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
In opposition to this generally-received opinion, however, Sir William
Pym promulgated a statement that, in addition to the common African
fever, the celebrated _nova pestis_ of Dr Chisholm had been introduced
into the vessel by a passenger taken on board at Sierra Leone; this
disease being, as he represents, a fever _sui generis_, known by the
name of the African, Bulam, Yellow, or Black Vomit Fever, attacking the
human frame but once, and differing from the common remittent fever in
being highly contagious.
That the doctrine on which Sir William Pym’s assertion rests met with
little countenance from medical authorities is apparent from the
statement of Sir William Burnett, who says:—
“The whole of this, as regards the peculiar properties of the disease,
called by Sir William Pym, Bulam, &c., is a gratuitous assumption on his
part, and, in my opinion, has no foundation in fact; and in my view of
this part of the subject I am supported by nineteen-twentieths of the
medical officers of both services, who are of opinion with myself that
the more ardent form of Yellow Fever is a mere modification of the
bilious remittent so extensively known all over the tropical regions.”
He adds: “The fever which prevailed in the ‘Eclair’ was unquestionably a
remittent fever, originating in marsh miasmata, and the exposure of the
men in boats during rainy weather.”
Dr King and Dr Stewart, in official Reports upon this case, state their
concurrence with Sir William Burnett. Dr McWilliam, on the other hand,
is of opinion that the disease, though primarily an endemic remittent of
the African coast, became, from a series of causes, exalted into a
concentrated remittent or Yellow Fever, and in that manner acquired new
and peculiar properties, not primarily and essentially belonging to it.
With reference to this latter opinion, it may be observed that the
Governor-General of the Cape de Verd Islands affirms, that not one of
those who with a view to escape the pestilence emigrated to the
different islands of the Archipelago, had the disease, or communicated
it to others. According to the view of Dr McWilliam, therefore, this
disease must have been of a very singular character, for in its origin
at Shebar, it was not contagious, at Boa Vista it became contagious,
while in the other islands of the Archipelago, wherever the sick or the
uninfected fled, it again laid aside its contagious character, and did
not spread to a single individual.
All the inquirers and reporters agree in stating that among the causes
which concurred in communicating to this disease so extraordinary a
degree of prevalence and mortality, the more important were the
following:—
The employment of the crew uninterruptedly for an unusual length of
time, including the sickly season, in a peculiarly unhealthy situation,
and dangerous local duty.
Public-domain text, read in full here on John Shaqi.
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