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 like delusion as to the _importation_ of disease is created by the
appearance of fever amongst the migrants at sea. It is important that
the universal effects of overcrowding, filth, and atmospheric impurity
should be known and discriminated in all cases. It will be seen that
they produce their effects at sea as well as elsewhere. It appears to be
most important also to display the facts as to the common existence of
the conditions of fever in ships themselves as at present regulated; and
that, if properly regulated, instead of being fever-nests or “the means
of importation” of the disease, a voyage in the open sea would become a
sure means of arresting any such disease. Epidemic disease is often more
severe in ships when stationary in port than when sailing, and with them
the passage in fair weather when overcrowding is avoided is a means of
mitigation.
The sanitary regulation of the ships themselves—a measure of the utmost
importance to the seafaring classes of the community—would accomplish
far more than could be hoped for or pretended to be accomplished by any
known system of quarantine, and would have, moreover, a beneficial
effect upon popular opinion by removing the fallacious appearances which
favour the belief in imported disease, while they divert attention from
the true causes of disease, the removable and preventible causes that
exist on the spot.
The basis of sanitary legislation is the evidence that has been
accumulated in relation to the whole of the epidemic, endemic, and
contagious diseases, and the latest opinions of medical authorities with
reference to them. It having been shown by indubitable evidence that the
prevalence and mortality of typhus, scarlatina, cholera, and every other
epidemic disease, are uniformly in proportion to the low sanitary
condition of the population, the Legislature has decided on attempting
to check the prevalence of these diseases by laying the foundation of
sanitary improvement.[29] It appears that the measures adopted by the
Legislature with this view should be consistently carried out and
applied to the dwellings of all classes of the population whether on
land or at sea. In the larger vessels in which well-directed care has
been exercised, the general ill-health has been reduced below the
average ill-health of populations of the like ages on shore; but from
the evidence which has been brought from witnesses at the ports, medical
men well acquainted from long practice in the mercantile marine, it
appears that the _general_ condition of merchant-vessels, and of the
forecastle in which common seamen are, for the most part, lodged,
renders them in effect cellar-dwellings, just as dark, foul, and
unventilated, as the filthy, unaired, and dismal cellars on shore with
which the Legislature has endeavoured to deal. It appears also that
typhus and other epidemic diseases do break out at sea in these movable
cellars, just as they do in the cellars of the dirtiest courts on shore;
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account