Observations on the Diseases of Seamen
ill. Though I have laid great stress on the duty of the commander, as
the proper guardian of health, yet his assiduity will not avail unless the surgeon also does his part, by such acts of attention as I have mentioned, joined to skill in his profession.
Surgeons are, perhaps, more regarded in our service than in that of other nations; but it would be for the public benefit if they were still more respected and encouraged. To men of liberal education and sentiments, as surgeons ought to be, and generally are, the most effectual inducements for them to do their duty are flattering attentions, and a certain degree of estimation in the eyes of their officers. Liberality of manners, on the part of superiors, is the most likely means of encouraging a conscientious performance of duty in this profession; for though strict and distant behaviour may operate upon the minds of those whose functions are merely mechanical, how can it infuse that tender attention to human sufferings, and that sense of duty, which may induce a man entrusted with the health and lives of his fellow creatures to act his part with propriety and effect?
In order to prevent sickness from spreading, it is not sufficient to cut off all personal intercourse. The clothes of men are as dangerous a vehicle of infection as their persons; and it should be a strict and invariable rule in case of death from fever, flux, or small pox, to throw overboard with the body every article of clothing and bedding belonging to it.
Upon the same principle, in case of recovery from any contagious disease, as it would be too great a waste to destroy the clothes and beds, they should be smoked, and then scrubbed or washed before the men join their messes and return to duty. This precaution is the more necessary, as infection in a ship is extremely apt to be communicated by bedding, from the custom of stowing the hammocks in the netting, by which they are brought in contact with each other. This, however, is an excellent custom, as it not only clears the ship below, and serves to form a barricade on the gunwale, but tends to air the bedding; and this salutary effect should not be prevented, except in case of rain, by the coverings, called hammock-cloths, by the use of which utility is evidently sacrificed to an excess of neatness.
It sometimes happens that the number of sick in a ship is so great, that it is not possible to take proper and effectual measures on board for stopping the progress of disease. But when she can be cleared of the sick by sending them to an hospital, no pains should be spared to extirpate the remaining seeds of infection.
For this purpose, let their clothing and bedding be sent along with them; let their hammocks, utensils, and whatever else they leave behind, be smoked, and either scrubbed or washed before they are used by other men, or mixed with the ship’s stores; let the decks, sides, and beams of their berths, be well washed, scraped, smoked, and dried by fire; then let them be sprinkled with hot vinegar, and, finally, white-washed all over with quick lime.
Should any officer object to the trouble and inconvenience of all this, let him reflect for a moment how much more troublesome and inconvenient, as well as noisome and disagreeable, sickness itself proves to be; let him reflect that the efficiency of the ship, considered as a bulwark of defence, or an engine of annoyance, depends on the number of healthy hands, and that his own character is to depend on the exertions to be made by them in the day of battle, not to mention the attention due from him as a man to the sufferings of the objects themselves.
But besides these recent infections, it sometimes happens that the seeds of disease adhere to the timbers of a ship for months and years together, and can be eradicated only by a thorough cleansing and fumigation. Sweeping, washing, scraping, and airing, are not sufficient entirely to remove the subtile infectious matter; but they will assist and will prepare it to be acted upon by heat and smoke, which are the only means to be depended upon. A complete fumigation can only be performed when the ship is in dock; and I shall here transcribe a method recommended by Dr. Lind.
“It will be proper to remove every thing out of the ship, so that the hold may be swept, and, when the men have withdrawn, to light a number of charcoal fires in different parts, and to throw a handful or two of brimstone on each. The steam of these should be closely confined by shutting the ports and hatchways from morning till evening, no person in the mean time being allowed to go below, nor for some time after opening the ports and hatchways, that the steam may be dispersed.
“In order to purify the men’s clothes, it would farther be proper to fumigate the hulk into which they are removed with tobacco once or twice a week while their ship is in dock, the men remaining below as long as they can bear it.
“The clothes and hammocks of the men should be exposed in the hulk to the smoke of the tobacco, and those which are more particularly suspected may be hung up the ship, and exposed to the steam of the charcoal and brimstone.
“The ship having been already fumigated with tobacco, it will be sufficient to use the fumigation of charcoal and brimstone above described for three days, and, after the last day’s fumigation, the inside of the ship should be well washed with boiling vinegar, and, before the men return on board, all the decks should be scraped and washed.”
When a ship is at sea, these precautions cannot be taken so completely; but if infection is present, or is suspected, then cleansing and fumigating may be practised in a less degree. I have known a ship at sea fumigated with gunpowder kneaded with vinegar, so as to prevent it from exploding, and to make it burn slowly with a spattering flame. Flowers of sulphur[53], with about an eighth part of nitre, will answer still better. A quantity of these is placed in each interval of the guns between decks, every person being turned up, and the ports and hatches shut till they are consumed, and till the smoke has dispersed. It has also been recommended to burn resinous bodies, such as the woods of fir, spruce, and juniper, as the smoke of these is more salutary. Upon the same principle, the effluvium of tar is thought wholesome; and the cables that are coiled in the lower parts of a ship being soaked with tar, like most of the other ropes of a ship, probably conduce to the health of a place otherwise dank and unwholesome. Fumigation may also be performed by means of tar, either by throwing it on red-hot irons, or a wood fire, which may be carried about between decks in a pot or moveable grate, or over some cannon balls in a tub, or by immersing a red-hot loggerhead[54] in a bucket of tar. If this is done in the place occupied by the sick, it will have a still better effect; and it will be of service to them to be removed for a short time under the half deck or forecastle till this or other means of purification are put in practice. In whatever manner fumigation is performed, it will be of service to spread out the clothes and bedding of the men, or to hang them upon lines, that they may be exposed to the heat and smoke.
It will also be of great service to make the men expose their frowsy clothes to the sun and wind. If a strong infection is suspected, and it cannot be afforded to destroy the clothes, the best means of eradicating the poison is to hang them for a length of time over pots of burning brimstone in a large cask standing endways, with small apertures to admit air enough for the brimstone to burn.
Fire in every shape is to be considered as the principal agent of purification, by its heat and the ventilation it occasions, perhaps, still more than its smoke. It has already been repeatedly inculcated, that the great enemies of infection are ventilation and heat. I have mentioned smoke and the effluvia of balsamic bodies, but these are not to be depended on; and it is the more necessary to mention this, as the attention bestowed on more trifling means may divert the mind from a proper regard to what is more essential. It is mentioned by the benevolent Mr Howard, that it is the custom in some parts abroad to scatter fresh branches of pine or spruce in the hospitals, in order to purify the air; but, trusting to this, they neglect the admission of fresh air, which is the only effectual method of sweetening the air.
There is reason to think that the open air very soon dissipates and renders inert all infections of the volatile kind, and of course the warmer the air is the more readily it will have this effect. It is accordingly observed, that infection is much less apt to be generated about the persons of men, and that it adheres to them for a much less space of time in a hot climate than in a cold or temperate one. This is a remark, which, so far as I know, has not been made by any author; and, till observation suggested it to me, I fancied the reverse to be the truth. I have seen so many instances of filth and crowding in ships and hospitals in the West Indies, without contagion being produced, and which in Europe could hardly have failed to produce it, or to render it more malignant, that I am convinced there is something in tropical climates unfavourable to the production and continuance of infectious fevers[55]. The ships which bring this fever from Europe in general get rid of it soon after arriving in a warm climate; and nothing but the highest degree of neglect can continue or revive it.
The facts above mentioned brought into my mind what is related of the plague at Smyrna and other places, that it disappears at the hottest part of the year. It is also curious and important to remark, that the true pestilence never has been heard of between the tropics. It is not easy to assign the cause of this effect of heat upon infection, as every thing relating to this subject is very obscure. We can conceive it to be owing to the greater degree of airiness which the heat of the climate makes necessary, or to the use of fewer woollen clothes. There may be something in the state of the body, particularly in the pores of the skin, which disposes them less to imbibe or produce the poisonous effluvia, or, when imbibed, it may more readily be thrown out by perspiration with the other acrimony of the blood; or more probably, as has been hinted above, the virulent matter is of such a degree of volatility as to be readily dissipated in a certain degree of heat[56].
