Observations on the Diseases of Seamen — John Shaqi
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
There is a tendency in acute diseases to wear themselves out, both
in individuals that labour under them, and when the infection is
introduced into a community. Unless there was such a _vis medicatrix_,
there could be no end to the fatality of these distempers; for the
infectious matter would go on multiplying itself without end, and would
necessarily destroy every person who might be actually attacked, and
would infect every person who might be exposed to it. But animal nature
is so constituted, that this poison, after exciting a certain set of
motions in the body, loses its effect, and recovery takes place; and
those who happen not to be infected at first, become in some measure
callous to its impression, by being habitually exposed to it. There is,
therefore, a natural proneness to recovery, as well with regard to that
indisposition which takes place among a set of men living together,
as with regard to a single individual who actually labours under the
disease. Thus the most prevailing period of sickness is when men are
new to their situation and to each other, so that time of itself may
prove the means of prevention as well as of cure.
This consideration, however, ought not to supersede any part of
our attention with regard to the scurvy, which does not become
spontaneously extinct like acute diseases.
During the three first weeks of this passage from England to the West
Indies, there was wet and boisterous weather, but it had very little
effect in augmenting sickness; and though it not only subjected the men
to fatigue, cold, and damp, but prevented the ships from opening their
lower-deck ports till the 2d of February, between the 31st and 32d
degree of latitude, thereby producing close air and moisture where the
men sleep, yet, in the whole squadron, from its leaving England till
this time, there were only seven deaths, four of which were in the Fame.
The only sea epidemic that made its appearance was the infectious ship
fever, which, in many cases, was attended with pleuritic, rheumatic,
and other inflammatory symptoms, owing to the cold and wet, to which
the men were exposed in the variable latitudes. The warm, dry, fresh
breezes which we had during the remainder of the passage, were probably
what prevented any bad consequences from the former hardships, for
there died only four men from the above-mentioned date till we arrived
at Barbadoes; and it appeared by the Admiral’s weekly account, that the
proportion of the sick neither increased nor diminished from the time
we got into a warm climate and fine weather till our arrival on the
19th of February.
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