Part 20

Some of these unfortunate victims of the pestilential disease seem to have had poetical inspirations, for one of two men who had fled to the country was found dead with the following inscription cut out with his knife on a wooden gate near him:

OmIsErY WE. BoTH ShaLL. DyE WoE. WoE:

and our historian, who fortunately escaped the calamity, terminates his work with the following lines:

A dreadful plague in London was In the year sixty-five, Which swept an hundred thousand souls Away; yet I alive.

Astrologers were of opinion that the plague of London arose from a conjunction of Saturn and Jupiter in Sagittarius on the tenth of October, or from a conjunction of Saturn and Mars in the same sign on the twelfth of November.[15]

Great as the mortality was during this affliction, the history of various other pestilences in foreign countries presents as melancholy a result. In Moscow, the plague introduced by the Turkish army carried off 22,000 inhabitants in a single month, and sometimes 12,000 in twenty-four hours. In Morocco, the mortality amounted to 1000 daily; in Old and New Fez, to 1500; in Terodant to 800. The total loss sustained in these cities and in the Mogadore was estimated at 124,500 souls.

The black pestilence of the fourteenth century also caused the most terrific ravages in England. It has been supposed to have borne some resemblance to the cholera, but that is not the case; it derived its name from the dark livid colour of the spots and boils that broke out upon the patient's body. Like the cholera, the fatal disease appeared to have followed a regular route in its destructive progress; but it did not, like the cholera, advance westward, although like that fearful visitation it appears to have originated in Asia.

The black pestilence descended along the Caucasus to the shores of the Mediterranean, and instead of entering Europe through Russia, first spread over the south, and after devastating the rest of Europe penetrated into that country. It followed the caravan, which came from China across Central Asia, until it reached the shores of the Black Sea; thence it was conveyed by ships to Constantinople, the centre of commercial intercourse between Asia, Europe, and Africa. In 1347 it reached Sicily and some of the maritime cities of Italy and Marseilles. During the following year it spread over the northern part of Italy, France, Germany, and England. The northern kingdom of Europe was invaded by it in 1349, and finally Russia in 1351,--four years after it had appeared in Constantinople.

The following estimate of deaths was considered far below the actual number of victims:

Florence lost 60,000 inhabitants Venice " 10,000 " Marseilles " in one month 56,000 " Paris " " 50,000 " Avignon " " 60,000 " Strasburg " " 16,000 " Basle " " 14,000 " Erfurth " " 16,000 " London " " 100,000 " Norwich " " 50,000 "

Hecker states that this pestilence was preceded by great commotion in the interior of the globe. About 1333, several earthquakes and volcanic eruptions did considerable injury in upper Asia, while in the same year, Greece, Italy, France, and Germany suffered under similar disasters. The harvests were swept away by inundations, and clouds of locusts destroyed all that the floods had spared, while dense masses of offensive insects strewed the land.

As in the recent invasion of cholera, the populace attributed this scourge to poison and to the Jews, and these hapless beings were persecuted and destroyed wherever they could be found. In Mayence, after vainly attempting to defend themselves, they shut themselves up in their quarters, where 1200 of them were burnt to death. The only asylum found by them was Lithuania where Casimir afforded them protection; and it is perhaps owing to this circumstance that so many Jewish families are still to be found in Poland.

A curious monumental record of the plague is to be seen at Eyam, an insignificant village in Derbyshire, to the eastward of Tideswell. It is an ancient stone cross of curious form and workmanship, erroneously stated to have been erected to commemorate the extinction of the pestilence which was supposed to have been brought there in a bag of woollen clothes, sent from London to a tailor of the place. The hamlet was soon infected, and its panic-struck inhabitants fled in every direction, scattering death in their flight, until driven back within their boundaries. During the prevalence of this scourge, tradition makes honourable mention of the rector of the parish, William Mompesson. Determined not to abandon his flock in the hour of need, he never quitted the devoted spot. In vain he entreated his wife to remove from the pestilential sphere of action--she would not leave him. Eyam was now cut off from all communication with the neighbourhood. The worthy clergyman addressed the Earl of Devonshire, then residing at Chatsworth, acquainting him with his resolution, and requesting that regular supplies of provisions might be duly placed in certain points of the adjacent hills. If this request was attended to, he pledged himself that none of his parishioners should transgress a given boundary. Troughs and wells, which are still there, were dug to secure water supplied by a stream, which to this day bears the hallowed name of _Mompesson brook_. The following account of this benevolent pastor's conduct in this emergency is not without interest:

"Aware that any assemblage of people breathing the same air under a confined roof, and coming into immediate contact with each other, must be highly dangerous, he closed the door of the church, availing himself of a nobler substitute "not made with hands,"--a rock that projected from the side of a steep hill, near the village, in a deep and narrow dingle. This rock is excavated through in different directions, the arches being from 12 to 19 feet high. In the middle of this romantic dell, from one of these natural porticoes, three times a week did he read prayers, and twice on Sundays did he address to his death-stricken congregation, the words of eternal life. By his own immediate directions, they arranged themselves on the declivity near the bottom, at the distance of a yard asunder. This spot is deservedly still held sacred, and known by the name of _Cucklet church_."

