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 were two other establishments for the reception of the sick and
wounded on this station, but they were only temporary. These were at
St. Lucia and St. Christopher’s, where the men being received in great
numbers at a time from large fleets, and as there were accommodations
only for the most urgent cases, the mortality approached more nearly
to that of Barbadoes. There died at St. Christopher’s, in the years
1780 and 1781, in the proportion of one in six, and at St. Lucia, in
the same time, one in five and a half, or two in eleven. The air of
the hospital at St. Lucia was remarkably pure, and this degree of
mortality was owing to the sick having been accommodated in tents and
huts. In the two last years of the war, when an hospital was built, and
regularly established, the mortality was not much above one half of
this.
Some authors have endeavoured to form an estimate of the success of
practice from the different rates of mortality; but this is extremely
fallacious; for the fatality of diseases will depend on their violence,
the proportion of deaths being very different in cases that are slight,
from what it is in those that are dangerous. We shall take a view,
however, of the hospital at Barbadoes at another period, in which
there seemed little or no difference in the violence of the disease,
and when the superior success seemed to be owing to the hospital’s not
being so crowded, and to the better attendance and treatment of the
sick. The following is a view of the diseases that were admitted in
the last three months of the year 1782, the greater part of which were
landed from the reinforcement of eight ships of the line that joined
the fleet at Barbadoes in the beginning of December:
+--------------------+-----------+-------+----------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+--------------------+-----------+-------+----------------+
| Fevers | 224 | 29 | { 8 |
| | | | NEARLY { |
| Fluxes | 17 | 6 | { 3 |
| | | | |
| Scurvy | 50 | 5 | { 10 |
| | | | ONE IN { |
| Ulcers | 25 | 10 | { 2½ |
| | | | |
| Other Complaints | 46 | 8 | { 6 |
+--------------------+-----------+-------+-NEARLY-{-------+
| Total | 362 | 58 | { 6 |
+--------------------+-----------+-------+----------------+
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