Reports Relating to the Sanitary Condition of the City of LondonSimon, John
History
Reports Relating to the Sanitary Condition of the City of London
Simon, John
Cemeteries -- England -- London; Mortality -- Statistics; Sanitation -- England -- London
In some respects this sort of protection is even more necessary, as well
as more deficient, in regard to _the falsification of drugs_. The
College of Physicians and the Apothecaries’ Company are supposed to
exercise supervision in the matter; so that at least its necessity is
recognised by the law. The security thus afforded is, in practice, null.
It is notorious in my profession that there are not many simple drugs,
and still fewer compound preparations, on the standard strength of which
we can reckon. It is notorious that some important medicines are so
often falsified in the market, and others so often mis-made in the
laboratory, that we are robbed of all certainty in their employment.
Iodide of potassium--an invaluable specific, may be shammed to half its
weight with the carbonate of potash. Scammony, one of our best
purgatives, is rare without chalk or starch, weakening it, perhaps, to
half the intention of the giver. Cod-liver oil may have come from seals
or from olives. The two or three drops of prussic acid that we would
give for a dose may be nearly twice as strong at one chemist’s as at
another’s. The quantity of laudanum equivalent to a grain of opium
being, theoretically, 19 minims; we may practically find this grain, it
is said, in 4.5 minims, or in 34.5. And my colleague, Dr. R. D. Thomson,
who has much experience in these matters, tells me that of
calamine--not indeed an important agent, but still an article of our
pharmacopœia--purporting daily to be sold at every druggist’s shop,
there has not for years, he believes, existed a specimen in the
market.[5]
[5] Dr. Thomson tells me that he has known white precipitate of
mercury sold in hundred-weights as calomel, and in one case (he
believes by accident or ignorance) as trisnitrate of bismuth. In my
text I have endeavoured to adduce such illustrations as I suppose to
be most notorious; but I may refer the reader to various interesting
papers published, through the last two or three years, in the LANCET
(_Analytical Sanitary Commission_) from one of which I quote the
astounding instance, given above, of variations in the strength of
laudanum. Mr. Thomas Taylor, of Vere Street, informs me that, whereas
an ounce of laudanum should contain about four grains of morphia, he
finds the actual quantity varying in different specimens from two
grains to six; and that in two specimens of solid opium, outwardly
alike and supposed to be of equal quality, he has found the per
centage of morphia to vary from 3½ to 10. It requires little
instruction in medicine to appreciate these facts.
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