The following letter from this worthy clergyman, dated 20th November, 1666, energetically describes the calamity:

"The condition of this place has been so sad, that I persuaded myself it did exceed all history and example. I may truly say that our place has become a Golgotha--the place of a skull; and had there not been a small remnant of us left, we had been as Sodom, and been made like unto Gomorrha; my ears never heard, my eyes never beheld such ghastly spectacles. Now, blessed be God, all our fears are over, for none have died of the infection since the 11th of October, and all the pesthouses have been long empty. I meant, God willing, to spend most of this week in seeing all woollen clothes fumed and purified, as well for the satisfaction as the safety of the country.

"Here has been such burning of goods, that the like I think was never known. I have scarcely left myself apparel to shelter my body from the cold, and have wasted more than needed, merely for example. As for my part, I cannot say that I had ever been in better health than during the time of this dreadful visitation, neither can I say that I have had any symptoms of the disease."

During a considerable time the benevolent man and his wife had escaped the malady, but at last his excellent wife was smitten, and died in his arms at the age of 27--far from her children, who had been sent away at the commencement of the invasion.

In 1813, Malta was visited with this fatal malady; when the scenes of the plague that desolated the island in the sixteenth century were renewed, notwithstanding all the sanitary precautions adopted by various governments since that period.

Count Ciantar in his "_Malta illustrata_," gives an interesting account of the introduction of the plague at four different periods in that island. The first was in 1592; when, in the month of May, four galleys belonging to the Grand Duke of Tuscany, entered the port to procure pilots for the service. By permission of the Grand Master, Cardinal Verclula, a pilot was obtained, and the vessels steered towards the Egyptian coast. In the vicinity of Alexandria, they captured a galley bound to Constantinople, having on board 150 Turks. On hearing that the plague was raging at Alexandria, they returned to Malta with their prize, which was discovered to be infected, and for the first time the plague was brought into the country.

The second plague broke out in 1623, and originated in the house of Paulus Emilius Ramadus, guardian of the port. But the whole of the infected persons having been immediately sent to the Lazaretto, the progress of the disease was checked, and it only carried off forty-five persons.

The third plague took place in 1633, and broke out at the Marina gate, where vessels from the Levant usually anchored. The proprietor of a house in that quarter, having had some communication with one of these ships, contracted the disease, and infected his sister, who resided in the country at Casal Zeitun, and shortly after the whole family was attacked, their speedy removal to the Lazaretto, however arrested the disease.

The fourth appearance of this malady in Malta, was far more destructive than it had been in the preceding years, even in 1675, and it continued its ravages for seven months. This circumstance has been attributed to a difference of opinion that prevailed among the members of the commissioners appointed to take the necessary steps for checking the progress of the disease. It appears that doubts were entertained as to the nature of the malady, hence the requisite precautions were not enforced; and instead of separating the diseased from the healthy part of the community, with the utmost rigour, prayers were put up, vows and offerings were made, and processions paraded the streets, nor it was not until the Grand Master had sent to France for medical aid, that the scourge was mitigated. On their arrival the first steps adopted by these physicians was to confine the inhabitants to their homes, and to remove the sick to the Lazaret. The ravages of the disease must have been very great, since out of a population of about 60,000, there died in Valetta 4000, in Burgo 1800, Senglen 2000, Burmola 1200, and in the villages upwards of 200.

The last plague was supposed to have been brought in by a vessel from Alexandria, that entered the port on the 28th of March, 1813. It appeared that two of the crew had been seized during the voyage with symptoms of plague, then prevailing in Alexandria, which place the vessel had left with a foul bill of health. On the same day another vessel, the Nancy arrived from the same port, having also on board two men labouring under the disease, and she was followed by a Spanish polacca, the Bella Maria, from the same quarter. It was on the 16th of April that the disease first appeared in the island, in the case of a shoemaker in the Strada St. Paolo. The increase of the disorder was gradual, and from Valetta it spread to Citta Vecchia Bircharcara.

