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 respect of the commencement and predispositions of the disease, it is
now well known--first, that in this country it habitually begins with
diarrhœa of a painless and apparently trivial character; secondly, that
diarrhœa, however produced, is, of all known personal conditions, the
one most likely to invite an attack of Cholera at times when that
disease is epidemic; thirdly, that during the prevalence of Cholera,
side by side with it in a district, there is always a vast amount of
epidemic diarrhœa, apparently constituting slighter degrees or earlier
stages of the same disease; that this condition is just as amenable to
treatment as the confirmed collapse of Cholera is utterly the opposite;
and--since we can never say how incurable a few hours may render this
insidious symptom, that its immediate arrest is a consideration of vital
importance.
Precautions against causing diarrhœa to oneself by errors of diet will
vary somewhat with different individuals. Every person of ordinary
discretion knows the habits of his own body, and can be tolerably
confident, within certain limits of food, that he gives himself no
occasion of sickness. He remembers articles of diet, which his neighbour
perhaps may innocently indulge in, but which to himself are the occasion
of inward disorder--of purging or vomiting, ‘bilious attack’ or nettle
rash, headache, nightmare, or some other inconvenience. This knowledge
fixes the limits which it primarily behoves him to regard; taking such
food only into his body as experience has shown best to agree with it;
and adhering to this course, without panic as to particular accustomed
articles, and without abrupt discontinuance of old harmless habits.
Apart from personal peculiarities, the chief dangers of diet appear to
lie as follows: first, in those excesses of meat and drink, which
(especially under circumstances of fatigue) occasion sickness to the
stomach, or an increased labour of digestion; secondly, in taking food,
solid or fluid, which is midway in some process of chemical
transition--half-fermented beer and wine, water containing organic
matters, meat and game and venison no longer fresh and not completely
cooked, fish and shell-fish, in any state but the most perfect
freshness, fruit or vegetables long-gathered or badly kept, and the
like; thirdly, in a profusion of cold sour drink; fourthly, in partaking
largely of those articles of diet which habitually, or by reason of
imperfect cooking, pass unchanged through the intestinal canal; and
fifthly, in the indiscreet use of purgative medicines, or in taking any
article of diet which is likely to produce the same effect.
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