Scientific American, September 29, 1883 Supplement. No. 404Various
Science
Scientific American, September 29, 1883 Supplement. No. 404
Various
Science -- Periodicals
Facts, however, are more forcible than words, and I therefore subjoin
a few examples of coincidences which have very much the air of causes
and consequences. I have excluded instances where water-pollution
could be supposed to bear a part, and also those where careful inquiry
did not seem to eliminate the possibility of immediate or mediate
importation of contagium from a pre-existing case. And let me, at the
outset, deprecate the Liebermeisterian criticism that if an adynamic
fever with peculiar temperature curve, abdominal symptoms, etc.,
be not directly traceable to a preceding patient, it is not true
typhoid, but only something otherwise indistinguishable from it; or
that, without evidence of contagion, a pseudo-membranous angina with
grave constitutional depression is not genuine diphtheria, though a
remarkably good imitation of the real article. Grant only that there
are diseases--call them what you will--which closely resemble the
regulation nosological types, that people sometimes die of them, and
that they are intimately associated with the eating, drinking, or
breathing of filth-products, and I shall, for the present, leave the
question of diagnosis to be begged by whosoever cares for it.
I. _Typhoid._--Large country house with numerous "conveniences."
Two "pan closets" on second floor; one in a small windowless
hall-apartment, the other in a bath-room adjoining a bed-chamber;
basin and bath-wastes led into trap of water-closet; leaden soil-pipe
not continued above the line of fixtures, communicating directly with
cesspool, and badly corroded at bends of closet-traps. Servants'
pan-closet in basement with foul and leaky "retainer;" kitchen
and laundry wastes on same horizontal branch, constantly liable
to siphonage. Frequent illnesses of minor grade prevailed in this
household until the whole plumbing system was reconstructed on a proper
plan, since when the inmates have enjoyed excellent health.
II. _Typhoid._--Small house in village street. Under the cellar runs
the ill-covered channel of a former brook, which receives the sewage of
several adjoining tenements. The house-refuse is discharged into this
foul trench through an open untrapped conduit in the basement.
III. _Typhoid._--Cottage of better class. No plumbing fixtures except
kitchen sink, which discharges untrapped into an obstructed and very
foul drain; leaching privy-pit on higher ground than the basement,
which, with the foundation walls, is uncemented, affording ingress to
ground-atmosphere.
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