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
“By the time Anna Gallinha was taken ill,” says Dr M‘William, “much rain
had fallen; the weather had become more hot, and, in short, there now
(but not before this) existed the recognized elements for malarious
evolution.”
“In that part of the town called Beira, or Pao de Varella,” reports Dr
King, “where Anna Gallinha and the soldiers resided, the houses are of
the lowest description, and the people who occupy them are generally
very poor and destitute; there is a large pool of stagnant salt and
fresh water immediately behind; but to windward of this part of the
town, and still nearer to the houses, there is a locality which is
resorted to by many of the people when obeying the calls of nature; and
the exhalations from the one, and the effluvia from the other, are blown
by the north winds in the direction of Beira.”
A similar description of this locality is given by Dr M‘William,—
“In the upper portion of the town,” he says, “which is called Pao de
Varella, the houses are in general mere hovels, rudely built, and much
crowded together, and with few exceptions dirty. They are occupied by
the lowest classes. From the total absence of any police laws the
streets here are also very filthy.”
Here then were present in full force, as is admitted, the ordinary
localizing causes of fever; to which it is more consistent to refer this
case, than to an extraordinary and foreign cause.
But at this point the presumed chain of evidence stops; the chain is
suddenly snapped; there is no further link traceable; there is nothing
really connecting the illness of Gallinha with the next cases, or with
the general spread of the disease which rapidly followed, and we need
hardly state, that in order to prove the spread of a pestilence by
contagion, communication, either direct or indirect, must be proved to
have existed between all the persons attacked.[34]
Footnote 34:
The widow of the next victim (Affonso) denied his having had
communication with Gallinha; and Dr Almeida “found about 20 people
sick” in Porto Sal Rey only three or four days after Gallinha’s death.
It is evidently more rational to ascribe these numerous attacks to
epidemic influence, which it is admitted was now present, than to
contact with this woman, for the fact of which there is in truth not a
shadow of evidence.
For the only other case of fever that is stated to have occurred shortly
after the sailing of the “Eclair,” namely, that of the labourer (Pathi)
who had been employed on board the ship, will scarcely be considered as
affording an additional link; since admitting that this man contracted
his fever while employed on board the “Eclair,” his case would be merely
one of infection from going on board a foul ship, a generally recognized
cause of fever:—
Public-domain text, read in full here on John Shaqi.
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