliment, and depression of mind, which generally precede that fever. It
is confined to sailors, passengers, soldiers, prisoners, and patients, in
foul and crowded ships, tents, jails, and hospitals, and to poor people
who live in small, damp, and confined houses. It prevails chiefly in cool
and cold weather, but is never epidemic; for the excreted matters which
produce the fever do not float in the external atmosphere, nor are they
communicated, so as to produce disease, more than a few feet from the
persons who exhale them. They are sometimes communicated by means of the
clothes which have been worn by the sick, and there have been instances
in which the fever has been produced by persons who had not been confined
by it, but who had previously been exposed to all the causes which
generate it. It has been but little known in the United States since the
revolutionary war, at which time it prevailed with great mortality in the
hospitals and camps of the American army. It has now and then appeared in
ships that were crowded with passengers from different parts of Europe.
It is a common disease in the manufacturing towns of Great-Britain, where
it has been the subject of several valuable publications, particularly by
Dr. Smith and Dr. John Hunter. Dr. Haygarth has likewise written upon it,
Public-domain text, read in full here on John Shaqi.
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