Observations on the Diseases of SeamenBlane, Gilbert, Sir
History
Observations on the Diseases of Seamen
Blane, Gilbert, Sir
Medicine, Naval -- Early Works To 1800; Sailors -- Diseases
But besides the obvious and sensible qualities of the air above
mentioned, there are certain obscure properties which we do not
understand, and which we find difficult to investigate; for there are
diseases prevailing in certain places which seem to depend on some
latent state of the air. Of this kind is the complaint of the liver,
so common in the East Indies, yet almost entirely unknown in the West
Indies; and in the West Indies there are certain diseases which prevail
in one island and not in another; such as the _elephantiasis_[41]
of Barbadoes, which is an affection of the lymphatics peculiar to
that island. In the climates of Europe there are also certain obscure
conditions of the air that favour one epidemic more than another, and
in some years more than others[42]. All this is very mysterious to us;
and although we could detect these properties of the air, we probably
could not prevent their bad effects, since man must every where breathe
the air, whatever its qualities may be.
SECT. II.
Of FOUL AIR from the Neglect of Cleanliness in Men’s Persons--INFECTION.
Nature has wisely so contrived our senses and instincts, that the
neglect of cleanliness renders a person loathsome and offensive to
himself and others, thereby guarding against those fatal diseases that
arise from bodily filth. The noxious air we speak of is generated
by men keeping the same clothes too long in contact with the body,
while they are at the same time confined and crowded in small and
ill-ventilated apartments. Such is the origin of the jail fever,
otherwise called the ship and hospital fever; and it seems to be with
reason that Dr. Cullen ascribes the low, nervous fever of Britain to
a similar origin, being caused, as he thinks, by an infection of a
milder kind, arising in the clothes and houses of the poor, who, from
slovenliness or indigence, neglect to change their linen, and air
their houses.
Man is evidently more subject to disease than any other species of the
animal creation, owing partly to the natural feebleness of his frame,
but still more perhaps to the artificial modes of life which his reason
leads him to adopt. There is no circumstance of this kind by which
health is more affected than by clothing. Some of the most fatal and
pestilential diseases are produced and communicated by it; for we see
that the greater number of fevers, particularly those of the low and
malignant sort, may be traced to the want of personal cleanliness.
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