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
Hence the signal failure of quarantine as a means of prevention, with
reference at least to the most prevalent epidemics, in all the nations
of Europe in which it has been tried in modern times; and hence the
general relaxation, and in some instances the total abandonment, of the
system of quarantine, with reference to several diseases against which
it was formerly rigidly enforced, and the growing distrust in the
supposition that measures of this kind really afford protection against
the introduction of any epidemic disease into any country.
The influence of great epidemics is not limited to human beings; it
extends to all classes of domestic animals.
It is stated by Dr Thomas Lesslie Gregson, who was at Alexandria during
the prevalence of the great plague of 1836, on duty there as
surgeon-in-chief to the Naval, Military, and Civil Hospital, that cattle
were attacked with decided symptoms of plague some time before the
disease broke out among the human species. “Before the disease broke
out,” he says, “a number of the Pacha’s oxen were seized with a malady,
of which above one hundred died in a few days. I was sent to investigate
and report on this epidemic. On examination I found gastroenterite in
the most intense degree; so much so, that I have found extensive
gangrene in oxen that have only been observed ill twelve hours. They had
also large buboes. This I reported plague, and caused them to be
interred deeply.”
Quarantine is based on the assumption that epidemic diseases depend upon
a specific contagion; but the question of contagion has no necessary
connection with that of quarantine. The real question is whether
quarantine can prevent the extension of epidemic diseases, whatever may
be their nature, whether contagious or not. If it can, it is valuable
beyond price; if it cannot, it is a barbarous encumbrance, interrupting
commerce, obstructing international intercourse, periling life, and
wasting, and worse than wasting, large sums of the public money.
But if the power of protecting the country from the introduction and
spread of disease, whether contagious or otherwise, claimed by
quarantine, be really possessed by it, this must be proved by other
considerations than those which establish the contagiousness of disease;
it is a mere matter of evidence and experience, and consequently the
disputed point of contagion should be placed entirely out of view in
this discussion, and the whole question should be argued on the broad
ground whether or not quarantine is a public security, or is capable of
affording practically any useful result.
Public-domain text, read in full here on John Shaqi.
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