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
The first step towards this is, to prevent the disease from spreading,
and this is done by separating the sick from the healthy, and cutting
off all intercourse as much as possible. For this end, it is necessary
to appropriate a particular berth to contagious complaints, and not
only to prevent the idle visits of men in health, but to discover and
separate the persons affected with such complaints as soon as possible,
both to prevent them from being caught by others, and because recent
complaints are most manageable and curable. Officers might be very
useful in making an early discovery of complaints, by observing those
who droop and look ill in the course of duty; for seamen think it
unmanly to complain, and have an aversion to be put on the sick list.
I have heard of a method practised in some ships, of keeping a book on
the quarter deck for the officer to mark the names of such men as might
look ill, or might be missed from duty upon calling the roll, in order
to afford the surgeon a means of finding out those who should be the
objects of his care.
Those whose profession it is to superintend the health of the ship,
would find it for their ease and interest, and should consider it as
their duty, to walk over the different decks once a day, or every other
day, in order to make an early discovery of those who may be taken
ill. Though I have laid great stress on the duty of the commander, as
the proper guardian of health, yet his assiduity will not avail unless
the surgeon also does his part, by such acts of attention as I have
mentioned, joined to skill in his profession.
Surgeons are, perhaps, more regarded in our service than in that of
other nations; but it would be for the public benefit if they were
still more respected and encouraged. To men of liberal education
and sentiments, as surgeons ought to be, and generally are, the
most effectual inducements for them to do their duty are flattering
attentions, and a certain degree of estimation in the eyes of their
officers. Liberality of manners, on the part of superiors, is the most
likely means of encouraging a conscientious performance of duty in this
profession; for though strict and distant behaviour may operate upon
the minds of those whose functions are merely mechanical, how can it
infuse that tender attention to human sufferings, and that sense of
duty, which may induce a man entrusted with the health and lives of his
fellow creatures to act his part with propriety and effect?
In order to prevent sickness from spreading, it is not sufficient to
cut off all personal intercourse. The clothes of men are as dangerous
a vehicle of infection as their persons; and it should be a strict and
invariable rule in case of death from fever, flux, or small pox, to
throw overboard with the body every article of clothing and bedding
belonging to it.
Public-domain text, read in full here on John Shaqi.
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