Mr. Grainger, who quotes the above circumstance in his Appendix to the
Report on Cholera, also says:[41] “Dr. Evans, of Bedford, related to me
an equally well-marked instance. A few years ago, he was staying at
Versailles, with his lady, when they both became affected with the ague,
and, on inquiry, the following facts were disclosed. The town of
Versailles is supplied with water for domestic purposes from the Seine,
at Marli. At the time in question, a large tank, supplying one
particular quarter, was damaged, and the mayor, without consulting the
medical authorities, provided a supply of water, consisting of the
surface-drainage of the surrounding country, which is of a marshy
character. The regular inhabitants would not use this polluted water;
but Dr. and Mrs. Evans, who were at an hotel, drank of it unwittingly,
and it was also used by a regiment of cavalry. The result was, that
those who drank the water suffered from intermittent fever of so severe
a type, that seven or eight of the soldiers, fine young men, died on one
day, Sept. 1, 1845. On a careful investigation it was ascertained that
those only of the troops who had drunk the marsh water were attacked;
all the others, though breathing the same atmosphere, having escaped, as
did also the townspeople.”
In all the instances I have just quoted, the cause of ague, whatever it
may be, was swallowed with the water, not inhaled with the air; and on
questioning two patients, ill with this complaint, in St. George’s
Hospital, after harvesting in Kent, they told me that they had often
been obliged to drink water from the ditches. The disease of the liver
and spleen, to which persons are subject after attacks of intermittent
fever, also confirms the view that its material cause enters the system
by the alimentary canal, and not by the lungs; and it is of importance
to remark, that Hippocrates observed, that drinking stagnating waters
caused hard swellings of the spleen.[42]
Whether the unknown cause of ague has been produced in the system of a
previous patient, like the pus of small-pox and the eggs of tape-worm,
or whether it has been produced externally, there is, at present, no
sufficient evidence to show. In the case first supposed, the disease
would be a communicable one, in the second it would not.
There is one circumstance which seems to indicate that the specific
cause of intermittent fevers undergoes a development or multiplication
within the system of the patient,—it is, that a period of dormancy, or
incubation, has been observed, in many cases, between the visit to the
unhealthy locality and the illness which followed; for, as I have
already remarked, every poisonous or injurious substance causes symptoms
as soon as it has been absorbed in sufficient quantity.
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