There is a fact, which, though seemingly of a contrary tendency, yet is in reality in proof of the same opinion. It is, that these same diseases disappear in circumstances of great cold. When England was last visited by the plague, it disappeared in winter; and the same is observed at Moscow and other places. In this case the infectious matter is rendered _inert_, but not _extinct_, and the return of heat sets it afloat in the atmosphere, so as to expose it to human respiration. Dr. Guthrie informs us, that infection is entangled and fixed by the cold of winter on the doors and walls of the houses of the Russian peasants, and that upon the return of the warm season it is set loose by the thaw, and then becoming active, produces diseases.
With regard to the West Indies, the precautions that have been laid down are chiefly necessary when a ship newly arrives in the climate; for it is during the first three or four months that sickness is apt to prevail.
This does not depend upon any thing peculiar to the climate; for I have known ships arrive without being visited with any sickness. It seems to be owing, for the most part, to that flock of infection and disease imported from Europe exerting its effects, and when this has spent itself, the men remain in good health, unless exposed to the land air or other accidents; for the air at sea in those climates, as well as every where else, is extremely pure and wholesome, and there is no where that seamen are more healthy or comfortable.
SECT. III.
Of the FOUL AIR generated in a Ship.
I mean here to distinguish the unwholesome vapour produced by the contents of the ship from the infection produced by the effluvia of men’s persons, which was treated of in the last section.
The means of preventing this foul air from being generated are, cleanliness, dryness, and ventilation.
All parts of a ship may, if neglected, become dirty, and emit an offensive vapour; but the parts under water consisting of the orlop and hold, are more particularly so from the materials they contain, and from the want of free access to the fresh air; accordingly, there is always more or less stench in those parts, even in the best-regulated ships.
It was mentioned in the first part of this work, that an opinion was entertained by some that no foul air was productive of fevers but such as proceeds from the living human body. I alledged that this was otherwise, at least in hot climates; and some proofs of this opinion were adduced, particularly from the French prizes. Though the neglect of personal cleanliness is the principal source of disease, yet cleanliness of every kind, and purity of the air in every respect, is to be anxiously studied.
With regard to general cleanliness, it is hardly necessary to mention sweeping, washing, and scrubbing of the decks; for the natural propensity of the English[57] nation to neatness seldom allows any neglect of these. Lord Howe, to whose virtues as a man, and abilities as an officer, his country is so much indebted, gave it in general orders to wash the upper decks every day, the lower decks twice a week, and the orlop once a week at least. He also ordered that, every washing, smoking, mustering, and review of clothes, or any other means taken for the health of the ship, should be marked in the logbook, and the reason to be assigned there if omitted at the stated times. These rules are a good specimen of the order that ought to prevail in every branch of public duty; for it is well known to every experienced officer that it is a methodical proceeding of this kind which can alone render service either easy or effective.
The loss of men’s lives from the foul air of the well is a common accident in ships, and I have been myself witness to several instances of it. Where there is the least suspicion of this, a candle should previously be let down, and if it should be extinguished, it may be concluded that the air is deadly. It becomes safe for men to breathe in it by leaving it open for some time, or, more expeditiously, by letting down fire in a pot or grate, which soon changes the air, by producing a draught of it upwards.
It is a very salutary practice to let down fires frequently into the well, both in order to purify the air and to dry the surrounding parts. It was formerly mentioned that this was daily done in the Intrepid, and the effect of it was to remove the wetness of the ballast and the mouldiness which had overspread the sides and beams; and having had the effect of sweetening and purifying the air, it seemed to be the principal circumstance that tended to make this ship extremely healthy from being the most sickly of all the fleet. This precaution, as well as every other point of cleanliness, is more necessary in large ships, because the mass of foul air, as well as the quantity of corrupting materials, is greater[58].
The following fact strongly evinces the good effect of fire and smoke:--When it was the custom for frigates to have their kitchens between decks, they were much more healthy than in the present construction, in which they have them under the forecastle, where the heat and smoke are dissipated without being diffused through the ship, and causing a draught of air upwards, as formerly. The men derived then also great benefit and comfort from having a large fire, round which they might assemble to warm and dry themselves in a sheltered place. I leave it to those who preside in the construction of the navy to determine how far it would be advisable to return to the old manner of construction. The French ships of the line have their kitchens and ovens between decks, and this must tend to counteract the effects of their want of cleanliness. The Dutch ships of the line have their kitchens on the orlop deck, which must be still more conducive to the general purity of the air.
Moisture is pernicious both in itself and as the instrument of putrefaction. All the complaints, called colds, are more owing to wet than cold; and moisture may be the means of producing, or at least of exciting dangerous fevers, when they would not otherwise appear. It besides contributes greatly to the production of scurvy. Ships built of ill-seasoned wood are found to be very unhealthy on account of the moisture contained in it. The moisture of timber arises not only from being used too soon after being felled, but also, as I am informed, from being stripped of its bark and outer surface when piled and exposed to the weather in dock yards. This method of smoothing and piling the wood is only a late practice; and the advantage in point of convenience and neatness seems to be more than overbalanced by the detriment it thereby receives.
A wet hold diffuses moist vapour all over the ship; and it was a rule with some of those commanders whom I observed to be most successful in preserving the health of their men, not only to have daily fires in the well, but to bail out the water when the pumps could not exhaust it all, and never to allow it to collect to more than the depth of a few inches. It is, therefore, very doubtful whether it is a good practice to let in water, as is very commonly done in order to sweeten the hold, for the same sweetness will be preserved if it is kept strictly dry. If it should happen, indeed, that there should be a great deal of putrid matter in the lower parts of the ship, from previous neglect or unavoidable leakage, it may be adviseable to let in a quantity of water in order to loosen and wash off what is offensive, and then to pump it out.
There is a circumstance in the first fitting out of a ship well worth attention, as highly conducive to the dryness and cleanness of the hold. I mean the choice of the ballast; for that which is called _shingle_, consisting all of pebbles, is far preferable to that which is sandy and earthy, as it does not so readily soak and retain the moisture and filth. Water or fluid of any kind readily subsides in it, and should any putrid matter be entangled in it, there will be less difficulty in washing it out.
The decks should not be washed so often when the weather is moist as when it is fine, as it will be more difficult to dry them, and more harm may arise from the moisture than benefit from the cleanness. Washing should also be performed very early in the morning, even in the best weather, in order that there may be time for the decks to become dry in the course of the day. It is after a general washing that the moveable fires, formerly described, are most proper and useful.
Every contrivance should be fallen upon to change the air in the orlop and hold. Ventilators and windsails[59] are well adapted for this purpose, and should be used as frequently and for as long a time as possible. It has also a good effect in cooling the air in the lower parts of a ship in the West Indies, to lift the gratings of the hatches, raising them on their edges, and lashing them to the staunchions. It contributes likewise to cleanliness and coolness to keep the decks as clear as possible from[60] chests and other lumber, which are in the way of sweeping and washing, and prevent also the free course of the air.
Particular attention to ventilation is necessary in frigates, for almost all that part in which the men sleep is excluded from the air, and they are therefore very uncomfortable in the West Indies unless small scuttles are cut in the sides. But if this should be objected to as weakening or endangering the ship, there is a good contrivance for the same purpose, which I met with on board of the Nymphe frigate. It consists of a square wooden pipe, of about nine inches in the side coming from between decks, running along the side of the ship, and opening over the gunwale of the forecastle. There was one on each side.
SECT. IV.
