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
5. A further character of great Epidemics, partly arising from the last,
is this:—they are actually present and in operation some time before
they assume their distinct and proper form. Sometimes, indeed, the very
first cases are most intense and characteristic, but at others they are
scarcely to be distinguished from the severer attacks of ordinary
disease of a like nature. Hence doubt is sometimes reasonably
entertained of their true character. When at length increasing numbers
leave no doubt of the actual presence of the dreaded malady, the first
announcement of it is always received with incredulity and sometimes
with resentment; and so it is that Epidemics always take a country by
surprise—burst suddenly on an unprepared people, who wilfully shut their
eyes against the plainest evidence, as if they would avert the event by
denying its existence.
6. Again, Epidemics resemble each other in the uniformity of their
course. They present, with great regularity, periods of comparative
quiescence and activity—periods of well-marked increase, culmination,
and decrease.
7. They further resemble each other in the manner of their migration.
They advance by leaps. On breaking out in a locality they soon come to
their height, decline, and disappear. Then they attack another locality;
here they pass through precisely the same process as before, and proceed
to a third, fourth, or fifth district, and so on. Sometimes indeed they
localize themselves on the same spot for a considerable period, and then
several places may be simultaneously affected; but for the most part a
large city may be regarded as a cluster of towns, through the several
districts of which epidemics advance as if they were proceeding from one
town or village to another. Hence the duration of an epidemic in a place
is generally proportionate to its size. The several localities attacked
being visited in succession, a space of time is required to spread
through the whole of them proportionate to the magnitude of the town.
8. Epidemics resemble each other in the periodicity of their return.
On its first visitation (1485) the Sweating Sickness spread over the
whole of England in the course of one year, when it disappeared.
After an interval of twenty years it broke out a second time quite
suddenly (1505); revisited nearly all the seats of its former ravages,
and again disappeared at the end of six months.
On its third visitation (1517), after an interval of eleven years, it
again finished its course within six months.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account