So slowly, however, did accurate knowledge come, that it was actually
not until 1837 that it was clearly and definitely recognized that this
famine fever was, like Mrs. Malaprop's Cerberus, "two gentlemen at
once," one form of it being typhus or "spotted fever," which has now
become almost extinct in civilized communities; the other, the milder,
but more persistent form, which, like the poor, we have always with us,
called, from its resemblance to the former, "typhoid" (typhus-like).
Typhus was a far more virulent, rapid, and fatal fever than its twin
survivor, though as to the relations between the two diseases, if any,
we are quite in the dark, as the former practically disappeared before
the days of bacteriology. The fact of its disappearance is both
significant and interesting, in that it was unquestionably due to the
ranker and viler forms of both municipal and individual filthiness and
unsanitariness, which even our moderate progress in civilization has
now abolished. There can be no question that, with a step higher in the
scale of cleanliness, and further quickening of the biologic conscience,
typhoid will also disappear.
Typhus, the bubonic plague, the sweating sickness, were alike plagues
and products of times when table-scraps were thrown on the dining-room
floor and covered daily with fresh rushes for a week at a stretch, and
fertilizer accumulated in a living-room as now in a modern stable.
Clothing was put on for the season, shirts were unknown, and strong
perfumes took the place of a bath. Michelet's famous characterization of
the Middle Ages in one phrase as _Un mille ans sans bain_ (a thousand
years without a bath) was painfully accurate.
Doubtless certain habits of our own to-day will be regarded with equal
disgust by our descendants. Typhus, by the way, may possibly be
remembered by the dramatic "Black Assize" of Oxford, in 1577, in which
not merely the wretched prisoners in the jail, but the jurors, the
lawyers, the judges, and every official of the court were attacked, and
many of them died.
It was only in 1856 that the method of transmission of the disease was
clearly recognized, and in 1880 that the bacillus was discovered and
identified by the bacteriologist Eberth, whose name it bears, so that it
is only within the last thirty years that real weapons have been put
into our hands with which to begin a fight of extermination against the
disease.
Public-domain text, read in full here on John Shaqi.
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