Means of guarding against INFECTION and BAD AIR.
Infection never prevails to such a degree, as to affect every person indiscriminately who is exposed to it. Even where the plague and small-pox prevail to the greatest degree, there are some persons who, though susceptible of these diseases, yet escape them. There are certain other infections of a weaker nature, as was before observed, and these will remain entirely inactive, till they find constitutions so disposed as to be fit subjects of their action. The seeds of disease may be compared to those of vegetables, which lye dormant, unless they happen to fall into a situation peculiarly adapted for exciting their activity. It is very difficult to account for this uncertainty in the operation of infection, but it is extremely providential, that under the most calamitous state of sickness, there are always some who are in health and who survive, for the necessary purposes of life. If this were not the case, it might happen that every person on board of a ship might perish from sickness in the course of a voyage, a circumstance which I believe has never been known to happen.
There is an endless variety in the constitution of the human frame, both in mind and body, as well as in the features of the face. There are, perhaps, no two individuals in the world in whom the same effect precisely is produced by the same food, air, medicine, poison, or passions of the mind. The different effects of infection, therefore, upon different people, seem to depend, in many cases, on peculiarities of constitution too obscure to be explained; but there are also known circumstances which resist or encourage its effects.
The great power of habit[61] in taking off the effect of infection, has already been mentioned, and it would appear that novelty gives an increased energy and activity to all impressions, as well as those on the senses. If a person, therefore, escapes the first attack of infection, he will be more likely to continue exposed to it with safety in future.
There are certain precautions necessary to be attended to by those who are unavoidably exposed to contagion, particularly in the first instance. Those who can afford a full diet, and a liberal use of wine, have been observed to resist infection better than those who use food and drink that is meagre and watery. It is also a good rule not to go among the sick, nor otherwise to expose one’s self to infectious air, with an empty stomach; for whether it is that the body is then more susceptible, or that the pores of the skin and lungs are in a more highly absorbing state, so as with greater readiness to inhale the poison of disease, it is certain that a person in that situation is more apt to catch harm from foul air of any kind. Whatever else weakens and exhausts the body, renders it also more susceptible of noxious impressions. Under the head of weakening powers, I comprehend not only what empties the body of its fluids, such as loss of blood, or a diarrhœa, but intoxication, fatigue, fasting, watching, and certain affections of the mind, such as care and grief.
Cold and moisture may also be enumerated among the causes that invite the attack of infectious diseases. They are of themselves simply productive of catarrhs, rheumatisms, and the like disorders; but if an infection should be accidentally present when the body is exposed to them, then instead of these complaints, the disease peculiar to that infection will be produced[62]. This was illustrated in the last reinforcement we had from England; for while bad fevers were breaking out in most of the other ships, the [63]Union was affected with those complaints only which are simply the effects of cold and moisture. It would be more proper, perhaps, to say, _exposure to the air_, than to call it _cold_; for exposing the naked body to the open air, even in the warmest climate, is prejudicial to health. This holds at least with regard to Europeans who are accustomed to clothing, however the natives of hot climates who are naked, may expose themselves with impunity.
It is of the greatest consequence to ascertain the extent of the influence of infection, for the means of avoiding and preventing it will very much depend upon this. It is now known, that infection extends itself to a very small distance. There are, indeed, some morbid poisons, such as that of the bite of a mad dog, and that of the venereal disease, which require actual contact to make them take effect. Others are more volatile, and seem to he inhaled by the breath, or absorbed by the skin, but these do not extend far. That of the plague[64] does not reach above a few yards, and that of the small-pox and of fevers is probably equally limited. This discovery is very valuable, by ascertaining the limits of danger; for when a person imagines he runs the same risk when at a considerable distance from the seat of disease, as if he were in contact with the person affected, he will be apt to expose himself wantonly and unnecessarily to the infection.
It seems to be owing to the ignorance of the extent of its influence, that the plague has in general been so fatal; for in consequence of the opinion that the whole surrounding atmosphere was affected, it was vainly attempted to purify it by large fires in the open air, or by [65]firing off artillery, instead of trusting to the separation of the sick so as to avoid their near approach, and to the confinement of those in health to their own houses, which are all the precautions necessary to prevent its progress.
CHAP. II.
Of ALIMENT.
SECT. I. Of SOLID FOOD.
The most unnatural circumstance in a sea life is the food which men use, and the disease most peculiar to it is one which is owing chiefly to the nature of the aliment; for though other causes conspire in aggravating the scurvy, the depraved state of the INGESTA is the main and fundamental cause of it.
It is this disease that is most fatal to seamen next to fevers. It was formerly as fatal, if not more so; but some modern improvements have rendered it less frequent and violent. The habitual use of salt provisions, besides producing evident symptoms of scurvy, begets such a state of the constitution, that, upon the least scratch being received, particularly on the lower extremities, a large and incurable ulcer ensues; and this circumstance, trifling as it appears, is the cause of losing an incredible number of men to the service, especially in the West Indies. The greater part of the food of a ship’s company is necessarily salted meat. Biscuit and pease, though of a vegetable nature, are hard of digestion; and though they qualify the animal food, they do not answer the purpose of fresh vegetables. Though officers have a supply of live stock even for the longest voyages, it would be impracticable to carry a quantity sufficient to preserve a whole crew from the scurvy. But certain articles have of late been introduced into use, of a durable and portable nature, which so qualify the salt provisions, that they can be used without inducing this disease. These are either such as are articles of common diet, viz. melasses and sour krout, or those which are intended only for the sick and recovering, such as portable soup and the preserved juice of lemons and oranges.
It is one of the most ancient and real grievances in the service, that there has not been a sufficiently ample supply of nourishment and cordials for the weak and recovering. This complaint is made by [66]Dr. Cockburn, who was physician to the fleet in the end of the last century; and it is a complaint that has not yet been entirely redressed, nor has the subject been considered with the attention it deserves. The only improvement in the sea victualling that I know of from that time till of late, has been the use of raisins for puddings, and the occasional use of vinegar, which is an article extremely salutary, and was looked upon as the great preservative of health in the Roman armies.
After the force of disease has been subdued at sea, men are frequently lost by relapses, or pine away in dropsies and other chronic complaints, for want of being supported by some cordial and nourishing diet. It is mentioned in my memorial to the Admiralty, how insufficient the small quantity of surgeon’s necessaries are; and it is recommended that a large quantity of certain species of refreshment should be put in the purser’s charge, which, being substituted for the common sea victualling while men are ill or recovering, would cost Government little or nothing. Besides the articles already mentioned, it was recommended to set apart a quantity of the best wines, and to be provided with brown sugar, dried fruits, barley, rice, sago, and salep. To these might be added eggs, which, if greased and put in salt, may be preserved fresh for a great length of time. Carrots and other roots might also be preserved for the longest voyages by means of sugar; and green vegetables might in like manner be preserved by means of salt. But of all the articles, either of medicine or diet, for the cure of the scurvy, lemons and oranges[67] are of much the greatest efficacy. They are real specifics in that disease, if any thing deserves that name. This was first ascertained and set in a clear light by Dr. Lind. Upon what principle their superior efficacy depends, and in what manner they produce their effect, I am at a loss to determine, never having been able to satisfy my mind with any theory concerning the nature and cure of this disease, nor hardly indeed of any other. An ingenious treatise has been published on this subject by Dr. Milman, to which I refer the reader, meaning to confine myself in this work chiefly to what is practical.
Every person who has beheld with attention and feeling the tedious and languishing series of suffering which the sick and recovering endure for want of the means of supporting and recruiting their strength and spirits, must wish that those who preside in the civil department of the navy would seriously consider this subject, and complete the reform that has already been begun.
