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 case of the “Eclair,” and the history of the Epidemic Fever which
occurred at Boa Vista in 1845, have been declared by high medical
authority to afford “conclusive evidence that Yellow Fever is sometimes
imported.” It will therefore be necessary to make a careful examination
of the circumstances relative to this Epidemic.
It has been affirmed, and generally credited, that unusual effort has
been made to ascertain the facts of this case under circumstances more
than commonly favourable to the discovery of the truth. Two official
Reports respecting it, drawn up after personal inspection on the spot,
have indeed been presented to Parliament—one by Dr McWilliam, and the
other by Dr King; and several official notices of these reports have
been published; but the evidence on which these two Reports were founded
was not collected until some time after the cessation of the epidemic.
The statements of witnesses, for the most part poor and ignorant, many
of whom had a direct interest in establishing the importation of the
disease by a British ship, have been admitted implicitly, even with
respect to dates and circumstances not of recent occurrence, and without
due examination of the credibility of their testimony; and on all
material points the reporters have arrived at directly opposite
conclusions.
On a review and comparison of the whole of the statements which have
been made with respect to this case, it appears that the steam-ship
“Eclair,” with a crew of 140 officers and men, proceeded in 1844 to the
coast of Africa, and was stationed for upwards of four months (130 days)
at the island of Sherboro, with a view to blockade the eastern outlet of
the passage at Shebar. This place is considered one of the most
unhealthy on the African coast; vessels remaining near the island very
rarely escaping an outbreak of Yellow Fever on board. The land is
represented as low lying, some parts being marshy, and the rest thickly
wooded, and abounding in rank vegetation.
According to the account of the surgeon of the “Eclair,” Mr Maconchy,
the ship on this occasion was anchored at the mouth of the river, in
position where she “was surrounded with filthy-looking river water,
urged backwards and forwards by the tides through extensive tracts of
mangrove bushes.” The fresh water used on board was also bad, holding in
solution a quantity of offensive vegetable matter, which produced in
some of the crew attacks like mild cholera. The men, in parties of from
30 to 40, were often sent up the river on boating expeditions, where
they remained for seven or eight days at a time exposed, “whether they
slept on board or ashore, perhaps after a hard day’s labour, to all the
exciting causes of fever, and a tainted nocturnal atmosphere, in the
rainy season, heavy weather having set in, and the men constantly
getting as wet as possible.”
The danger of this boating service is thus stated by Dr King:—
Public-domain text, read in full here on John Shaqi.
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