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 exposure of men, whose systems were impregnated with the seeds of
disease imbibed in this unhealthy locality, to the risks of unrestricted
liberty on shore, in the atmosphere of Sierra Leone, during the rainy
season; one consequence of which freedom being their “inordinate
indulgence in ardent spirits of the worst description.”
And subsequently, at Boa Vista, the confinement of the crew, the sick as
well as the uninfected, in a place still more crowded, filthy, and
unventilated than their quarters on board, instead of their dispersion
in a pure atmosphere.
Some conception may be formed of the unfavourable circumstances under
which the crew were placed at the Fort, from the account which, on
personal inspection, Dr King gives of its sanitary condition, who states
that from the absence of all means of cleansing, from the actual
accumulation of filth, and from the impossibility under any
circumstances of obtaining a free circulation of pure air, owing to the
plan of the building, the atmosphere which the sick, the convalescent,
and the healthy were compelled to breathe, day and night, must have been
polluted and deleterious in the extreme; and that into a space incapable
of affording sufficient accommodation for 50 men, upwards of 100,
including the sick, were huddled together under a most oppressive heat,
the thermometer ranging from 81° to 86°. This description is confirmed
by the testimony of Dr Almeida, who states that having been requested by
the Governor-General to go to the Fort and see the sick, “he found them
so extremely crowded that he could hardly pass between them.”
The influence of such conditions in conducing to the virulence and
spread of the disease has been already exemplified in what has been
stated under the head “Localizing Causes;” but it must be added, that
the crew had here also access to ardent spirits, in which both the sick
and the uninfected indulged to still greater excess even than at Sierra
Leone.
“It is with great regret,” says Sir William Burnett, “I have now to
state on the best information, that while in this situation means were
found to supply the sick as well as others with enormous quantities of
ardent spirits, which were drunk with avidity and produced the most
deleterious effects; indeed, I have reason to believe that some were
absolutely killed by it as if by poison. Had there not been a fever
already in existence, the intense heat (86° of Fahrenheit), the nature
of the soil, and this dreadful intoxication together, would have been
fully sufficient to have produced it, and one of the worst kind too, in
which irritability of the stomach and dark-coloured vomiting would have
been conspicuous symptoms.”
Public-domain text, read in full here on John Shaqi.
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