With regard to the victualling of men in health, a most commendable attention has been paid to the improvement of it. The ordinary articles of victualling have not only been of excellent quality, but some new articles have been added, from which the greatest benefit has been derived. The chief of these are sour krout and melasses. The latter was first brought into use by Captain Ferguson in the beginning of the late war. He ordered it to be served with rice to the men who were affected, or threatened with the scurvy, in the ship under his command. The benefit experienced from it in this and other instances was so great, that during the last two years of the war it was made a regular article of sea victualling, and substituted in place of a certain proportion of oatmeal[68].
As bread is one of the principal articles of diet, the utmost care should be taken in preserving it, and great advantage would arise from stowing it in casks that are water tight, instead of keeping it in bags, or letting it lie loose in the bread room. Captain Cook, by this method, and by giving it a cast in the oven in the course of the voyage, preserved his biscuit found in every respect for more than three years. But the greatest improvement in this article of diet would be to have, in the form of flour, a greater proportion of what is now allowed in bread. The flour might be made into puddings, and seems, in this form, to be more nutritious and antiscorbutic than biscuit which has undergone a strong force of fire. This sort of mess would be still more proper and agreeable now that melasses is a stated article of diet. Flour, by being well pressed and rammed, will keep as long as biscuit, and it can be stowed in one fifth part of the space; it will, therefore, cost much less in freight than the same quantity of it in that form, and it may be baked abroad if necessary[69]. Malt, by being well rammed, may also be preserved for a great length of time.
Of all the former articles of sea victualling, there was none more abused than oatmeal. The quantity allowed to each man was twice as much as he could consume, and the overplus went to the purser’s profits, or was wasted by being given to the hogs, or even wantonly thrown overboard. Melasses have, with great advantage, been substituted for part of it, in the proportion of eleven pounds for two gallons of oatmeal. The first trial of melasses was in the[70] Foudroyant, and it answered so well, that, in a cruise under Admiral Geary in 1780, this was the only ship free from the scurvy, and out of two thousand four hundred men that were landed at the hospital with this disease, there were none from this ship. It appears to be so similar in its nature and effects to essence of malt, that it seems hardly worth while for Government to be at the expence of providing the latter.
A certain proportion of barley has also of late been substituted for part of the oatmeal, which being more light and palatable, makes a pleasing variety, particularly to the sick and recovering. Captain Cook carried wheat with him, and found it to answer equally well. Might not potatoes also be a proper and salutary substitute, as they will keep a considerable length of time in a warm climate, and they have been successfully employed in their raw state for the cure of scurvy? It would not be right, however, to abolish oatmeal entirely; for there is a certain preparation of it which is an antiscorbutic of equal efficacy with any whatever, except the juice of lemons and oranges. This is flummery, or sowins, which is prepared by letting oatmeal and water stand together till they grow acidulous, and then boiling them into a jelly. I know of some well-attested instances of the crews of ships being saved from the scurvy by this alone.
Butter is a good article of victualling in so far as it renders that part of the diet which consists of grain and vegetables more palatable, and thereby induces men to eat more. But as it is extremely corruptible in a warm climate, hardly any being used by the seamen but what is more or less rancid, it should never be sent to a tropical station. Greater quantities of it are condemned than of any other article of victualling, and it is therefore the most expensive to Government. There are certain articles that are the natural produce of the West-India islands, which may be substituted for it with the greatest advantage. These are sugar and cocoa[71], which, during the last year of the war, were served in place of butter with great success, and this proved an alteration in diet not only salutary, but agreeable to the seamen, whose inclinations are always to be consulted in such changes[72].
When a ship is in port, encouragement should be given to the sale of roots, greens, fruits, and sugar. The men have a good custom of exchanging part of their bread, beef, and pork, for what they can get from the shore; but as they in general prefer spirituous liquors to the above-mentioned articles, the greatest care and vigilance should be used to preclude men from such opportunities of injuring themselves[73]. Every ship should be furnished with a seine, and other implements for fishing, when in harbour.
When captures are made, in which there are such articles as sugar, wine, rice, or fruits, it would be much better in many cases to allow the immediate use of them at sea, where the men may be disposed to scurvy or other diseases, than to wait for the conversion of them into money.
Though it has been my object to introduce as many articles of diet as possible, independent of salt provisions, it does not follow that these are in themselves unwholesome. They are pernicious by being made almost the sole and exclusive article; but if used in moderate quantity, they are even in some respects well adapted for the food of seamen. The nature of their life gives them a strong digestion: in their duties they not only employ violent exercise, but use more muscles and a greater variety of postures and motions than men of any other profession. To such constitutions may not food of a refractory nature and hard of digestion have even an advantage over what is more delicate and digestible?
It does not appear that it is the salt quality of the provisions used at sea that makes them productive of scurvy, but the want of their native juices and of the nutritious principle. A small quantity of salt is necessary to make all food palatable and wholesome, in so much that it is reckoned one of the necessaries of life. All animals have a craving for sea salt, and nature has kindly made it the most abundant and universal of all saline bodies. Food, without this seasoning, not only comes to be loathed, but the want of it renders the animal weak and flabby. As it not only assists digestion, but invigorates all the bodily functions by stimulating and bracing the fibres, it is in some cases a valuable medicine. It is remarkable that men are very apt to tire of a long continuance of fresh provisions[74], but never of what is salt; and even under the scurvy the latter will be relished, and sometimes preferred to most other kinds of food. It has been a practice with some to make the scorbutic men drink sea water; but though it is not attended with any manifest benefit, I never heard that it aggravated the disease.
I was told by the gentlemen of the army at New York in 1780, that the soldiers in cantonments were not near so subject to agues as the people of the country; and the only difference in their mode of life was, that the former had in their allowance a certain, proportion of salt provisions.
In an unhealthy country I should think a free use of salt, as well as spice[75], would be salutary; and when ships are in port it would perhaps be better to allow a certain proportion of salt provisions, because it would not only be wholesome and agreeable, but the men’s constitutions would probably be more reconciled to an entire salt diet when necessary: but I would except from this the crews of such ships as have newly arrived from a long cruise or voyage, in which it may be necessary to alter the constitution as quickly as possible by a diet entirely fresh.
Nothing that I have collected from my own observation, or that of others, has been neglected under this head, except one particular caution with regard to the preparation of the victuals. The large utensils employed to boil the provisions are made of copper, and it sometimes happens from neglect that these are allowed to contract a rust, which is one of the most active poisons we know. The neglect consists chiefly in allowing any thing acid, or what is liable to become acid, such as gruel or burgoo, to remain for a length of time without being washed out; for when victuals have been prepared in the boilers thus uncleaned, they produce the most violent effects, even to the loss of life, as once happened in a ship belonging to our fleet[76].
SECT. II. Of DRINK.
As the solid part of sea diet is very dry and hard, and as the salt it contains is apt to excite thirst, a freer use of liquids than at land is necessary, particularly in a hot climate.
It has been the custom, as far back as we know, to allow seamen the use of some sort of fermented liquor. We need hardly inquire if this is salutary or not; for it would be impossible at any rate to withhold it, since it is an article of luxury, and a gratification which the men would claim as their right. There is a great propensity in seamen to intoxicating liquors, which is probably owing to the hardships they undergo, and to the variety and irregularity of a sea life. But there is reason to think that all sorts of fermented liquors, except distilled spirits, are conducive to health at sea.
There is no doubt that malt liquor is extremely wholesome and antiscorbutic. The common quantity of small beer allowed daily is so liberal, that few men make use of their whole allowance; and there is no objection to the constant use of it, except that it is apt to spoil in the course of a few weeks, and that upon foreign stations the stock can seldom be renewed. One of the greatest improvements that could be made in the victualling of the navy would be the introduction of porter[77], which can be preserved in any climate for any length of time that may be necessary.
