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
that this opinion, confidently as it is maintained, is invalidated by
authentic facts and records; but we must proceed to the consideration of
our second problem, viz:
II. _Does the matter of Contagion require the aid of a certain state of
the air, (“Pestilential Constitution of the atmosphere.”) to give effect
to its powers, and propagation; and to what causes are the decline and
cessation of a contagious Pestilence to be attributed?_
It was laid down as a fundamental principle by Dr. _Mead_, that a
“_corrupt_” state of the air is indispensable to the diffusion of a
plague; and although we are at this day unable to ascertain in what this
vitiated state of the air consists, yet there are too many stubborn
facts on record to allow us to deny, or even to doubt the necessity of
its existence for the propagation of a contagious fever. How are we
otherwise to explain the fact of a malady like the plague, which,
although it shall never be entirely absent from a city, rages only
epidemically and fatally at particular times? Thus it is collected from
the bills of mortality of London, that, although there were but four
great plagues in this metropolis during the seventeenth century, _viz._
the years 1603, 1625, 1636, and 1665, (in the two first of which about
35,000, and in the last 68,000 died) yet that there were but three
years, from the commencement of the bills of mortality in 1603 until
1670, which were entirely free from the plague.[199] _Diemerbroeck_ also
remarks, that whenever the plague has been excited out of its proper
season it has not spread; a fact corroborated by _Russel_ and
_Hodges_.[200] It seems probable that a particular state of the
atmosphere, in its relation to temperature and humidity, is one of the
conditions, subordinate perhaps, of this “pestilential constitution.”
Dr. _Russel_ has observed that, in _winter_, when infected persons have
come to places about Aleppo, some of whom have died of the disease in
the families where they lodged, the distemper was not by such means
propagated. Dr. _Pugnet_ says that the susceptibility of a person for
the contagion of plague is greatly increased by a moderately warm and
moist atmosphere; and Dr. _Bancroft_[201] has adduced some observations
made by himself in proof of the influence of atmospheric heat and cold,
in both their extremes, in rendering the contagion dormant. The singular
career which a pestilential epidemic runs, having a beginning, height,
and decline, can only be explained on the idea of the pestilential
constitution of the air undergoing corresponding changes; and it is
probable that the return of a plague is a revival of infection that has
been latent, or dormant, until a particular state of atmosphere rouses
it to action.
III. _Can Filth and Animal Putrefaction generate Contagion?_
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