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
It has been asked further, why were not these bilious malignant fevers
more common before the years 1791, 1792, and 1793? To this I answer, by
repeating what was mentioned in another place[37], that our climate has
been gradually undergoing a change. The summers are more alternated by
hot and cool, and wet and dry weather, than in former years. The winters
are likewise less uniformly cold. Grass is two or three weeks later in
the spring in affording pasture to cattle than it was within the memory
of many thousand people. Above all, the summer has encroached upon the
autumn, and hence the frequent accounts we read in our newspapers of
trees blossoming, of full grown strawberries and raspberries being
gathered, and of cherries and apples, of a considerable size, being seen,
in the months of October and November, in all the middle states. By means
of this protraction of the heat of summer, more time is given for the
generation of putrid exhalations, and possibly for their greater
concentration and activity in producing malignant bilious diseases.
[37] Account of the Climate of Pennsylvania, vol i.
It has been asked again, why do not the putrid matters which produce the
yellow fever in some years produce it _every_ year? This question might
be answered by asking two others. 1st. Why, if the yellow fever be
derived from the We st-Indies, was it not imported every year before 1791,
and before the existence, or during the feeble and partial operation of
quarantine laws? It is no answer to this question to say, that a war is
necessary to generate the disease in the islands, for it exists in some
of them at all times, and the seasons of its prevalence in our cities
have, in many instances, had no connection with war, nor with the
presence of European armies in those and in other sickly parts of the
globe. During the seven years revolutionary war it was unknown as an
epidemic in the United States, and yet sailors arrived in all our cities
daily from sickly islands, in small and crowded vessels, and sometimes
covered with the rags they had worn in the yellow fever, in British
hospitals and jails. I ask, 2dly, why does the dysentery (which is
certainly a domestic disease) rise up in our country, and spread sickness
and death through whole families and villages, and disappear from the
same places for fifteen or twenty years afterwards?
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