Spruce beer seems to possess similar and equal virtues with malt liquor and it has this advantage, that the materials of it can at all times be carried about and used occasionally. It agrees with malt liquor in being a fermented vegetable sweet, the principal ingredient of it being melasses. The other ingredient, from which it takes its name, being a balsamic substance, seems to be more medicinal and antiscorbutic than hops, and is therefore, perhaps, preferable to malt liquor. There have been sufficient proofs of its virtues in single ships; and all the men of war that go to America and the West Indies might be conveniently supplied with it. Admiral Pigot provided a sufficient quantity for the whole fleet; but the peace coming on prevented the trial of it.
The most salutary kind of drink next to malt liquor, and spruce beer, is wine. The benefit which the fleet derived from it at different times, and the advantage it has over spirits has been often taken notice of in the former part of this work. It seems to be owing to this that the French fleet sometimes enjoys superior health to ours, and is less subject to the scurvy[78]. Wine is also preferable to every other medicine in that low fever with which ships are so much infested; and there is no cordial equal to good wine in recruiting men who are recovering.
Spirits differ from wine in this respect, that they are a mere chemical liquor, incapable of assimilation with our fluids, having lost in distillation the native vegetable principle in which the whole of its nutritious quality and great part of its medical virtue resides.
The abuse of spirituous liquors is extremely pernicious every where, both as an interruption to duty, and as it is injurious to health. It is particularly so in the West Indies, both because the rum is of a bad and unwholesome quality, and because this species of debauchery is more hurtful in a hot than in a cold climate.
It is with reason that the new rum is accused of being more unwholesome than what is old; for, being long kept, it not only becomes weaker and more mellow by part of the spirit exhaling, but time is allowed for the evaporation of a certain nauseous empyreumatic principle which comes over in the distillation, and which is very offensive to the stomach; therefore, though this is the produce of the West-India islands, yet what is supplied there is inferior to that which is brought from England.
It was originally the custom to serve seamen with their allowance of spirits undiluted. The method now in use, of adding water to it, was first introduced by Admiral Vernon in the year 1740, and got the name of _grog_. This was a great improvement; for the quantity of half a pint, which is the daily legal allowance to each man, will intoxicate most people to a considerable degree, if taken at once in a pure state.
The superiority of wine over spirits in any shape was so conspicuous, that towards the end of the war the fleets in the West Indies and North America were supplied with nothing but wine, and with a success sufficient to encourage the continuance of the same practice in future.
Of WATER.
As water is a necessary of life, and as the health and comfort of men at sea depend upon its quality, it deserves particular attention.
Spring water is to be preferred to running or stagnated water; for, unless it is taken at the source, or near it, it is apt to be impregnated with decayed vegetable and animal substances, such as leaves, grass, wood, and dead insects. This inconvenience is greatest in a hot climate, where every thing teems with life, and where the materials of putrefaction are both more abundant and more prone to corruption. This is the most pernicious kind of impurity; for the mineral impregnations common in springs are seldom, in any degree, unwholesome, and do not tend, like the other, to make the water corrupt. At many of the West-India watering places the water is found stagnated just above high-water mark; and care should be taken to go higher up to take it where it is running.
The purest water is apt to spoil by producing a putrid glare upon the inner surface of the cask which contains it. There is a great difference in this respect between a new cask, especially if made of moist wood, and that cask which has been hardened and seasoned by age and use. Several contrivances have been proposed for preparing the vessels that hold the water; but none have been found by experience so effectual as letting them stand for some time full of sea water; and it is a great advantage of this method, that it is so easily practicable.
It is in few places we meet with water such as that of Bristol, which, in clean vessels, may be kept for any length of time. We may consider all water kept in wooden vessels as more or less liable to putrefaction; but there is a substance, which is neither rare nor costly, that effectually preserves it sweet. This is _quick lime_, with which every ship should be provided, in order to put a pint of it into each butt when it is filled. It has the advantage of not being injurious to health; but, on the contrary, is rather friendly to the bowels, tending to prevent and check fluxes. In the year 1779 several ships of the line arrived in the West Indies from England, and they were all afflicted with the flux, except the Stirling Castle, which was the only ship in which quick lime was put into the water. Nor does it spoil the water for any culinary purpose. Its action in preventing putrefaction consists, in part at least, in destroying vegetable and animal life. An addition of putrescent matter is produced in water by the generation of small insects; and the glare that collects on the sides of casks, and also what collects on the surface of the water, is a species of vegetation of the order called by naturalists _algæ_[79]. Quick lime is a poison to this species of vegetable life as well as to insects: but upon whatever principle it depends, the property of it in preserving water sweet is so well ascertained, that it is inexcusable ever to neglect the use of it.
Quick lime is equally efficacious for this purpose, whether slacked or unslacked; and though the latter form is more convenient for stowage, by having less weight and bulk, yet the other is to be preferred for the sake of safety; for if water should by chance reach the unslacked lime, a great degree of heat is thereby produced, which has been known to give occasion to the most formidable accidents.
The only other objection I know of to the use of quick lime is, that it converts the water into a lime water, rendering it thereby disagreeable to the palate and stomach: but the quantity necessary to preserve it makes but a very weak lime water; for part of the lime is precipitated by the mephitic air, or the aerial acid, as it is otherwise called, of which there is some contained in the water. The accidental exposure to the atmosphere, which also abounds with this sort of air, tends farther to lessen the acrimony of the quick lime[80].
There are other substances which have been found useful in correcting bad water. Alum and cream of tartar, as antiseptic bodies, have been employed for this purpose. Vinegar and the vegetable acid juices and fruits, such as tamarinds, may be used occasionally to take off the putrid offensive taste which may have arisen in case the use of quick lime has been neglected. In the fleet under Sir Charles Saunders, the water of the river St. Lawrence having been found to produce fluxes, this quality was removed by throwing four pounds of burnt biscuit into each cask before it was used. But there is nothing so effectual, and subject to so few inconveniences, as quick lime.
The next method to be mentioned of purifying water is filtration, which not only separates the gross impurities, but removes the putrid smell and taste. It is performed with a dripping stone, which is a convenient contrivance for officers, but cannot furnish a supply for a whole ship’s company.
When the water of wells or brooks is found loaded with mud, the following expeditious method of filtration, described by Dr. Lind, has been practised with success:--Let a quantity of clean sand or gravel be put into a barrel placed on one end, without the head, so as to fill one half or more of it, and let another barrel, with both ends knocked out, of a much smaller size, (or let it be an open cylinder of any kind) be placed erect in the middle of it, and almost filled with sand or gravel. If the impure water be poured into the small barrel or cylinder, it will rise up through the sand of both barrels, and appear pure above the sand of the large one in the interval between it and the small one.
But when water is offensive in consequence of being long kept, the most effectual and expeditious method of sweetening it is by exposing it to the air in as divided a state as possible. Boiling will not expel the putrid effluvia contained in water; but such is the attraction of air for this offensive matter, that the water need only be thoroughly exposed to it to be rendered quite sweet. This is best done by a machine invented by Mr. Osbridge, a lieutenant of the navy. It consists of a hand pump, which is inserted in a scuttle made at the top of a cask, and by means of it the water, being raised a few feet, falls through several sheets of tin pierced like cullenders, and placed horizontally in a half cylinder of the same metal. The purpose of it is to reduce the water into numberless drops, which being exposed in this form to the open air, is deprived of its offensive quality. The same method will serve to separate the superfluous quick lime in the water. It is a machine very deservedly in common use, and the working of it is a moderate and salutary exercise to men in fair weather.
The following contrivance will be found to afford a sufficient supply of sweet water to particular messes, and may be considered as an artificial and more expeditious sort of dripping stone.--Let the narrow mouth of a large funnel be filled with a bit of sponge, over which let there be a layer of clean gravel or sand covered with a piece of flannel, and over the whole another layer of sand. Muddy or offensive water being poured upon this, runs or drops out clear; and care must be taken to change the sand, sponge, &c. frequently, as they will become loaded with the impurities of the water[81].
