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 object of quarantine is to prevent the introduction of epidemic
diseases from one country into another, and the agency which it employs
for this purpose is the isolation of the sick; the detention of, and the
placing under inspection for a given period, persons who come from an
infected country or district, though they may not be actually sick; and
the purification of articles of commerce presumed to be capable of
imbibing and conveying pestilential virus, before such articles are
landed and dispersed.
It appears that facts and observations place beyond all reasonable doubt
the utter inutility of this system.
If there be any truth in the preceding representation, that epidemic
diseases are universally and inseparably connected with an epidemic
atmosphere, the question is at once decided. Quarantine can exercise no
more control over this epidemic atmosphere than over the electricity and
temperature of the common atmosphere, and the direction and force of the
wind.
If it be true that epidemic diseases, such, for example, as influenza
and cholera, traverse the globe in determinate courses or zones, and
often spread from country to country, and through the vast populations
of their great cities, in single weeks, and even days, it must be futile
to array such a machinery as that of quarantine, that is to say, a
vessel placed at the entrance of one or two seaport towns, a line of
soldiers guarding a few miles of the frontier, of a particular country
against morbific agents, which pursue their course like the blight that
destroys the vegetation of a country in a night, and which extend their
influence over the greater part of the habitable globe.
If it be true that the epidemic influence precedes the actual outbreak
of epidemic disease—that that epidemic influence is present in a
country, creating a predisposition or susceptibility to disease before
the epidemic appears in its true and recognized form,—quarantine must be
futile, because, before it takes its precautions or erects its barriers,
such as they are, the epidemic is already in the country busy in action,
vitiating the blood of the most susceptible of the population, and
preparing the way for its general attack.
If it be true, as ancient and modern authorities are agreed, that,
without the essential preliminary of an epidemic atmosphere on the spot,
foreign contagion is inert, and that, unless both concur, no pestilence
ensues, quarantine under any circumstances must be useless; for in the
absence of an epidemic atmosphere it must be useless, because then no
disease will spread beyond the individual affected; and with the
presence of an epidemic atmosphere it must be useless, because then the
disease will spread wherever the infected atmosphere goes and finds
favouring conditions.
Public-domain text, read in full here on John Shaqi.
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