Of the NUMBERS and MORTALITY of different DISEASES sent to
Hospitals, with a general View of the whole Mortality during
the War 185
PART II.
Of the CAUSES of Sickness in Fleets, and the Means of PREVENTION 211
Introduction _ib._
CHAP. I.
Of Air 225
Sect. I. Of the noxious Effects of Land Air in particular
Situations 227
Sect. II. Of the Effects of foul Air from the Neglect of
Cleanliness in Men’s Persons--INFECTION 237
1. Means of preventing the Introduction of Infection 240
2. Means of preventing the Production of Infection 254
3. Means of eradicating Infection 264
Sect. III. Of the foul Air generated in a Ship 281
---- IV. Means of guarding against Infection and bad Air 293
CHAP. II.
Of Aliment 300
Sect. I. Of solid Food _ib._
---- II. Of Drink 319
Of Water 324
CHAP. III.
Of Clothing 334
CHAP. IV.
Of Exercise 343
CONCLUSION 349
APPENDIX to PART II. 352
Memorial to the Admiralty _ib._
Supplement to the Memorial 364
PART III.
DESCRIPTION and TREATMENT of the Diseases most frequently
occurring in Fleets in hot Climates 368
CHAP. I.
Of Fevers 370
1. Of the infectious Ship Fever 371
2. Of the bilious Remitting Fever 415
3. Of the Yellow Fever 425
4. Of the Effects of some unusual Remedies in the Cure of
obstinate Intermittent Fevers 456
CHAP. II.
Of Fluxes 466
CHAP. III.
Of Scurvy 499
CHAP. IV.
Of the WOUNDS received in the Actions of April 1782 519
APPENDIX TO PART III. 545
Assortment of Medicines to be carried to Sea 548
Formulæ Medicamentorum 550
DEDICATION.
TO HIS
ROYAL HIGHNESS
PRINCE WILLIAM-HENRY.
SIR,
The following Work is the fruit of several years labour employed in the
Public Service, chiefly under that great and successful Admiral, Lord
Rodney, in a series of Naval Operations, which have been productive
of events more glorious than any recorded in the Annals of Britain.
As your Royal Highness was present during some part of the service
which is the subject of these Observations, and as You have not only
honoured the Sea Service by embracing it as a profession, and enrolling
your illustrious Name among its officers, but in undergoing the dangers
and fatigues of actual service, which is so necessary to attain that
practical Skill which Your Royal Highness is well known to possess, I
have, upon these grounds, presumed to lay this Work at Your feet. I
should do this with greater satisfaction, were it more worthy of Your
acceptance; but however inadequate my abilities may have been to the
talk, it has been my sincere aim to produce a work of some utility to
that only Bulwark of our Country, the British Navy, of which your Royal
Highness is the Pride and the Hope.
Your Royal Highness’s Permission to inscribe this work to You, and
the personal Notice and Protection with which you have been pleased
to honour me, I consider as the first Distinctions of my life, and of
which I shall ever entertain a becoming sense, by cherishing those
indelible sentiments of Respect, Gratitude, and Attachment, which are
due to Your Royal Highness from
Your Royal Highness’s
Most faithful,
Most obedient, and
Most devoted Servant,
GILBERT BLANE.
LONDON,
May 1, 1785.
PREFACE.
Having been appointed by Lord Rodney Physician to the Fleet under his
command, in the beginning of the year 1780, I determined to avail
myself, to the utmost of my abilities, of the advantages which this
field of observation afforded. This I was led to do, in order to
satisfy my own mind as a matter of duty, as well as to find out, if
possible, the means of bettering the condition of a class of men, who
are the bulwark of the state, but whose lot is hardship and disease,
above that of all others.
A fleet, consisting seldom of less than twenty ships of the line
of battle, and sometimes exceeding forty, which I attended in the
different scenes of active service in that distant and unhealthy
region, for more than three years, has afforded me opportunities of
making observations upon a large scale.
My object has been prevention as much as cure; and as the former must
more particularly depend on a knowledge of the external causes of
disease, I have collected and arranged all the facts upon this subject
that came within my reach, considering these as the only grounds from
whence the remote causes of health and sickness could be deduced.
When I entered upon my employment, the Commander in Chief gave an
order, that every surgeon in the fleet should send me a monthly
return, stating the degree of prevalence of different diseases, the
mortality, and whatever else related to the health of the respective
ships. This was done with a view to enable me to regulate the reception
of men into hospitals, so that each ship might have a due proportion of
relief, according to the degree of sickness on board, taking care at
the same time that the hospitals should not be overcrowded; and also
to acquaint the Commander in Chief, from time to time, of the state
of sickness, or the predominance of particular diseases, in order to
recommend such articles of diet, or other means, as might tend to cure
them, or to check their progress. These returns have served also in
this work as a method of collecting a multitude of well-established
facts, tending to ascertain the causes and course of disease.