There should be in every ship an apparatus for distilling water in case of distress. This consists merely of a head and worm adapted to the common boiler, and distillation may go on while the victuals are boiling. More than eight gallons of excellent fresh water may be drawn off in an hour from the copper of the smallest ship of war[82]. I refer for a more particular account of all this to the works of Dr. Lind, who was the original inventor and recommender of this method.
This invention seems to have escaped others so long, from the idea that the _desideratum_ in freshening sea water was some substance to be added to it while under distillation. No such substance is necessary, and, the more simple the mode of distillation, the fresher the water will prove.
Rain water at sea is always pure and wholesome, and may be saved occasionally by means of a sail or awning.
CHAP. III.
Of CLOTHING.
Nature has made man so defenceless, that even the rudest nations, in the hottest climates, in general, adopt some sort of covering to guard themselves from the weather. We may affirm, that clothing is the most artificial circumstance in the life of man; and there is none, of which the errors subject him to more inconvenience and hardship. Insensible perspiration is performed by the pores of the skin, and being one of the most important functions of the body, the suppression of it seems to be one of the principal causes, or at least one of the most frequent attendants on feverish and inflammatory complaints; and one of the most common causes of this suppression is the application of cold to the skin.
In order to keep up perspiration, it is necessary that the orifices of the pores of the skin should be bathed, as it were, in the vapour already secreted from them; and clothing seems to act in confining this, as well as in preventing the escape of the natural heat and the access of the external air. Though the air should not be cold, it will check perspiration by carrying off this vapour and drying the skin. In the warmest climates exposure of the skin to the external air is unsafe; for it not only produces a feverish and uneasy sensation at the time, but occasions the most dangerous internal disorders. In consequence of the great sensibility and sympathy of the body, and from the pores of the skin being open in a warm climate, exposure is in some respects even more dangerous than in a cold one. Nothing is more apt to bring on the locked jaw and tetanus than sleeping in the open air; and it was observed in Jamaica, that when it was the custom to wear cotton and linen clothes, the dry belly-ache was much more common than now that it is the custom to wear woollen cloth.
We know besides, that the pores of the skin can absorb not only the moisture that floats in the atmosphere, but a variety of foreign bodies, whether noxious or medicinal, which may be applied to their orifices; and as the air is in certain places loaded with noxious matter, may not clothing be considered as a filter, as it were, to separate the impurities of the air before it comes in contact with the surface of the body?
It is therefore every where of the utmost consequence that sufficient and suitable clothing should be provided.
It would certainly be for the benefit of the service that an uniform should be established for the common men as well as for the officers. This would oblige them at all times to have in their possession a quantity of decent apparel, subject to the inspection of their superiors. It would also be less easy to dispose of their clothes for money without detection, and desertion would also thereby be rendered more difficult.
It is of great consequence that the purser should lay in a sufficient stock of clothing and bedding suited to the climate for which the ship is destined, in order that there may be a sufficient supply after having been on a distant station for a certain length of time. I have known men suffer the greatest inconvenience and hardship, and infectious diseases kept up, from the neglect of this.
The greatest evil connected with clothing is the infection generated by wearing it too long without shifting; for to this cause we have attributed the jail, hospital, or ship fever. The great importance of cleanliness appeared when we were treating of infection, from whence we may judge of what consequence it is that men should be provided with a shift of linen, as that part of the clothing which is in contact with the skin is most likely to harbour infection[83].
As clothing is not the gift of nature, being left to man’s own reason, it is subject to caprice, and thereby productive of inconvenience and disease. The necessity of it depends very much upon habit, like every thing else relating to the human body, and therefore sudden and unseasonable changes of apparel are very unsafe to health. It is also found that a partial exposure of the body is more pernicious than a general exposure. If I were writing for the more delicate part of the world, I should illustrate this by the danger of exposing the feet alone to cold or wet. It is seldom that seamen are susceptible to so great a degree, for their hardy and exposed life steels them against such impressions. But there is another circumstance which renders it of the utmost consequence to defend the feet against external injury. It frequently happens, that, without any visible symptoms of scurvy, the constitutions of seamen are such, that, upon the least scratch being received on the feet or legs, a large spreading incurable ulcer arises; which sometimes ends in the loss of a limb; but at any rate disables them from duty till a cure can be effected by the use of a fresh and vegetable diet, or a change of climate. Next to acute diseases and scurvy, this is the most destructive complaint incident to a sea life, particularly in a hot climate; and I have known great numbers of good men thereby lost to the service. It is, therefore, of the utmost consequence that men should not only be supplied with shoes, but be obliged to wear them, which is found to require a degree of compulsion; for in the West Indies it is observed that seamen always wish to go barefooted.
Since the first edition of this work was published, I have been favoured with several valuable remarks on this subject, by Captain Caldwell, an officer of great humanity and experience. Among other remarks, he observes, that the different articles of clothing supplied to sailors are, in general, too slight, and of too small a size, which renders them expensive and inconvenient to large men. The trowsers, he observes, should be much thicker, and larger, as the least shower goes through them; and, in a cold climate, those made of _fear-nought_[84], which do not cost more than the others, should also be allowed. What a situation are men in when topsails are reefing in the winter season while it rains, when cold and wet, with their trowsers sticking to them, (which would not be the case if they were of flannel) and it is not practicable that they should have change of clothing for every time they are obliged to be wet? Thick, double-milled caps are much wanted in bad weather to cover the head and ears. Dutch caps do not keep out the weather, and will not stay on the head. It is commonly remarked that the men who wear the thickest linen shirts are the most healthy.
Men, upon first entering into the service, are allowed the advance of two months wages, in order to provide necessaries: but this, inadequate as it is for a long voyage, is not extended to pressed men. It is also argued against making large stoppages in seamen’s wages; that, by diminishing what they have to receive when paid off, a discouragement is thereby given to the service. But as we see men deserting from men of war when several years wages are due to them, the most reasonable and effectual encouragement seems to be to render their lives as comfortable and healthy as possible.
But why might not most of the articles mentioned be supplied gratuitously? In favour of which Captain Caldwell makes use of an argument frequently inculcated in this work, viz. that so much advantage would accrue to Government by preserving the health and lives of men, and so much would be saved in hospitals, as would much more than reimburse the extraordinary expence[85].
CHAP. IV.
Of EXERCISE.
It commonly happens in a ship of war that a great proportion of the hands is landsmen; for, besides the men required to navigate the ship, a great number is necessary to fight the guns, as well as for other duties, and their health may be affected by the want of exercise.
It has been observed before, that one use of frequent reviews and musters in a numerous crew is, to call forth men that would otherwise be overlooked, to oblige them to come into the open air, to keep themselves clean, and to prevent them from indulging in filth and laziness. It is observed, that seamen are in general less subject to scurvy than marines and landsmen, which seems to be owing to the greater activity of their life and alacrity of their minds.
There is an essay on the causes of the pestilence, by an anonymous author, published at Edinburgh in 1759, in which this disease is said to be entirely the offspring of idleness, and he illustrates this by its being more apt to arise in besieged towns than any other situation; and he alledges that a false alarm of the plague will actually produce it by throwing people idle, as was the case, he affirms, when the plague was last at Messina.
There are always numbers who have been pressed into the service, to whom a sea life is new, and who are therefore prone to indolence, low spirits, and self-neglect. Men of this description are by far the most apt to fall into the scurvy; and next to the quality of the food, there is nothing contributes more to promote the scurvy than such a disposition. It is indeed both a cause and a symptom of this disease, and therefore idleness and _skulking_ should be rigidly discouraged, unless the complaint is so far advanced as to render it cruel and even impossible to force men to take exercise.
