DR ARNOTT ON VENTILATION AS A PREVENTIVE OF DISEASE.

Dr Neil Arnott has addressed a letter on this subject to the 'Times'

newspaper. Any expression of opinion by him on such a subject, and more

particularly with reference to the prevailing epidemics, must be deemed

of so much importance, that we are anxious, as far as in our power, to

keep it before the world. He commences by assuming, what will readily

be granted, that fresh air for breathing is one of the essentials to

life, and that the respiration of air poisoned by impure matter is

highly detrimental to health, insomuch that it will sometimes produce

the immediate destruction of life. The air acquires impurities from

two sources in chief--solid and liquid filth, and the human breath.

Persons exposed to these agencies in open places, as the manufacturers

of manure in Paris, will suffer little. It is chiefly when the

poison is caught and retained under cover, as in close rooms, that it

becomes notedly active, its power, however, being always chiefly shown

upon those whose tone of health has been reduced by intemperance, by

improper food or drink, by great fatigue and anxiety, and, above all,

by a habitual want of fresh air.

Dr Arnott regards ventilation not only as a ready means of rendering

harmless the breath of the inmates of houses, as well as those living

in hospitals and other crowded places, but as a good interim-substitute

for a more perfect kind of draining than that which exists. 'To

illustrate,' he says, 'the efficacy of ventilation, or dilution with

fresh air, in rendering quite harmless any aërial poison, I may adduce

the explanation given in a report of mine on fevers, furnished at the

request of the Poor-Law Commissioners in 1840, of the fact, that the

malaria or infection of marsh fevers, such as occur in the Pontine

marshes near Rome, and of all the deadly tropical fevers, affects

persons almost only in the night. Yet the malaria or poison from

decomposing organic matters which causes these fevers is formed during

the day, under the influence of the hot sun, still more abundantly

than during the colder night; but in the day the direct beams of the

sun warm the surface of the earth so intensely, that any air touching

that surface is similarly heated, and rises away like a fire balloon,

carrying up with it of course, and much diluting, all poisonous

malaria formed there. During the night, on the contrary, the surface

of the earth, no longer receiving the sun's rays, soon radiates away

its heat, so that a thermometer lying on the ground is found to be

several degrees colder than one hanging in the air a few feet above.

The poison formed near the ground, therefore, at night, instead of

being heated and lifted, and quickly dissipated, as during the day,

is rendered cold, and comparatively dense, and lies on the earth a

concentrated mass, which it may be death to inspire. Hence the value in

such situations of sleeping apartments near the top of a house, or of

apartments below, which shut out the night air, and are large enough to

contain a sufficient supply of the purer day air for the persons using

them at night, and of mechanical means of taking down pure air from

above the house to be a supply during the night. At a certain height

above the surface of the earth, the atmosphere being nearly of equal

purity all the earth over, a man rising in a balloon, or obtaining air

for his house from a certain elevation, might be considered to have

changed his country, any peculiarity of the atmosphere below, owing

to the great dilution effected before it reached the height, becoming

absolutely insensible.

