Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.Wilson, John (Inspector of Naval Hospitals)
History
Treatment of Cholera in the Royal Hospital, Haslar: during the months of July and August, 1849, with remarks on the name and origin of the disease.
Wilson, John (Inspector of Naval Hospitals)
Cholera
A similar case occurred in the Rattlesnake, while employed in the West
Indies, in 1826, with this difference, that it happened in a healthy ship
to a healthy man. With incessant rice water vomiting and purging, rapid
failure of circulatory power, lividity of surface, cold sweats, cold
breath and tongue, the subject sunk in eighteen hours. No other case
occurred in the ship, nor was another heard of on the station.
Whatever difficulty there may be in accounting for the occurrence of
those cases of cholera, it can scarcely be imagined that they arose from
human contagion. It is certain that the disease was not propagated by
them.
In the year 1832, the north of Ayrshire generally suffered severely from
cholera, while the south part of the county entirely escaped. The
disease was excessively fatal in the county town—Ayr—situate about a mile
north of the river Doon. It approached close to the north bank of the
stream, but did not cross it. From that river to the river Stinchar, a
distance of about 30 miles south, no case but one was known to exist; and
that one occurred in a letter carrier who had been in Ayr, when, or
immediately before he was attacked. He returned to his residence in
Girvan, where he soon died with unequivocal symptoms of the disease which
was raging in the town from which he came, but had not till then appeared
in the town to which he returned. Yet with him the disease not only
began, but terminated in Girvan—a poor place, in which the inhabitants
are not remarkable for cleanly or orderly habits. Here then was a
district extending 30 miles in one direction, by about 20 in the other,
bounded on the north by the river Doon, on the west by the sea, on the
south by the river Stinchar, and on the east by a chain of hills, where
there was but one case of cholera, and that one carried into it, from a
deeply affected place 20 miles distant. {17}
How was its immunity to be accounted for, if the disease which was
destroying so many in Ayr was endowed with a contagious property? The
intercourse was uninterrupted, and the district in question populous,
containing many villages and considerable towns, including Girvan, with a
population of about 5,000, mostly hand-loom weavers, a great majority of
whom lived in crowded, ill-ventilated, ill-kept rooms. Cholera was
carried there: the place and persons seemed especially fitted to foster
and extend a contagious disease; yet the disease made no way there.
These instances, and hundreds of similar import which might be cited,
seem to show that cholera is not primarily and necessarily a
self-propagating disease. The question, as to whether, when, and how it
has contagious power grafted on it, is one of more difficult solution, in
which it is not meant now to enter; but reference may be made briefly to
some circumstances which have been alleged in proof of the contagious
property of cholera—of power possessed by it, either originally belonging
to, or engendered by it.
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