The Conqueror, of 74 guns, one of our squadron in the last year of the war, was an instance of a ship in which only the prime seamen were attacked with the scurvy, and this is to be accounted for upon the same principle, for it proceeded from their having been exempted from the duty of pumping, in which the inferior classes of men were constantly employed, owing to the leaky state of the ship.
As low spirits and indolence have such an unfavourable effect upon health, it would be wise, as well as benevolent, to promote whatever produces jollity, contentment, and good humour, so far as is consistent with sobriety and regularity. There are certain rough sports which are now almost in disuse; and whoever would revive and encourage them, would perform a useful office to the service.
A sea life frequently demands violent temporary exertions, from the uncertainty of the weather, and other incidents; so that men are more exposed to extreme fatigue and sudden calls of duty in this than in any other situation of life. Nothing tends more to shorten life than excessive bodily labour and watching; and it is for this reason that seamen in general are short lived, and that their countenance and general appearance make them appear older than they really are by several years. This is remarkably the case when a seaman comes to be upwards of forty and it has been mentioned before, that a person not acquainted with this circumstance will make a mistake of ten years in guessing at the age of a seaman from his looks.
Fatigue being therefore frequently the means of bringing on disease and breaking the constitution, as much tenderness is due to men as is consistent with the necessary duties of service. This is a circumstance in which young officers are apt to forget themselves; and they should take care how they _call all hands_ wantonly, and oblige men to make exertions beyond their strength, especially as this will be submitted to more readily by sailors than any other set of men, from the generous alacrity of their nature.
It would be well if it could be rendered convenient at all times, except in cases of danger or emergency, to put the men at three watches instead of watch and watch. By the former arrangement they have eight hours sleep and rest; by the latter only four hours are allowed, which is not sufficient for refreshment, nor is there time for them to get dry, in case they have been exposed to wet.
It would be a good rule to have as few men as possible out of bed in the night-time, unless where active service renders it necessary; for, if unoccupied, they lie about the decks, fall asleep, and catch cold. In such situations, might not all the topmen but one remain on the forecastle, where they might take exercise, which they could not do aloft? I am indebted for this remark to the Rev. Mr. Ramsay, who joins to a great knowledge of the sea service a warm and disinterested zeal for its prosperity, and has been so good in several other instances as to communicate to me the results of his experience and observation.
The good effects resulting from the indulgent treatment of men are, that it encourages them to enter into the service, and to do their duty with cheerfulness and resolution. There is something more daunting to the mind of man to see his companions suffering under oppression and languishing in disease, or perishing miserably from sores or sickness, than in the terrors of fire and sword, which, as we have seen, make the least part of the calamities of war. The good treatment of seamen, in so far as it regards their health, is by no means incompatible with strict discipline. Indeed strictness and even severity is necessary with seamen; for it is observed with regard to men who are used to arbitrary government, that they cannot bear indulgence and relaxation. But the steady enforcement of discipline and regularity is so far from being akin to cruelty, that it tends to prevent both sickness and the commission of crimes, consequently rendering the infliction of punishment less frequent and necessary. The chief excellence in the character of an officer seems to consist in uniting strict discipline with indulgence and humanity.
CONCLUSION.
The subject of the preceding remarks has been the prevention of diseases and it has appeared that the means of this are not so much in the province of the medical profession as of those who are entrusted with the direction of the navy in a civil or military capacity; and that with regard to cure and recovery also, a great deal depends upon them, by their having it in their power to make a suitable provision of proper diet and cordials. The great importance of the subject will plead my excuse for again calling to mind, that such attentions are not only dictated by humanity, but would be the greatest wisdom in an œconomical and national light, considering how expensive it is to _replace_ men and to support invalids, not to mention that it is upon the health and lives of men that every public exertion essentially depends, and upon which may depend not only the character of officers, but the national character in the day of battle.
It must be confessed, that though there is still room for improvement, the navy is now on a better footing with regard to the health and comfort of seamen than it appears to have been in former times. The victuals were in general in the late war of excellent quality; the civil branch has shewn in many instances a readiness to adopt the means and to furnish the articles that were recommended for the health of the men[86]; and most of the commanders whom I have the honour to know are humane, attentive, and intelligent.
To conclude; there is no situation of life in which there is room for more virtues, more conduct and address, than that of a sea officer. The men are thrown upon his humanity and attention in more views than one: they are subject to a more arbitrary exertion of power than the constitution of the date authorities in civil life, Englishmen giving up into his hands, from considerations of public expediency, that which they hold most dear, and of which they are most jealous, their LIBERTY. It is the character of seamen to be thoughtless and neglectful of their own interest and welfare, requiring to be tended like children; but from their bravery, utility, and other good qualities, they seem entitled to a degree of _parental_ tenderness and attention from the state they protect and the officers they obey.
APPENDIX TO PART II.
In order to exhibit a concise view of the most material observations contained in this part of the Work, a Memorial, delivered to the Board of Admiralty in October, 1781, is here subjoined.
MEMORIAL,
Proposing Means for preventing the Sickness and Mortality prevailing among His Majesty’s Seamen in the West Indies.
I have for the two last years attended a squadron, consisting seldom of less than twenty ships of the line, in quality of physician to the fleet at Barbadoes and the Leeward Islands. I received, by the order of the Commander in Chief, a monthly return from the surgeon of each ship, setting forth the diseases, deaths, and other circumstances of the respective ships companies. I also superintended the hospital of the place where the fleet happened to lie when in port. These advantages have afforded me an intimate knowledge of the nature and causes of the sickness and mortality among the seamen, both on board of their ships and in hospitals.
It appears by my returns, that there died in the course of the twelve months preceding July last, on board of ships, seven hundred and fifteen seamen and marines, of whom only fifty-nine died in battle and of wounds. There died in the same time in hospitals eight hundred and sixty-two: so that out of twelve thousand one hundred and nine men, which is the sum total of the complement of twenty ships of the line, there have perished in one year one thousand five hundred and seventy-seven, that is nearly every seventh man.
There were also sent to England in the same year, three hundred and fifty men, disabled by lameness and chronic complaints, the greater part of whom will be for ever lost to the service.
The degree of sickness is very different at different times; but it appears by the returns, that, at a medium, there has been one man in fifteen on the sick list.
Having employed all the attention of which I was capable to find out the causes of this sickness and mortality, in order, if possible, to point out the means of prevention, I flatter myself with being able to assign the most general causes, and to propose some effectual remedies.
When it is considered that sickness is almost entirely confined to ships of two and three decks, and that some of these are as healthy as frigates and merchant ships, though in the same circumstances of service with others that are extremely sickly, we are led from hence to infer, that sickness is not in its own nature unavoidable, and we are encouraged to hope, that the attainment of general health is within the compass of human management.
I humbly and earnestly solicit attention to some of the most material observations and conclusions which have occurred in the course of a service, which, though short, has been extensive; and whatever is here proposed has this recommendation, that it is easily practicable, and is no addition to the public charges.
First, I hardly ever knew a ship’s company become sickly which was well regulated in point of cleanliness and dryness. It is the custom in some ships to divide the crew into squads or divisions under the inspection of respective officers, who make a weekly review of their persons and clothing, and are answerable for the cleanliness and regularity of their several allotments. This ought to be an indispensable duty in ships of two or three decks; and when it has been practised, and at the same time ventilation, cleanliness, and dryness below and between decks, have been attended to, I have never known seamen more unhealthy than other men. The neglect of such attentions is a never-failing cause of sickness.
I would, therefore, with all becoming deference, suggest, that such a regulation, instead of being left to the discretion of officers, should be made a part of the public instructions. From some commanders, who already practise these rules, the advantage of them comes to be known; and would not a public sanction not only render them general and permanent, but facilitate the duty of the officer, by making such a regulation appear a matter of legal necessity, instead of his own arbitrary act?