My late friend, staff-surgeon Tully, thus describes the situation of the Island at this period: "The warm season was now rapidly advancing, the thermometer having risen several degrees at the latter end of May, and unfortunately, through the superstitious prejudices of the natives, considerable dependence was placed upon the anxiously-looked-for alteration in the state of the atmosphere, and every day was consequently expected to diminish the danger. This belief was too generally inculcated not to be productive of much mischief, as most persons felt assured that, if they could avoid danger until the summer heat set in, the evil would cease, and that the greatly-dreaded disease would then die a natural death. The consequence of this unfortunate belief was fatal--the freedom of intercourse produced by this blind confidence, led to a very general contamination, and men every where exposed to the baneful influence of the plague, became the active agents of the dissemination throughout the whole island."

While the plague was thus raging at Malta, it made its appearance amongst the inhabitants of the Morea, having, it is supposed, been introduced from Romelia, by a man of the name of Kalangi, who was taken ill on his arrival, and died in two days. The following day his wife and daughter were attacked by the malady, which rapidly extended to Tornovo, and all the neighbouring towns. During the years 1813 and 1814, the banks of the Lepanto and the shores of Albania were nearly depopulated.

In 1815 the fatal scourge broke out in the island of Corfu, in the village of Marathia. None of the medical men who attended the sick during this period, attributed the invasion of the disease to contagion.

The doubt that had arisen in the minds of several experienced practitioners in regard to the non-contagious nature of the plague, is a matter of vital interest, since it not only concerns the health of nations, but in a commercial point of view it becomes a question of political economy of the utmost importance, as the severity of the quarantine laws, which must materially effect the prosperity of trade, would become useless if it could be proved that no contagion is to be apprehended from a free intercourse. It is somewhat curious that Dr. Mead long ago expressed his decided opinion that whenever the doctrine of non-contagion should be revived in England, (and it will be so, he adds, even a hundred years hence,) it will always excite alarm amongst those nations who are more prudent than ourselves, and less eager to entertain every kind of wild and visionary speculation.

The contagionists affirm that the destructive ravages of the plague of Marseilles in 1720, when 60,000 inhabitants were carried off, arose from neglect in enforcing a rigid separation of the diseased from the healthy part of the community. The mortality in the plague of Messina, in 1743, during which 43,000 people fell victims to the disorder, is also referred to similar causes. They also maintain that the London plague of 1593, which destroyed 11,503 persons, was ascertained to have been introduced from Alkmaer; that the pestilence of London in 1603, which carried off 36,269 inhabitants, was brought from Ostend, and further that in 1636, the scourge which destroyed 13,480 victims in our metropolis, had been imported from Leyden. In 1665, when its still more fatal ravages swept away 68,596 citizens, it had also been traced to our foreign intercourse. Dr. Merlens who has accurately described the plague that raged at Moscow in 1771, asserts that it was introduced by a communication with the Turkish army. Notwithstanding which, by keeping the patients strictly guarded, the city was maintained free from infection, while the disease raged around in every quarter.

Mr. Jackson gives a similar account of the plague at Morocco; and he adds, that daily observations convinced him that the epidemic was not caught by approach, unless that approach was accompanied by an inhaling of the breath, or by tending upon the infected person. With such a discrepance of opinion, we cannot be surprised at this anxiety to impugn the doctrine of those practitioners who maintain, that contagion is not to be dreaded, and that severe sanitary precautions are therefore vexatious and oppressive. If the progress of the disease, say the non-contagionists, depends upon personal contact with infected persons or goods, its ravages would never cease in those countries where no precautionary measures are taken to prevent communication between the infected and the healthy; that in Turkey for instance, where these precautions are not resorted to, there would be no cessation of the malady until it had swept away the whole of the population.

To these arguments, plausible as they may appear in theory, it has been replied, that the plague to a certain extent has never ceased to exist in the Ottoman empire, but breaks out occasionally after temporary intermissions. As to the permanence of the diseases it is well known that like all other epidemic or endemic diseases, the plague may also be subject to atmospheric influence and be arrested in its progress without human aid. Sir James M'Grigor illustrates this fact in his "Sketches of the Expedition of the Indian Troops to Egypt." When the disease first broke out in the army, the cases sent from the regiments were from the commencement attended with typhoid symptoms; while those from the Bengal volunteer battalion, and the other corps encamped near the marshes of El Hamed, were of an intermittent and remittent type. The cases that occurred in the cold and rainy months of December and January, were of an inflammatory character, after which, as the weather became warmer, the disease at Cairo, Ghiza, Boula, and the isthmus of Suez assumed the form of a mild continual fever. The plague of London in 1665, was in like manner distinguished by a peculiar constitution of the atmosphere.

