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 and continues to be a popular impression of the
importation or the contagiousness of disease, created by the frequent
occurrence of epidemic diseases amongst itinerant classes of the
population. Seeing the occurrence of such diseases amongst those who
travel, it is an easy and apparently a natural inference that the
diseases are carried by them. Thus, the low tramps’ lodging-houses in
our towns were in the Sanitary Report shown to be throughout the country
the worst of fever-nests in each place; but they were also shown at the
same time to be the places where there was the most overcrowding and the
greatest filth. With a stationary population, with the same overcrowding
and filth, it may be confidently pronounced that the disease would be
worse. When by bad weather the tramps are detained and kept stationary,
it is worse. The tramping about from town to town and in the open
air—the movement which to superficial observation imports the disease—in
reality mitigates it. From what we have already said, it is consistent
with this general statement that tramps infected with fever in one place
may carry it with them and spread infection in another place amongst
classes of persons predisposed by the like habits and conditions, as was
exemplified in the spreading of the Pali plague. Of late times the poor
Irish emigrants are said to have imported fever into this country; they
are represented, for example, to have imported fever into Liverpool; but
the description of the places where the fever burst out, and the
overcrowding in them, displayed fever-nests sufficient to have produced
fatal results on the most robust of the stationary populations. “In one
small cellar with no window,” a gentleman, who ministered to the wants
of the poor people who had crept for shelter into damp uninhabited
houses, and who, it was stated, fell a victim to the contagious nature
of the fever, found “eighteen persons in fever, lying on wet dirty
straw. In one house he counted eighty-one, in another sixty-one, in
every stage of fever, on straw in the corners.” It would be surprising
if the poor Irish had not imported fever into the lower districts of
towns, when, as in Glasgow, they have added 10,000 annually to the
already overcrowded and wretched population of that city; just as the
miserable refugees from the infected villages of Ragpootana carried the
pestilence into the close, filthy, and already overcrowded huts of the
neighbouring villages. But the conditions in which the Irish emigrants
have arrived, and have been crowded together in the towns as well as on
shipboard, are just the conditions in which fevers arise amidst
stationary populations; and, we may confidently state, would have been
worse had the particular class of migrants been stationary.
Public-domain text, read in full here on John Shaqi.
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