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
Some ships, particularly the Montague and Royal Oak, had no increase
of fevers or other complaints, though the one lay in port for seven,
and the other for eleven weeks, and were more or less exposed to the
causes of sickness which affected the rest of the fleet. This is a
proof, among many others, that a particular combination of causes
is necessary to produce a disease: no single one, however powerful,
being sufficient, without the concurrence of others. What seemed to
be wanting here was the predisposition requisite for the admission of
disease into the constitution; for the ships that enjoyed this happy
exemption were such as had long-established and well-regulated crews,
accustomed to the service and climate.
There had been this month a diminution both of the numbers and
mortality of fluxes, which is agreeable to what was before remarked,
that fevers were more apt than fluxes to prevail in the bad air of a
harbour[16]. It was also before remarked, that there were few or no
fluxes in those ships in which the fever was most malignant; and now
that the fever began to grow more mild in the French prizes, the flux
began to appear. In the Barfleur, Duke, and Namur, both diseases seemed
to prevail equally; but the fevers, though numerous, were more of the
low nervous kind than bilious or malignant; and the fluxes chiefly
attacked those who were recovering from fevers. We may farther remark,
that these three men of war were three-decked ships, of 90 guns, the
crews of which being more numerous, and composed of a more mixed set
of men, were consequently subject to a greater chance of infection,
and a greater variety of complaints. The Formidable still remained
healthy to an extraordinary degree. Some fevers were indeed imported
from the Ville de Paris by men that had been lent to that ship, and who
were taken ill after their return. Of these, a few of the worst cases
were sent to the hospital, and two died on board, who, with one that
died the preceding month, make the whole mortality of this ship, since
leaving England, amount only to the loss of three men.
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