In the view of these facts it does appear a singular coincidence
that one man or woman should have ten, twenty, thirty, or seventy
cases of this rare disease following his or her footsteps with
the keenness of a beagle, through the streets and lanes of a
crowded city, while the scores that cross the same paths on the
same errands know it only by name. It is a series of similar
coincidences which has led us to consider the dagger, the musket,
and certain innocent-looking white powders as having some little
claim to be regarded as dangerous. It is the practical
inattention to similar coincidences which has given rise to the
unpleasant but often necessary documents called INDICTMENTS,
which has sharpened a form of the cephalotome sometimes employed
in the case of adults, and adjusted that modification of the
fillet which delivers the world of those who happen to be too
much in the way while such striking coincidences are taking
place.
I shall now mention a few instances in which the disease appears
to have been conveyed by the process of direct inoculation.
Dr. Campbell, of Edinburgh, states that in October, 1821, he
assisted at the post-mortem examination of a patient who died
with puerperal fever. He carried the pelvic viscera in his pocket
to the class-room. The same evening he attended a woman in labor
without previously changing his clothes; this patient died. The
next morning he delivered a woman with the forceps; she died
also, and of many others who were seized with the disease within
a few weeks, three shared the same fate in succession.
In June, 1823, he assisted some of his pupils at the autopsy of a
case of puerperal fever. He was unable to wash his hands with
proper care, for want of the necessary accommodations. On getting
home he found that two patients required his assistance. He went
without further ablution or changing his clothes; both these
patients died with puerperal fever. [Footnote: Lond. Med.
Gazette, December 10, 1831.] This same Dr. Campbell is one of Dr.
Churchill's authorities against contagion.
Mr. Roberton says that in one instance within his knowledge a
practitioner passed the catheter for a patient with puerperal
fever late in the evening; the same night he attended a lady who
had the symptoms of the disease on the second day. In another
instance a surgeon was called while in the act of inspecting the
body of a woman who had died of this fever, to attend a labor;
within forty-eight hours this patient was seized with the fever
[Footnote: Ibid. for January 1832].
Public-domain text, read in full here on John Shaqi.
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