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
is called from its origin the _Jail Fever_, is evidently the offspring
of filth and deficient ventilation. The Lord Chancellor _Bacon_ has made
the following observation upon this subject: “The most pernicious
infection next to the plague is the smell of the jail, where prisoners
have been long, close, and nastily kept; whereof we have had, in our
time, experience twice or thrice, when both the judges that sat upon the
jail, and numbers of those who attended the business, or were present,
sickened upon it, and died.”[205] Dr. Bancroft, who has dwelt very fully
upon the subject of jail fever,[206] considers it as a species of
typhus, the contagious essence of which is not generated, but merely
lighted up by the filth of prisons.
IV. _Can a Fever produced by fatigue, unwholsome food, &c. be rendered
contagious in its career by animal filth, impure air, &c.?_
We have no hesitation in answering this question in the affirmative, and
our opinion will receive ample support from the history of the different
epidemic fevers which have raged in our own times. Dr. _Prichard_[207]
is persuaded that a contagious fever may have a spontaneous origin, that
is, that the ordinary sources of derangement may occasion such a kind of
disordered action, that the excretions or effluvia from the subject of
it shall, under certain circumstances, produce a specific effect upon
another. The truth of this position is amply confirmed by comparing the
different phenomena which, according to Dr. _Prichard_,[207] are
displayed by the epidemic in St. Peter’s Hospital, and the Bristol
Infirmary; in the former house the medical wards are very small, having
been originally destined, not for the accommodation of the sick, but for
the abode of paupers; in consequence of which it became necessary to
place the beds very near to each other, and to crowd the rooms with
patients; under these circumstances the disease was manifestly
contagious, while in the well-ventilated Bristol Infirmary,
notwithstanding the indiscriminate manner in which the patients with
fever were scattered through the wards, not a single instance occurred
of its propagation. The Dublin Reports of Drs. _Grattan_[208] and
_Crampton_[209] are equally satisfactory upon this question; atmospheric
vicissitudes, intemperance, fatigue, suppressed perspiration, the
depressing passions, &c. when excessive, will induce fever; and under
these circumstances, the accumulation of animal effluvia, in filthy,
crowded, and ill-ventilated dwellings, will generate contagion, which of
course accelerates the march of the epidemic.
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