While the fleet was in port, I also superintended and visited daily the
hospitals, of which there is one at almost every island on the station;
and having kept an account of the different kinds of disease that were
admitted, and of their mortality, I have in this way likewise been
furnished with a number of facts that may throw light on the history of
human maladies.
Nevertheless, I do not boast of having made great discoveries; and
every person of a correct judgement must be aware how difficult it
is to ascertain truths, and to draw fair and solid inferences, on
medical subjects. I have attempted little more than to amass, from my
own observation, and by the assistance of the surgeons of the fleet,
a number of well-established facts, and to arrange them in such a
methodical manner, as to prove a groundwork for investigation; and I am
persuaded that others, of more sagacity and enlarged knowledge than
myself, may be able to deduce from them, observations that may have
escaped me especially if these new, but imperfect, attempts should come
to be compared with similar ones that may be made by other observers in
other climates, and in other circumstances of service.
I met with several obstacles in instituting inquiries, purely medical,
to the extent I could have wished. There is, in the first place, from
the nature of the subject, a great difficulty attending all practical
inquiries in medicine; for, in order to ascertain truth, in a manner
that is satisfactory to a mind habituated to chaste investigation,
there must be a series of patient and attentive observations upon
a great number of cases, and the different trials must be varied,
weighed, and compared, in order to form a proper estimate of the real
efficacy of different remedies and modes of treatment.
But besides this difficulty belonging to the nature of the subject,
there were others connected with the nature of the service; for the
hospitals were at times so inadequate in point of size, and so ill
provided with necessary articles and accommodations, particularly
during the first part of my attendance, that my principal care was to
remedy these defects by proper superintendence and representation.
A due attention to air, diet, and cleanliness, is not only more
essential than mere medical treatment, but the sick cannot be
considered as fit subjects for evincing the powers of medicine till
they are properly provided for in these respects. These inconveniences
were owing, in a great measure, to the unusual extent of the service;
for there was a much greater naval force in those seas, at this period,
than was ever before known, and there was of course a proportional
want of accommodation for the sick. Towards the end of the war these
difficulties were much obviated, so that a fairer field of observation
presented itself.
Another obstacle to my practical inquiries was, that the fleets I
belonged to seldom remained more than six weeks or two months at any
one place, so that any series of observations that might have been
instituted was interrupted, and I was in a great degree deprived of the
fruits of them, by not seeing the event of cases under my management.
The peace in the spring of the year 1783 put an end to all my
inquiries, and particularly prevented me from following out some
practical researches. I have ventured, however, in one part of this
work, to give the result of my experience in some diseases, more
especially such as are peculiar to the climate and mode of life.
Upon the whole, I have, in the following work, humbly attempted to
follow what I conceive to be the only true method of cultivating any
practical art, that is, to collect and compare a great number of
facts. A few individual cases are not to be relied on as a foundation
of general reasoning, the deductions from them being inconclusive and
fallacious, and they are liable to be turned and glossed, according as
the mind of the observer may he biassed by a favourite prepossession or
hypothesis. It has been my study to exhibit a rigid transcript of truth
and nature upon a large scale, and to take the average of numberless
particular facts, to serve as a groundwork for observation; and I
have endeavoured to analyse and collate these facts, by throwing the
monthly returns that were made to me into the form of Tables, as the
most certain and compendious way for finding their general result. If
the materials are not sufficiently ample, or if the method should be
found faulty and imperfect, let it be remembered, that I had no example
to go by in this field of observation. It is to be regretted, that ages
have passed without any attempts being made to transmit regular records
of this kind to posterity. It would not only be extremely curious, as
a piece of natural knowledge, but would conduce greatly to medical
improvement and public utility, were we possessed of such information
concerning the causes and nature of the diseases prevailing at sea, in
various circumstances of weather, climate, and diet, in remote ages and
countries, or even in our own age and country, as might enable us to
compare them with present facts, and to ascertain more precisely the
means of preventing and removing such diseases.
The favourable reception which the first edition of this work has met
with, renders it necessary to offer another to the Public; and though
no new opportunities have occurred of making additional observations in
the naval service I have endeavoured, during the last two years, from
a pretty extensive experience in a large hospital, and from private
practice, to add some new information on some practical points; and I
hope this edition will be found throughout more full and correct than
the former.
The method I propose to follow in this work, is, First, to deliver the
history of the different voyages and expeditions, so far as relates to
health, giving an account of the prevalence and nature of the diseases
and mortality on board of ships and in hospitals.
Secondly, To deduce, from observations founded on these facts, and also
from the former experience of others, the causes of sickness in fleets,
and the means of prevention.
Thirdly, To deliver some practical observations on the cure of the most
common diseases incident to fleets, particularly in hot climates.
OBSERVATIONS.
PART I.
BOOK I.
Comprehending the MEDICAL HISTORY of the FLEET, from March, 1780, till
August, 1781.
CHAP. I.
