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
Sir Gilbert _Blane_ considers, that the yellow fever may proceed from
three remote causes, very distinct in their nature. The _First_, is that
which consists in the exhalations of the soil, such as produce the
endemic fevers in other countries and climates, and prevailing chiefly
in autumn. The _Second_, is that which consists in foul air engendered
on board of ships on long voyages, in circumstances of personal filth,
and want of ventilation, frequently combined with hardships and
privations, and is the same with those stagnated and corrupted effluvia
of the living human body, which produce typhus fever. The _Third_ cause
is that in which there is no suspicion of foul air, either from the
soil, or from the living human body, but merely from circumstances of
intemperance, fatigue, and insolation, affecting chiefly, and almost
exclusively, new comers from temperate and cold climates.[195] The first
of these, he says, may be distinguished by the appellation of the
_Endemic_; the second, by that of the _Pestilential_, _Malignant_, or
_Typhus Icterodes_; the third, by that of _Sporadic_.[196] And Sir
Gilbert adds, that it has been for want of making this distinction, and
from classing all these three under one head, that the endless and
acrimonious controversies regarding contagion have arisen. There is not
the least suspicion in any rational mind, that the endemic and sporadic
species are contagious, this is only alleged with regard to the
pestilential or typhus species; but it may be asked what proof there is
that this last is specifically different from the other two? To this Sir
Gilbert answers, that it is a matter of history; that besides the
endemic and sporadic fevers prevailing at all times in the
above-mentioned regions, there has occurred at various intervals of
time, a raging epidemic,[197] which could be traced to the arrival of a
ship or ships in the circumstances above recited, and at a season in
which the ordinary malignant fevers do not prevail. To those engaged in
researches upon this obscure subject we would farther recommend the
perusal of a work lately published by that veteran in the cause, DR.
JACKSON, on the subject of the Andalusian Fevers[198]; in which he
examines the evidence in support of the supposed introduction of the
yellow fever into Spain, and of its real or supposed propagation by
contagion. The importation of the disease from a foreign country is
credited by the authorities and mass of people in Spain, though the
author thinks it has never been proved by evidence, or even brought to
reasonable probability; the events of the year 1820 stripping the
assumption of every claim to credence, as no attempt has been made to
trace the disease, in that instance, to foreign origin. The belief
universally obtains through Spain, that the disease is personally
contagious; that is, capable of propagation from individual to
individual, by contact or proximity; Dr. Jackson, however, considers
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