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
One remarkable peculiarity of some of these epidemics is, that natives
of the region in which they prevail are for the most part unsusceptible
to them. This is true however only of particular forms of pestilence.
Some of them acknowledge no acclimation. Cholera, for example, attacks
equally natives and new comers. On the other hand, yellow fever rarely
attacks the natives who reside permanently within its zone. Its chief
victims are strangers who have recently arrived within its sphere,
particularly the inhabitants of northern climates. The susceptibility to
its influence appears to be strictly proportionate to the degree of
northern latitude from which the stranger has arrived, and the shortness
of the interval that has passed since he left the European for the
Equatorial regions.
We see something of the same kind in the wide-spread epidemics of our
own country. During the prevalence of Cholera it was observed over and
over again, that persons coming directly from the pure air of the
country into the infected part of a town, were seized with the disease.
The explanation is not obvious. It would seem, however, to be connected
with the suddenness of the shock on the system. Priestley found, that
after shutting up a mouse in a given quantity of air a considerable
time, it seemed to be weak, and to be slowly dying. If at this period he
put a fresh mouse into the same air, it instantly died. It seems as if
the system can bear a pestiferous atmosphere better when gradually than
when suddenly exposed to it.
I do not know that I can give a more vivid picture of a tropical
epidemic than that which is afforded by the outbreak of Cholera in the
86th regiment at Kurrachee in June, 1846.
On this occasion the atmosphere was very peculiar,—damp, hot, stagnant,
and oppressive. Not a breath of air was stirring. A few isolated cases
of cholera had occurred for some days. The utmost alarm was excited in
the minds of experienced persons, who felt certain that an epidemic was
at hand. Their fears were too fully realized. On the night of the 15th,
upwards of 40 men were seized with cholera in its severest form; in two
days more 256 were attacked, of whom 131 were already dead.
“The floors of the hospital,” says Dr Thom, the surgeon of the regiment,
“were literally strewed with the livid bodies of men labouring under the
pangs of premature dissolution. Many were brought in with the cold and
clammy damp of death; as if sudden obstruction of every vital function
had taken place, and the fountains of life had been arrested by an
invisible but instantaneous shock. It was indeed a sight never to be
forgotten, to behold the powerful frames of the finest men of a fine
corps, who had that morning been in apparent good health, and most of
them on the evening parade, as if at once stricken down, and striving,
with the last efforts of gigantic strength, to resist a death-call that
would not be refused.”
Public-domain text, read in full here on John Shaqi.
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