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
Take the first case forming what is represented as the first link in
this presumed chain, the seizure with fever of the two guards at the
Fort. Two European soldiers lately arrived in the colony, and therefore
peculiarly predisposed to an attack of endemic fever, go from Boa Vista,
which at that time was healthy, to a confined, unventilated,
overcrowded, and filthy spot on another island, where fever was raging
to such a degree that within the space of three weeks there had occurred
no less than 60 attacks and 33 deaths, in a crew consisting on the
arrival of the ship of 117 officers and men. There is in this no
evidence of the propagation of disease by a specific contagion; on the
contrary, it is the ordinary production of disease by its ordinary
cause, namely, exposure to a polluted atmosphere, the pollution being,
in this instance, excessive from overcrowding; from accumulation of
filth; from foul and offensive privies; from the impossibility of the
admission of fresh air, owing to the construction of the building, and
from the intense and oppressive heat, the thermometer ranging from 81°
to 86° of Fahrenheit. The seizure of two men with fever under such
circumstances is precisely analogous to the attack of persons,
previously healthy, with typhus, who take up their abode in the crowded
and filthy courts and alleys of English towns.
Take the next link in the chain, the attack of the negro soldier. The
circumstances respecting this man, being precisely the same as those
relating to the two other guards, the same answer would have sufficed
for both, but according to the testimony of the man himself, his illness
was very slight, and his companion who was sent to lodge with him at the
hut in Porto Sal Rey, had no illness at all during the whole time of
their seclusion.
The third link in the chain is the presumed fact, that a woman (Anna
Gallinha), who lived next door to the hut in which these two men had
been confined, was seized with fever soon after they had left it, and
that she was the first person attacked, at least whose illness attracted
public attention, in the town of Porto Sal Rey. Dr King states, that on
a personal examination of the soldier who had experienced the slight
attack of fever, he said that during the seventeen days that he and his
companion were confined to the hut, “they had no communication with any
one.” Dr M‘William, on the other hand, affirms that Gallinha was a
frequent visitor at the hut, and, indeed, cooked for the men. Supposing
Dr M‘William’s account to be the correct one, it is surely more
reasonable to attribute the attack of Gallinha to the local causes to
which she was exposed, and which Dr M‘William admits were sufficient to
account for her illness, than to contagion derived from a man whose
illness was so slight that it had not confined him to his bed for a
single day, and which was incapable of infecting his companion who was
constantly with him night and day.
Public-domain text, read in full here on John Shaqi.
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