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
There has been much confusion of terms in respect to the use of the
words contagion and non-contagion. Professional men have avowed their
belief of the contagiousness of typhus, and stated that they had
experienced it in their own persons. When asked for the evidence on
which the belief was founded, they have usually related some
circumstances showing, not the contagiousness, but the infectiousness of
the disease. Contagion is a term applicable to a different set of
circumstances. According to the hypothesis of contagion, no matter how
pure the air, no matter what the condition of the fever ward, if the
physician only feels the pulse of the patient, or touches him with the
sleeve of his coat, though he may not catch the disease himself, he may
communicate it by a shake of the hand to the next friend he meets; or
that friend, without catching it himself, may give it to another; or if
the physician wash and fumigate his hand, but neglect the cuff of his
coat, he may still convey the deadly poison to every patient whose pulse
he feels during the day. If this were so, the track of a general
practitioner who attended one patient labouring under a specific
epidemic disease would be marked by the seizure of the rest of his
patients; if it were true of cholera and typhus, the members of the
General Board of Health must have fallen by these diseases, who from
morning until night received inspectors that came from places where
these epidemics were rife; and if any disease of common occurrence
really possessed such powers of communication and diffusion, it is
difficult to conceive how it is that the human race has not been long
since extinguished.[27] To assume the method of propagation by touch,
whether by the person or of infected articles, and to overlook that by
the corruption of the air, is at once to increase the real danger, from
exposure to noxious effluvia, and to divert attention from the true
means of remedy and prevention. It is not in human power to take from
any disease the property of contagion, if this property really belongs
to it; but it is in our power to guard against and prevent the effects
of any contagion, however intense; and it is equally in our power to
avoid communicating to common disease an infectious character, and
aggravating it into pestilence.
Footnote 27:
Public-domain text, read in full here on John Shaqi.
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