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
“I beg to lay before their Lordships,” he says, “an extract of a letter
from the Governor-General of the Cape de Verd Islands, and likewise
extracts of letters from Mr Macaulay and the British Consul, residents
on the island of Boa Vista, distinctly showing the very remarkable state
of the weather preceding the attack of the inhabitants of the island,
which very important circumstance in a case of this kind I regret to
observe Dr M‘William has omitted to take any particular notice of.”
The event foreshadowed by these occurrences rapidly followed. As early
as the middle of September a few cases of unusually malignant fever
broke out, but, as has been already stated, the first case that
attracted public attention occurred on the 12th of October; a few others
followed during the remainder of this month; a still greater number
broke out in the beginning of November, and the epidemic came to its
height in the latter half of November, continuing to prevail throughout
December, and recurring for several months in the following year.
As in epidemic outbreaks in general, so in this instance, individual or
sporadic cases occurred some time before the appearance of the epidemic
in its true and proper form. On minute inquiry, it was discovered that
one if not two cases occurred as early as the 14th of September (Pathi),
another on the 20th of September (Roque), and a third on the 21st of
September (Agostinho): no other cases, at least none that attracted
attention, appeared to have occurred until the one already mentioned
(Gallinha), on the 12th of October. These sporadic cases all occurred in
the ordinary localities of epidemic disease, and among individuals
belonging to the classes that usually furnish its first and chief
victims.
At Boa Vista, in addition to other proofs of the presence of a stagnant
and pestilential atmosphere, there was the evidence derived from the
prevalence of unusual sickness and mortality among domestic animals.
“That the common air,” says Dr King, “which was inhaled by every living
thing on the island was in an epidemic condition in the months of
October, November, and December of both years, is sufficiently
demonstrated by the simultaneous occurrence of universal sickness and
great mortality among the cattle (including horses, cows, mules,
donkeys, and goats) at the very time that fever was raging among the
inhabitants. And, further, there was this remarkable coincidence, that
after an interval of some months and the disappearance of the disease
both in man and beast, the same fever broke out again in the towns and
villages about the rainy season of the following year, and was again
accompanied by the same murrain among the cattle, which in the two
seasons proved fatal to two-thirds of the whole stock of the island.”
Public-domain text, read in full here on John Shaqi.
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