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 ‘Rosamond,’ formerly the ‘Eclair,’ was commissioned at Woolwich on
the 5th of November, 1846, for the Cape of Good Hope station, but none
of the former crew rejoined the ship. During the time of fitting out,
four cases of typhus fever occurred, and were sent to the hospital,
where two of them died, but it is necessary to mention that typhus was
prevalent at Woolwich at the time. The steamer left England for the Cape
on the 23rd of February, 1847. Three days after sailing, one of the men
was affected with slight febrile symptoms, and he continued more or less
indisposed for a number of days, but occasionally felt so well that he
returned to his work. After the ship entered the tropics, however, the
disease began to assume a new and alarming character; and when off the
Island of St Nicholas, and almost in sight of Boa Vista, the man died,
having had for two days previous black vomit and other characteristic
symptoms of Yellow Fever. Within a few days afterwards the ‘Rosamond’
arrived at Ascension, where I was then stationed; and Commander Foot
having communicated to Captain Hutton, the superintendent of the island,
every particular respecting the illness and death of the seaman, I was
ordered, with Dr Sloane, the surgeon of the hospital, to make a report
on the case, and at the same time to suggest measures for the benefit of
the ship without endangering the health of the people on the island.
Having obtained from Dr Slight, surgeon of the ‘Rosamond,’ every
information relative to his late patient, we stated our opinion that the
disease the man died from was sporadic Yellow Fever. * * * On the
following morning I went on board with the view of learning something to
enable me to form an opinion as to the sanitary condition of the ship,
and for the purpose also of inspecting the sick, as the surgeon informed
me he had then a suspicious case, with symptoms of a low kind of fever.
I had barely time to take a cursory view of the after parts of the ship,
when my attention was called to the patients, who were all mustered in
the steerage, and I found the man the doctor had alluded to in such a
precarious state that I recommended him to be sent on shore immediately.
The only other severe case was that of a supernumary lad, who was taken
ill the same morning, but the indications of a low malignant fever were
so apparent even at that early stage, as to induce me to express my
opinion to the surgeon that he would not probably survive 24 hours. As
it was most desirable to prevent a panic among the ship’s company, I
went on shore to consult with Captain Hutton, and make arrangements for
their reception. * * * The patients themselves attributed their illness
to foul air in the forepart of the ship; one of them said he suffered so
much from an abominable stench in the boatswain’s storeroom, that he
represented the circumstance and obtained permission to cut a hole in
the floor, which exposed to view a considerable quantity of soft mud,
Public-domain text, read in full here on John Shaqi.
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