The Common Nature of Epidemics, and their relation to climate and civilizationSmith, Southwood
History
The Common Nature of Epidemics, and their relation to climate and civilization
Smith, Southwood
Communicable diseases; Epidemics; Quarantine
The Statistical Society of London some time ago appointed a Committee of
its Council to make a house-to-house examination of the parish of
Marylebone, with a view to ascertain how many families in the parish
occupied a single room as a living and sleeping room. In the course of
this inquiry, one of the examiners came to a house in which there was
one remarkable room. It was occupied not by one family only, but by
five. A separate family ate, drank, and slept in each of the four
corners of this room; a fifth occupied the centre.
“But how can you exist,” said the visitor to a poor woman whom he found
in the room (the other inmates being absent on their several
avocations), “how can you possibly exist?”
“Oh, indeed, your honour,” she replied, “we did very well until the
gentleman in the middle took in a lodger.”
I see every day in the wards of the Fever Hospital the consequence of
taking in such lodgers. An epidemic shows it not more truly, but more
strikingly.
Within the walls of an establishment for pauper children at Tooting, in
1849, there were crowded 1395 children. Little more than one hundred
cubic feet of breathing space was allowed for each child, 500 being the
smallest compatible with safety. One night Cholera attacked sixty-four
of these children; 300 were attacked in all. Within a week 180 perished.
In the Workhouse of Taunton there were 276 inmates. In some of the rooms
the breathing space was not more than sixty-eight cubic feet. Cholera
swept away 60 of these inhabitants in less than a week.
In the County Jail of this same town, the breathing space allowed to
each prisoner ranges from 819 to 935 cubic feet. Not a single case of
cholera, nor even of diarrhœa, occurred among the prisoners in this
jail.
The town’s people also escaped, while in the overcrowded workhouses, 22
per cent. of the total number of the inhabitants were swept away.
In the village of East Farleigh, near Maidstone, 1000 persons were
assembled for hop-picking. They were lodged in sheds, and had about
eighty cubic feet for breathing space: in a few days diarrhœa became
universal among them: ninety-seven were attacked with cholera, and
forty-six died. In the same village, at the same time, under another
employer who had provided proper accommodation for his labourers, there
was a complete immunity from the epidemic.
I could add cases of the like kind without number. I could show that
animals are affected by this cause of disease no less than men; that
horses overcrowded in stables die of glanders; dogs in overcrowded
kennels die of distemper; sheep overcrowded in ships, even during a
short passage from one country to another, die in great numbers of
febrile diseases:[5] results which prove the operation of a general law
of nature. I could adduce equally decisive examples of the action of
each of the principal external predisposing causes just enumerated.
Public-domain text, read in full here on John Shaqi.
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