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
“Whenever,” says Dr Stewart, “fever has prevailed much in ships on the
West India and African stations, strangers going on board of those ships
have been particularly liable to its attack; but on sending fever cases
from those ships to the hospitals and private houses on shore, it has
not been found that the disease extended from them.”
But as in the locality of the dwelling of Gallinha, so in the district
in which this man lived, there were local causes abundantly sufficient
to account for the endemic origin of his disease. He resided in Rabil,
one of the hamlets in the neighbourhood of Moradinha, at some distance
from Porto Sal Rey. Of this locality Dr King says:—
“If there is one spot more than another in the whole island where, from
its physical peculiarities, endemic fever might be expected to begin
first, and end last, that locality is Moradinha, and the villages in its
vicinity, in one of which Pathi resided.”
It may be observed further, that whatever may have been the cause of
this man’s fever, it is admitted, that for three weeks at least it was
communicated to no one else in the house at Moradinha, where he was
attacked, and remained for eight days, and not to any one else in that
neighbourhood for 11 weeks; that his illness was extremely slight, and
that on his return to his own house no disease broke out for some time
in his family. According to Dr M‘William, the first member of his family
that was attacked was one of his children, who was taken ill “on the
tenth or eleventh day” after his return, the illness of this child being
gradually followed by that of two other children. But Dr King affirms
that these children were not taken ill until “about a month” after their
father’s return, and that it was not until the succeeding month (the
middle of November) that his wife was seized, “when the disease was
general throughout the island.” It is also particularly to be observed,
that a child in another family at Rabil, having no communication with
the family of Pathi, died about the same time as Pathi’s first child,
and that the disease broke out at least as early at Rabil as at Porto
Sal Rey.
Lastly, it may be urged in opposition to the opinion that the contagion
was communicated by the crew of the “Eclair,” that the small island on
which the sick were landed and to which they were confined was a mile
distant from the town of Porto Sal Rey, and that on reference to the map
attached to Dr M‘William’s report, it is obvious that the North-east
trade wind must (according to the theory of Sir William Pym, as applied
to the Neutral Ground at Gibraltar in 1828) have dispersed the contagion
if in existence, or carried it in a contrary direction from Porto Sal
Rey.
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Public-domain text, read in full here on John Shaqi.
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