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
Ships of war are exposed to infection chiefly by receiving such men
as have been raised by pressing, who are frequently confined in
guardships, under such circumstances of bad air and bodily filth
as tend to generate the most virulent infection. The service also
requires sometimes that men be received from jails, and they are either
criminals delivered over by the civil jurisdiction of the country,
or captives who have been restored by the enemy after a course of
confinement in their prisons. It may happen too, as we have seen[43],
that the enemy, who are made prisoners at sea, may have infection about
them, and will communicate it the more readily that they are strangers.
There are few fevers but what are infectious at some stage or other of
the disease; but it is not necessary that fever should actually exist
in order to create infection. In the most violent and pestilential
fevers, such as have sometimes originated in the jails of England, the
persons who communicated them were not affected with it themselves[44].
Infection, like some other poisons, does not affect those who are
accustomed to it, and therefore those who are in the habit of being
exposed to it frequently escape its bad effects, especially if it is
gradually applied, as must be the case with those about whose persons
it is generated. For the like reason, physicians and nurses are less
susceptible than others; and strangers, who are accustomed to a pure
air, are the most susceptible of any. It is observed by Dr. Short,
that contagious epidemics are more frequent and fatal in the country
than in London, and this may probably be accounted for on the same
principle; for every person in a great town is exposed to the breath
and effluvia of others, and to a variety of putrid exhalations, which
are unavoidable where multitudes inhabit together; but they are so
used to them, that they are not affected by them; whereas in the
country, where people are less accustomed to each other’s company,
and less used to impure air in general, they are the more readily
affected when infection is introduced among them. It may even admit
of a doubt if any society of men, living together, are entirely free
from morbid contagion. It certainly sometimes happens, that a ship,
with a long-established crew, shall be very healthy; yet, if strangers
are introduced among them, who are also healthy, sickness will be
mutually produced. This principle in the human constitution, by
which the presence of strangers affects it, is well illustrated by a
fact[45], founded on the best testimony, that, in one of the small
western islands of Scotland, which is so remote, that the inhabitants
are frequently without any communication with strangers for several
months together; they become so susceptible, in consequence of this
long interruption of intercourse, that they are seized with a catarrh
when strangers of any description come among them. It was said before,
Public-domain text, read in full here on John Shaqi.
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