It has also been doubted whether the plague be contagious in every instance of its appearance. Various persons have inoculated themselves with its virus with impunity, though several were ultimately victims of the bold experiment. In Egypt Dr. White inoculated himself ten times, but died of the disease after the eleventh trial.[16]

The atmosphere of contagion it appears is limited, and strict attention to keep up a line of separation generally proves effectual in arresting or checking its progress. Contact appears necessary to extend the malady, and a direct absorption through the skin forms the ordinary means of transmission. When the cutaneous pores are closed by oil, or any other substance of the kind, an exemption from the fatal scourge has been frequently observed. Mr. Baldwin states, that among upwards of a million of inhabitants carried off by the plague in Upper and Lower Egypt during the space of four years, not a single oil-man, or dealer in oil, had suffered. Mr. Jackson made the same observation in the plague of Tunis. Dr. Assalini, an intelligent medical officer of the French army in Egypt, does not attribute this exemption to the stoppage of the pores, but as the result of profuse perspiration which the inunction of oil produces. The _zeit jagghy_ or olive oil, is considered a specific by most of the Asiatics; and my late friend Mr. Tully observed that all the attendants upon patients suffering from the plague, who carefully smeared their persons and their clothes with this substance, were exempt from the infection. The same observation was corroborated by Sir Brooke Faulkener, during the plague of Malta.

Various have been the remedial means proposed in this terrific malady, and preservatives against it have been recorded in the following distich:

Hæc tria labificum tollunt adverbia pestem; Mox, longè, tardè,--cede, recede, redi.

The celebrated plague-water was composed of master-wort, angelica, peony, and butter-bur, viper-grass, Virginia snake-root, rue, rosemary, balm, carduus, water-germander, marygold, dragon-blood, goats'-rue, and mint, infused in spirits of wine.

It appears manifest from all the evidence adduced by the contending theorists, that we may come to the following corollaries:

1. Plague may generally be considered as arising from contagion.

2. The spread and decline of the disease is influenced by local peculiarities and revolutions in atmospheric constitution.

3. It appears probable, that under peculiar local circumstances, it may have arisen spontaneously, without having been introduced by contagion; but this invasion must be considered of very rare occurrence.

4. Although transmitted by contagion, a certain distance preserves the healthy from the contamination of the diseased.

5. The enforcement of a limit of separation must be considered indispensable in all our sanitary regulations, in the framing of which great attention must be paid to discriminate between contagion and infection--two sources of distemper essentially different from each other.

Although these precautions are pointed out by the result of long and unbiassed experience, they will in all probability be solely applicable to the plague: for we have every reason to believe that these sanitary measures will not prove efficient against the invasion of cholera, the yellow fever, and other diseases, which are by no means proved to be infectious or contagious. Without entering into the discussion, I feel no hesitation in giving it, as my decided opinion, that the cholera and yellow fever are not contagious.

ABSTINENCE.

Hippocrates asserted that most individuals who abstain from food for seven days, die within that period; or, if they survive this time, and are even then prevailed upon to eat or drink they still perish. Various instances of persons who have lived much longer without sustenance have been observed. In the records of the Tower we find the history of Cicely de Ridgeway, who was condemned to death for the murder of her husband in the reign of Edward III., and who remained for forty days without food or drink. This being ascribed to a miracle, she was of course pardoned. From the result of this starvation, the story may be considered fabulous for two reasons: first, from the improbability of the alleged abstinence; and, secondly, from the selection of forty days, a period clearly fixed upon for miracle-making, being the exact number of days our Saviour fasted.

We have a better authenticated case in the one mentioned by Dr. Eccles in the Edinburgh Medical Essays for 1720. The starved person was a beautiful young lady, about sixteen years of age, who, in consequence of the sudden death of her father, was thrown into a state of tetanus (lock-jaw) so violent as to render her incapable of swallowing for two long and distinct periods,--the first of thirty-four, and the second of fifty-four days,--during which she neither experienced a sense of hunger nor of thirst, and when she recovered, she was scarcely reduced in size. Sir William Hamilton saw a girl, sixteen years of age, who was extricated from the ruins of a house at Oppido, in which she had remained eleven days: an infant in her arms, but a few months old, had died on the fourth day, as the young are not so able to endure abstinence. Dr. Willan attended a young man who had abstained from any sustenance except a little water flavoured with orange-juice for sixty days: death ensued a fortnight after. Foderé mentions some workmen who were extricated alive from a cold damp cavern, in which they had been immured under a ruin for fourteen days. Cetois, a physician of Poitiers, relates a still more singular case of total abstinence in a girl, who, from the age of eleven to that of fourteen, took no nourishment.

Ann Moore, called the fasting woman of Tutbury, was to a certain extent an impostor, for although there was no truth in her assertion that she lived an incredible time without food, yet it appeared evident that her chief, if not her only support, was tea. That fluid is sufficient to maintain life appears evident from two papers inserted in the Philosophical Transactions; one of them giving an account of four men who were compelled to subsist upon water for twenty-four days, and the other of a young man who tasted nothing but the same fluid for eighteen years. An imposition having been suspected, he was shut up in close confinement for twenty days as a trial, when he uniformly enjoyed good health.