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
“At that time,” says the medical officer of the city, “I felt assured
that the poison which produced cholera pervaded the city; that it was
brooding over us; that we were already under its influence, and I
anticipated momentarily an outbreak of the epidemic. In about two weeks,
however, from the commencement of this diarrhœa, and the prevalence of
the uneasy sensation which accompanied it, these symptoms began to
subside, and in a short time they wholly disappeared. Simultaneously
with their disappearance, cholera broke out at Richmond, and other towns
south of Baltimore. I then felt assured that the fuel necessary to
co-operate with this poison did not exist in our city: that the cloud
had passed over us and left us unharmed.”
No case of cholera was reported to the Board of Health or other
authorities of the town as having occurred during this time; but on
close examination, it was ascertained that four deaths had taken place
from the disease in its most virulent form.
That the cholera poison had really pervaded the city, was appallingly
evinced by an event which occurred in its immediate vicinity.
The Baltimore almshouse is situated about two miles from the city, on
sloping ground, remarkable for its beauty and salubrity, in immediate
contiguity with the country-seats of several of the wealthy families of
the town. It is surrounded by a farm of upwards of 200 acres, belonging
to the establishment, for the most part under cultivation. The building
is capable of accommodating between 600 and 700 inmates. An enclosure of
about five acres, surrounded by a wall, adjoins the main building upon
its north side. In the rear of this north wall is a ravine, which at one
point approaches the wall to within about nine feet. This ravine is the
outlet for all the filth of the establishment. It is dry in summer, but
retentive of wet after rain. The space between the wall and the bed of
the ravine is not under tillage, but is overgrown with a rank, weedy
vegetation, common in rich waste soils. The physician of the
establishment, under the same apprehension of an outbreak of cholera as
had prevailed in Baltimore, had taken the same precautions against the
disease, and had placed the establishment itself in a state of
scrupulous cleanliness.
On the first of July cholera attacked one of the inmates. On the seventh
a second attack occurred. This was followed in rapid succession by other
seizures, and within the space of one month 99 inmates of the
establishment had perished by cholera.
Public-domain text, read in full here on John Shaqi.
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