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 so-called Black Death of the 14th century was a fever—an aggravated
form of the Oriental or Bubo-Plague; in which there occurred, in
addition to the ordinary symptoms of that dreadful disease, effusions of
black blood, forming black spots on the arms, face, and chest. From this
circumstance it derived its name. These effusions on the external
surface of the body were accompanied by profuse and mortal discharges
from the internal organs.
The Oriental Plague, the great devastator of Europe in former times, and
still the scourge of some portions of it, is a fever characterized by
specific glandular inflammation.
The Sweating Sickness of the 15th and 16th centuries was a fever, with
symptoms of acute rheumatism, attended with a fœtid perspiration which
poured from the body in streams. “Suddenly,” says Hollingshed, “a deadly
burning sweat assailed their bodies and distempered their blood, and
all, as soon as the sweat took them, yielded the ghost.”
The Cholera of modern times is a fever, which appears in its true
character when the first stroke of the disease does not prove fatal, and
time is allowed for the full development of its successive stages.
The common Epidemics of the day—Ordinary as distinguished from
Extraordinary Epidemics—typhus, scarlet fever, small-pox, measles,—are
so universally recognized as fevers that the popular notion of fever is
derived from the external characters which these maladies present.
2. Epidemics resemble each other in the extent of their range. Ordinary
diseases attack single individuals, and if, from season or other causes,
several cases occur simultaneously, they are still isolated and
scattered. They never prevail at the same time among several members of
a family, or among the inhabitants generally of a court, street, or
town. Epidemics, on the contrary, derive their name from their attacking
large numbers at once.
The great Epidemics of all ages have been strikingly characterized by
their wide-spread course. The Black Death extended from China to
Greenland, and desolated in its course Asia, Europe, and Africa.
The Bubo-Plague of the middle ages often extended beyond its proper
seat. In the 15th century it spread seventeen times over different
European countries, and extended to the most distant northern nations.
The Sweating Sickness prevailed simultaneously or in rapid succession
over England, France, Germany, Prussia, Poland, Russia, Norway, and
Sweden. “It extended,” say the chronicles of the day, “like a violent
conflagration which spread in all directions; yet the flames did not
issue from one focus, but rose up everywhere as if self-ignited.”
The Influenza of the middle ages took a range which may be said to have
been universal. In our own day we have seen the same disease attack
almost every family, in nearly every city, town, and village; spread
within a short period over the whole of Europe, and then extend through
the vast continent of the New World.
Public-domain text, read in full here on John Shaqi.
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