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
Happily, we are not so constituted, and the evidence that has been
adduced of the narrowness of the sphere even of the most virulent
contagion, shows the groundlessness of the alarm sometimes entertained
respecting this dreaded agent, while it points to the certain means of
destroying it. The London Fever Hospital is separated from the Small-Pox
Hospital only by the space of between thirty and forty feet, and the
windows of the wards of both establishments are immediately opposite
each other: yet there is no instance of the communication of small-pox
to the typhus patients, nor of typhus to the small-pox patients; nor of
either disease to the convalescent, or to the official inmates of the
adjoining establishment. There does not appear to be a single instance
on record, in any country, of the extension of infection beyond the
walls of an hospital, or even of a lazar-house, so as to injure in any
manner the nearest inhabitants.
But though it appears that modern experience and research have shed
considerable light on the origin and progress of epidemic diseases, yet
there are still some circumstances connected with their propagation
which the present state of our knowledge does not enable us to
understand, and which therefore appear to us as difficulties.
These cases are sometimes termed exceptional; but they are only
apparent, not real, exceptions; as in all other departments of human
research, they are merely indications of the imperfection of our
knowledge, and advancing science will unquestionably one day so
elucidate these very exceptions, as to render them additional
confirmations of the true conditions.
In the present state of popular opinion it has been deemed requisite to
enter into this detailed consideration of the general subject of
contagion, because it appears that in proportion as undue weight is
attached to this dreaded agent the effect is mischievous; since, “it
diverts attention from the true source of danger, and the real means of
protection, and fixes it on those which are imaginary; creates panic;
leads to the neglect and abandonment of the sick; occasions great
expense for what is worse than useless; and withdraws attention from
that brief but important interval between the commencement and the
development of disease, during which remedial measures are most
effective in its cure.”
It is also necessary to examine the questions of contagion and
quarantine apart from each other, because there are points of obscurity,
and therefore grounds for controversy, which, in the present state of
our knowledge, may be reasonably considered as belonging to the former,
that do not attach to the latter. The inquiry with reference to
quarantine, indeed, is simple, and lies in a narrow compass. The sole
question to be determined is, whether or not it accomplishes, or is
capable of accomplishing, its professed object, and this is a mere
question of evidence and experience.
Public-domain text, read in full here on John Shaqi.
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