The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
Thirdly, siftings from the straw and mattresses which had been
thoroughly disinfected failed to produce the rash.
And fourthly, careful inspection of the siftings of the straw disclosed
living parasites, small mites, which when applied to the skin quickly
produced the characteristic eruption.
SANITATION
WHEN the thoughtful historian gets far enough away from the nineteenth
century to see it as a whole, no single feature will stand out with
greater distinctness than the fulfilment of the prophecy of Descartes
that we could be freed from an infinity of maladies both of body and
mind if we had sufficient knowledge of their causes and of all the
remedies with which nature has provided us. Sanitation takes its place
among the great modern revolutions--political, social and intellectual.
Great Britain deserves the credit for the first practical recognition of
the maxim salus populi suprema lex. In the middle and latter part of
the century a remarkable group of men, Southwood Smith, Chadwick, Budd,
Murchison, Simon, Acland, Buchanan, J.W. Russell and Benjamin Ward
Richardson, put practical sanitation on a scientific basis. Even
before the full demonstration of the germ theory, they had grasped the
conception that the battle had to be fought against a living contagion
which found in poverty, filth and wretched homes the conditions for its
existence. One terrible disease was practically wiped out in twenty-five
years of hard work. It is difficult to realize that within the memory of
men now living, typhus fever was one of the great scourges of our large
cities, and broke out in terrible epidemics--the most fatal of all to
the medical profession. In the severe epidemic in Ireland in the forties
of the last century, one fifth of all the doctors in the island died
of typhus. A better idea of the new crusade, made possible by new
knowledge, is to be had from a consideration of certain diseases against
which the fight is in active progress.
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