Secondly, Scurvy is one of the principal diseases with which seamen are afflicted, and this may be infallibly prevented, or cured, by vegetables and fruit, particularly oranges, lemons, or limes. These might be supplied by employing one or more small vessels to collect them at different islands, and such an expedient would prevent much sickness, and save many lives. I am well convinced that more men would be saved by such a purveyance of fruit and vegetables, than could be raised by double the expence and trouble employed on the imprest service; so that policy, as well as humanity, concur in recommending it. Every fifty oranges or lemons might be considered as a hand to the fleet, inasmuch as the health, and perhaps the life, of a man would thereby be saved.
Thirdly, The use of wine, in place of rum, has been found extremely conducive to health. In the course of my observation I have met with the most unquestionable proofs of the benefit that would arise from this substitution. It is a farther reason for such a change, that good rum is seldom or never supplied in the West Indies.
Fourthly, The necessaries provided for the sick by the present establishment are not at all adequate, especially on a distant station, where the supply is not regular, and the quantity at best is such as can contribute but little to their comfort and recovery. An ample provision might be made for the sick, without any additional expence, in the following manner:
It is a rule in the service, that though men are sick, their ordinary allowance of salt meat and other victuals is nevertheless served out, and is either used by the other seamen, who stand in no need of it, or is wasted. Now, if the pursers were instructed to provide themselves with certain species of necessaries, such as Madeira wine, sugar, rice, and dried fruits, to serve to the sick, in place of rum, and the common provisions of the ship, such a regulation would be productive of the very best effects, in recovering the health, and preserving the lives of those men who have the misfortune to be taken ill in a situation necessarily destitute of most of the comforts that can alleviate their sufferings. I cannot help here applauding a late regulation, by which melasses are substituted for part of the oatmeal; for the quantity of the latter heretofore legally allowed was so much greater than what was necessary, that one half of it has commonly been wasted.
It is to be observed, in general, with regard to the West Indies, that ships on service are to be considered, in a great measure, in the light of ships constantly at sea; for, excepting the island of Barbadoes, there is no other port in which fresh meat and vegetables can be procured in any quantity, and therefore sour krout, melasses, and such other articles of antiscorbutic diet as can be supplied on board, are absolutely necessary. Fleets could hardly exist here, were it not that a warm climate is naturally more unfavourable to the scurvy than a cold one.
Fifthly, Though the health of a ship’s company depends chiefly on diet, and that discipline and order which is the business of officers, yet much depends also on the medical art, particularly in the West Indies; and as surgeons frequently cannot do justice to the men without wronging themselves, in a country where the price of every thing is exorbitant, and medicines often unsound, Government would find its account in supplying gratuitously some of the most costly articles, particularly Peruvian bark in a fresh state, from time to time, from England.
Sixthly, It is now the general custom to send every sick person on shore to an hospital, where there is frequently worse air and worse accommodation than on board, from overcrowding the apartments. Contagious diseases, though not so common as in Europe, are here often mixed with those that are not so, whereby numbers are infected and carried off; and, besides this, the land air is infinitely more unwholesome in the West Indies than the air at sea or in a road. The scurvy is perhaps not at all contagious, nor is it very difficult of cure; but a number of cases of it terminate fatally from the flux or fever, caught either by contagion in hospitals, by the noxious influence of land vapours, or by intemperance. I beg leave, therefore, humbly to suggest, that as few sick as possible of any disease, but what is contagious, be sent to hospitals, and that some method be established for the supply of vegetables and other refreshments to the sick on board of their ships.
Seventhly, Crowding, filth, and the mixture of diseases, are the great causes of mortality in hospitals. There should be a space of five hundred cubic feet allowed for each man; and in general the sick had better remain on board than be crowded beyond that degree; or relief should be provided to the hospital by an hospital ship, which, for reasons already given, is preferable to any accommodation on shore; and such an institution would be more particularly proper for the reception of convalescent men.
I would beg leave, therefore, earnestly to recommend that cleanliness, the separation of diseases, and a competent space, be regularly enjoined and strictly enforced in hospitals; and in order to make this more practicable in the great scale of service now going on, I would farther propose that hospital ships be established for the reception of the sick or recovering. I know from extensive experience and close observation, that these circumstances are more essential than even medicine and diet.
These are a few remarks extracted from a series of observations, and derived from great opportunities of experience. Many other remarks would suggest themselves; but I purposely confine myself to what is highly important, and easily practicable, with little or no addition to the public expence. Some of the improvements recommended are indeed an immediate, and all of them will be an eventual, saving to the public.
The alterations that have been proposed are,
1st, The establishment of a certain method and discipline, in order to secure regularity and cleanliness among the men, and to render the ships clean and dry.
2dly, The supply of fruit and other vegetables for the cure of the scurvy.
3dly, The substitution of wine[87] for rum.
4thly, The provision of an adequate quantity of necessaries for the sick.
5thly, The gratuitous supply of certain medicines.
6thly, The curing of certain diseases on board instead of sending them to hospitals; and,
Lastly, The preventing of filth, crowding, and the mixture of diseases in hospitals, by proper regulations, and by establishing hospital ships.
I beg leave again to call to mind, that 1518 deaths from disease, besides 350 invalids, in 12,109 men, in the course of one year, is an alarming waste of British seamen, being a number that would man three of His Majesty’s ships of the line; and what I advance is from a real conviction that a due attention to the above-mentioned propositions would save more than two thirds of the seamen that would otherwise die in that climate. It was to set this in a proper light that I requested leave to quit my duty during the absence of the greater part of the squadron in the hurricane months; and should any thing I propose meet with public approbation, and be carried into effect, I should esteem it a recompence far above any other gratification I can derive from the service.
LONDON, October 13, 1781.
To the Right Hon. the Lords Commissioners of the Admiralty.
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Next year the following Supplement to the preceding Memorial was sent to the Board of Admiralty:
SUPPLEMENT to the MEMORIAL delivered last Year to the Board of Admiralty.
Since my return to my duty on this station, additional experience has afforded me farther practical confirmation of the utility of the former proposals.
The great squadron employed on this station has, by the attention of the Commissioners of Victualling, and also of the Commander in Chief, been supplied with most of the articles recommended, in such quantities as to prove their efficacy; and indeed the small degree of mortality in comparison of former times, is a sufficient demonstration of this.
I beg leave to give an instance in the Formidable of the great and salutary effects of the proposed improvements. This ship left England, furnished not only with sour krout and melasses, in common with most others in the squadron, but what was peculiar to herself was, an entire supply of good wine in place of spirits; and an experiment has been made in this instance, under my own eye, to ascertain what degree of health it was possible to attain in a great ship in this climate. With the above advantages, together with good discipline and medical care, no man[88] died of disease from December, 1781, to May, 1782, and only thirteen were sent to hospitals, whose complaints were small pox and ulcers. In the months of May and June last, when at Jamaica, there died of disease in this ship, three men, and seventeen were sent to the hospital, most of whom had contracted their sickness on board of French prizes.
In the rest of the fleet the health was in proportion to the wine and other refreshments, and the cleanliness, good order, and discipline observed.
In the squadron I attended the last five months, which seldom consisted, during the last three months of that time, of less than forty ships of the line, there have died of disease about 350 men, and about 1000 have been sent to hospitals; a degree of sickness and mortality which, though not greater than what frequently prevails in Europe, I am persuaded would have been still less, had the improvements proposed been complied with in a manner more extensive and complete, and had the general rules of discipline and cleanliness been kept up with due and equal strictness throughout the fleet.
This last article, which, being the most important, I have placed first in the preceding memorial, it is only in the power of supreme authority to enforce; and my additional experience and observation have so far confirmed me in the opinion of the utility of this, as well as the other articles, that I hope to be again pardoned for repeating my humble and earnest solicitations that these regulations may be farther extended and enforced.
FORMIDABLE, At Port Royal, Jamaica, July 16, 1782.