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 short, if care be taken under all these heads to avoid occasions of
intestinal disturbance; if the diet, while generous, be simple and
strictly temperate; if regular hours be given to sleep, to meals, to
industry, to recreation; if a fair proportion of out-door exercise be
taken; if damp and extremes of temperature be guarded against; and all
practical pains be given to avoid the sources of bodily and mental
depression; the danger will certainly be reduced to its _minimum_; and
whatever effects the epidemic may happen to produce can be readily
recognised and boldly encountered.
Should these effects arise in their customary form of diarrhœa, it is of
absolute urgent necessity that immediate medical treatment be resorted
to: and so important for the safety of life is the recognition of this
symptom in the earliest stage of its occurrence, that no unwonted action
of the bowels should pass unobserved.
The public constantly asks to be informed of some drug, or combination
of drugs, to which under these circumstances they may have immediate
recourse. But after very careful consideration of this subject, after
hearing arguments on both sides, and reading those prescriptions which
have been recommended for adoption, I venture to express my opinion
that the safest course for the public, in regard of this threatened
disease, will be to follow the same principle as guides them in their
ordinary seizures of illness, and to obtain as quickly as possible the
aid of their customary medical advisers. There is an invincible aptitude
in the public to misapply all precautionary medicines within their
reach; often superstitiously to treat them as charms, under the
protection of which they may neglect temperance of diet and all other
solicitude for health; often ignorantly to employ them in cases for
which their use is forbidden; often, at the instigation of panic, to
abuse them by preposterous and hurtful excess. Nervous and uneducated
persons, instead of employing their astringent dose simply to stop any
undue action from the bowels, would be apt, as the danger neared them,
to make it an habitual dram in order to anticipate any such action; and
the frequent after-necessity for purgative medicine, thus created, would
constitute the very danger they desire to avoid. Recognising, therefore,
at its full value, the importance of immediately treating, in every
case, the first phenomena of epidemic diarrhœa, I must yet doubt whether
the conditions of medical science and general education are such as to
justify the promulgation of general formulæ so liable to extensive
abuse.
Public-domain text, read in full here on John Shaqi.
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