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
If the great practical truth, taught by modern investigation and
experience, be, that the only real security against any kind and degree
of epidemic disease is an abundant and constant supply of pure air, the
prevention of overcrowding, and the dispersion of the sick; and if, as
is generally agreed, confinement in a foul atmosphere can convert common
fever into pestilence, and ventilation and dispersion can dissipate any
contagion, then quarantine must be not only useless but pernicious,
since the invariable effect of quarantine as hitherto practised in all
countries has been the congregation and confinement of the sick, and of
those who, though not actually sick, are suspected to have in them the
seeds of disease, requiring only a few days or hours for their
development,—the congregation and confinement of such persons in a
limited space, often in a filthy ship and an unhealthy locality, and
always under circumstances calculated to excite apprehension and
alarm—conditions in the highest degree favourable to the generation and
spread of disease: it follows that quarantine, instead of guarding
against and preventing disease, fosters and concentrates it, and places
it under conditions the most favourable that can be devised for its
general extension; and therefore must not only fail to accomplish its
object, but tend to produce the very calamity which it endeavours to
prevent.
* * * * *
The principal ground on which objection is made to the continuance of
quarantine is that the fundamental principle on which it is based is
fallacious, and that the only means of preventing the origin and spread
of epidemic disease is the adoption of sanitary measures. Substitution
of sanitary measures for quarantine restrictions would render the
importation of any disease from one country into another in the highest
degree improbable.
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