Medical Jurisprudence, Volume 1 (of 3)Paris, John Ayrton
Science
Medical Jurisprudence, Volume 1 (of 3)
Paris, John Ayrton
Medical laws and legislation -- Great Britain
It has been maintained by Cleghorn[184], Hamilton[185], Clark[186], and
Fordyce[187], that _all_ fevers are naturally contagious; a position
which, if less mischievous in its tendency, is equally erroneous in
principle, as that which rejects the doctrine of contagion altogether.
It is most probable that none of those fevers which are produced by
marsh _miasmata_ are ever propagated from one individual to another by
contagion; ample evidence of this truth is afforded by the writings of
Dr. James _Lind_[188], where it appears that the most malignant and
fatal species of fever have been contracted on shore, but which had
never been communicated to the ship’s company. Dr. Trotter[189] also
says, “in a voyage down the coast of Guinea, in the Assistance, in the
year 1762, we had scarcely a man indisposed. We wooded and watered at
the island of St. Thomas, and with a view to expedition, a tent was
erected on shore, in which the people employed on these services were
lodged during the night. On the middle passage every man who slept on
shore died, and the rest of the ship’s company remained remarkably
healthy.” For similar facts see _Medical Observations and Inquiries,
vol._ iv, _p. 156_; _Clarke’s Observations on the Diseases which prevail
in long Voyages to Hot Countries, p. 124_; and _Dr. Robertson’s
Meterological and Physical Observations, &c. 4to, p. 32, 33, and 98_.
And in connection with this subject, it becomes our duty to offer a few
remarks upon the nature of that peculiar Epidemic, called THE YELLOW
FEVER.[190] Its doubtful affinity with bilious intermittent and
remittent fevers, has furnished a subject for keen controversy; and
while its contagious quality has been pertinaciously maintained by one
set of Physicians,[191] it has been as warmly denied by others. The
malady has raged repeatedly as an Epidemic in the United States, and was
considered for some time as _Endemic_ to that country. “The interests of
humanity,” says Dr. Rush,[192] “are deeply concerned in the admission of
the rare and feeble contagion of the yellow fever, and Philadelphia must
admit the unwelcome truth sooner or later that the yellow fever is
engendered in her own bowels; or she must renounce her character for
knowledge and policy, and perhaps with it, her existence, as a
commercial city.” In the year 1811, one of the most acute and learned
works[193] that has graced the literary annals of our country, appeared
from the pen of Dr. _Bancroft_, in order to prove that the yellow fever
is no other than an aggravated form of that multifarious disease, which
is well known to result from the action of those exhalations commonly
denominated _marsh miasmata_, and that, like all fevers from that cause,
it possesses _no contagious_ quality; but he adds, “it is indeed
probable that the _miasmata_ of particular towns, mostly either
sea-ports, or accessible to shipping, in which the aggravated forms of
yellow fever have almost exclusively prevailed in the West Indies, the
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