'Now, in regard to the dilution of aërial poisons in houses by

ventilation, I have to explain that every chimney in a house is what

is called a sucking or drawing air-pump, of a certain force, and

can easily be rendered a valuable ventilating-pump. A chimney is a

pump--first, by reason of the suction or approach to a vacuum made at

the open top of any tube across which the wind blows directly; and,

secondly, because the flue is usually occupied, even when there is no

fire, by air somewhat warmer than the external air, and has therefore,

even in a calm day, what is called a chimney-draught proportioned to

the difference. In England, therefore, of old, when the chimney breast

was always made higher than the heads of persons sitting or sleeping

in rooms, a room with an open chimney was tolerably well ventilated

in the lower part, where the inmates breathed. The modern fashion,

however, of very low grates and low chimney openings, has changed the

case completely; for such openings can draw air only from the bottom of

the rooms, where generally the coolest, the last entered, and therefore

the purest air, is found; while the hotter air of the breath, of

lights, of warm food, and often of subterranean drains, &c., rises and

stagnates near the ceilings, and gradually corrupts there. Such heated,

impure air, no more tends downwards again to escape or dive under the

chimneypiece, than oil in an inverted bottle, immersed in water, will

dive down through the water to escape by the bottle's mouth; and such a

bottle, or other vessel containing oil, and so placed in water with its

open mouth downwards, even if left in a running stream, would retain

the oil for any length of time. If, however, an opening be made into

a chimney flue through the wall near the ceiling of the room, then

will all the hot impure air of the room as certainly pass away by that

opening as oil from the inverted bottle would instantly all escape

upwards through a small opening made near the elevated bottom of the

bottle. A top window-sash, lowered a little, instead of serving, as

many people believe it does, like such an opening into the chimney

flue, becomes generally, in obedience to the chimney draught, merely

an inlet of cold air, which first falls as a cascade to the floor, and

then glides towards the chimney, and gradually passes away by this,

leaving the hotter impure air of the room nearly untouched.

'For years past I have recommended the adoption of such ventilating

chimney openings as above described, and I devised a balanced metallic

valve, to prevent, during the use of fires, the escape of smoke to

the room. The advantages of these openings and valves were soon so

manifest, that the referees appointed under the Building Act added

a clause to their bill, allowing the introduction of the valves,

and directing how they were to be placed, and they are now in very

extensive use. A good illustration of the subject was afforded in

St James's parish, where some quarters are densely inhabited by the

families of Irish labourers. These localities formerly sent an enormous

number of sick to the neighbouring dispensary. Mr Toynbee, the able

medical chief of that dispensary, came to consult me respecting the

ventilation of such places, and on my recommendation had openings

made into the chimney flues of the rooms near the ceilings, by

removing a single brick, and placing there a piece of wire gauze

with a light curtain flap hanging against the inside, to prevent the

issue of smoke in gusty weather. The decided effect produced at once

on the feelings of the inmates was so remarkable, that there was an

extensive demand for the new appliance, and, as a consequence of its

adoption, Mr Toynbee had soon to report, in evidence given before the

Health of Towns Commission, and in other published documents, both an

extraordinary reduction of the number of sick applying for relief, and

of the severity of diseases occurring. Wide experience elsewhere has

since obtained similar results. Most of the hospitals and poor-houses

in the kingdom now have these chimney-valves; and most of the medical

men, and others who have published of late on sanitary matters, have

strongly commended them. Had the present Board of Health possessed the

power, and deemed the means expedient, the chimney openings might, as a

prevention of cholera, almost in one day, and at the expense of about

a shilling for a poor man's room, have been established over the whole

kingdom.

'Mr Simpson, the registrar of deaths for St Giles's parish, an

experienced practitioner, whose judgment I value much, related to me

lately that he had been called to visit a house in one of the crowded

courts, to register the death of an inmate from cholera. He found five

other persons living in the room, which was most close and offensive.

He advised the immediate removal of all to other lodgings. A second

died before the removal took place, and soon after, in the poor-house

and elsewhere, three others died who had breathed the foul air of that

room. Mr Simpson expressed to me his belief that if there had been the

opening described above into the chimney near the ceiling, this horrid

history would not have been to tell. I believe so too, and I believe

that there have been in London lately very many similar cases.

'The chimney-valves are part of a set of means devised by me for

ventilation under all circumstances. My report on the ventilation of

ships, sent at the request of the Board of Health, has been published

in the Board's late Report on Quarantine, with testimony furnished to

the Admiralty as to its utility in a convict ship with 500 prisoners.

My observations on the ventilation of hospitals are also in the hands

of the Board, but not yet published. All the new means have been freely

offered to the public, but persons desiring to use them should be

careful to employ competent makers.'

Having seen Dr Arnott's ventilators in operation in London and

elsewhere, we can venture to recommend them as a simple and very

inexpensive machinery for ventilating rooms with fires. The process

is indeed generally known, and would be more extensively applied if

people knew where to procure the ventilators. We have had many letters

of inquiry on this subject, and could only refer parties to 'any

respectable ironmongers.' But unfortunately, as it appears, there are

hundreds of respectable ironmongers who never heard of the article

in question, and our recommendation goes pretty much for nothing.

Curious how a little practical difficulty will mar a great project!

We trust that the worthy doctor will try to let it be known where his

ventilators are to be had in town and country.

Chambers's Edinburgh Journal, No. 307 New Series, Saturday, November 17, 1849 · 第 13 / 19 题