Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and WarNightingale, Florence
History
Subsidiary Notes as to the Introduction of Female Nursing into Military Hospitals in Peace and War
Nightingale, Florence
Military hospitals -- Great Britain; Nurses -- Great Britain
“Contagion,” as its etymology implies, means the communication of
disease from person to person by contact. It is often confused
with “infection;” but it has quite a different meaning. Contagion
presupposes the existence of certain germs, like the sporules of
fungi, which can be bottled up and conveyed any distance, attached to
clothing, merchandize, especially to woollen stuffs, for which it is
supposed to have a particular affection, and to feathers, which of all
articles it especially loves, so much so that, according to Quarantine
laws, a live goose may be safely introduced from a plague country;
but, if it happens to be eaten on the voyage, its feathers cannot be
introduced without danger to the entire community. The absurdities
connected with the doctrine are numberless. Suffice it to say that in
the ordinary sense of the term there is no such thing as “contagion.”
There are two or three diseases in which there is a specific virus
which can be seen, tasted, smelt, and analysed, and which, in certain
constitutions, propagates the original disease by inoculation, such as
small-pox, cow-pox, and syphilis, but these are not “contagions” in the
sense supposed.
With regard to the mysterious, imponderable, indivisible nonentities,
which make up our “current contagions,” they may safely be dismissed
into the limbo of extinct superstitions.
The word “contagion” therefore is altogether objectionable.
The word “infection” expresses a fact, without involving a hypothesis.
It is most necessary, however, that the meaning should be guarded;
for, just as there is no such thing as “contagion,” there is no such
thing as _inevitable_ “infection.” Infection acts through the air.
Poison the air breathed by individuals and we have infection. Shut up
150 healthy people in a Black Hole of Calcutta, and in twenty-four
hours you have an infection produced, so powerful that it will in that
time have destroyed nearly the whole of the inmates. Sick people are
more susceptible than healthy people; and if you shut up sick people
together, without a sufficient space and sufficient fresh air, you will
have not only fever, but erysipelas, pyæmia, and the usual tribe of
Hospital-generated epidemic diseases produced.
Again, if we have a Fever Hospital with over-crowded badly-ventilated
wards, or with the air stagnant in them, we are quite certain to have
the air become so infected as to poison the blood not only of the sick,
so as to augment their mortality, but also of the medical attendants
and nurses, so that they shall also become subjects of fever.
Public-domain text, read in full here on John Shaqi.
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