Containing an Account of the HEALTH of the FLEET from March,
1780, till July following.----Five Ships of the Line arrive at
Barbadoes from Europe in March--Join a large Squadron then on that
Station--Their Health compared--Engagements with the Enemy in April
and May producing Hardship and Exposure, but little Increase of
Sickness--Method of collecting the Returns of the Surgeons--Influence
of Situation upon Health in Harbours--Course of the Seasons, and
Temperature of the West Indies--The Fleet reinforced in June and July
with Ships from England and North America--Their Health.
During the war, which broke out with France in 1778, and with Spain in
1779, the West Indies was the principal seat of naval operations, and
much greater fleets were then employed in that quarter of the world
than in any former period.
Though there had been a great squadron on the Caribbee station during
the greater part of 1779, no physician was appointed to it till the
beginning of the next year, when I arrived there in that character with
my friend and protector, Lord Rodney.
There were then sixteen ships of the line on that station, most of
which had been upwards of twelve months in the climate; and they were
reinforced at this time by five more from England.
The squadron which we found on the station was then extremely healthy,
and in several of the ships there was not a man unfit for duty. We were
told, however, that they had all been subject to sickness, particularly
to the dysentery, soon after their arrival in that climate. Of the five
with which the fleet was at this time reinforced, all but the Intrepid
left England at Christmas, making part of the squadron which effected
the first relief of Gibraltar, under the command of Lord Rodney, who
continued his route to the West Indies, in order to take the command
on the Windward station, where he arrived on the 16th of March. The
Intrepid had arrived with a convoy the day before. These five ships
were all pretty healthy on their passage, except the Sandwich and
Terrible, in which a fever prevailed; but they had almost recovered
from it before they arrived in the West Indies. A dysentery broke
out in April in all the ships newly arrived, and it prevailed to the
greatest degree in those which had been most affected with fevers in
Europe, namely, in the Terrible and Intrepid. The Sandwich and Ajax
were also affected, though in a less degree; but the Montagu, though
this was her first voyage, and though she was just off the stocks, had
been the most healthy of any of them from the time of leaving England,
and continued so during all this campaign. I have not observed that
new ships are more unhealthy than others, unless they are built of
ill-seasoned timber; and they have this advantage, that there is no
previous infection adhering to them. What may have contributed also
to the superior health of the Montagu, was the precaution that was
taken when this ship was first manned and fitted out, of stripping and
washing the men that were brought from the guardship to complete the
crew.
The Intrepid, while in England, had been afflicted with fevers to a
most uncommon degree; for, being one of the fleet in the Channel cruise
the year before, almost the whole crew either died at sea, or were
sent to the hospital upon arriving at Portsmouth. This ship, after
refitting, was pretty healthy for a little time; but, probably from the
operation of the old adhering infection, she became extremely sickly
immediately after joining our fleet, and sent two hundred men to the
hospital the first two months after arriving in the West Indies. Most
of these were ill of the dysentery.
The Pegasus frigate arrived with the ships from Gibraltar, and we have
here an instance of the superior health commonly enjoyed by this class
of ships over ships of the line; for when she was dispatched to England
in the end of April, there had not been a man taken ill from the time
of her arrival on the station.
This season was a very active one in the operations of war; for,
besides the general battle of the 17th of April, there were two partial
actions in May; and, from the 15th of the former month till the 20th of
the latter, our fleet was constantly in the face of the enemy’s, except
for a few days that it was refitting at St. Lucia after the first
battle. This was extremely harrassing to the men, not only from the
incessant labour necessary in the evolutions of the fleet, but by their
being constantly at quarters with the ships clear for action; for, in
that situation, they had nothing to sleep upon but the bare decks, the
hammocks and bedding being removed from between decks, where they might
embarrass the men in fighting, and they become useful on the quarter
deck, by serving to barricade the ship, which is done by placing them
in ranges on the gunwale, to cover the men from the enemy’s grape and
small shot. These hardships were productive of some sickness, though
much less than might have been expected; for the weather is at all
times warm, and it was at this time extremely moderate and dry. Besides
we shall see in other instances as well as this, that, in the ardour
inspired by the presence of an enemy, men are less exhausted by their
exertions than on ordinary and less interesting occasions.
Almost the whole of the sick and wounded, to the number of 750, were
put on shore at Barbadoes, where all the fleet, except three ships[1],
arrived on the 22d of May.
I now began to keep regular and methodical accounts of the sickness
and mortality in the fleet, though in a manner more imperfect and less
accurate than was afterwards adopted. I was embarked on board of the
Sandwich, where the Commander in Chief had his flag, so that I was
always present with the main body of the fleet, whether at sea or in
port.
A form of monthly returns[2] was adopted, which, as well as other
points of method, was afterwards improved.
After collecting the returns for each month, I made abstracts of them
in tables; in one column of which the complement of each ship is set
down, in order to form calculations of the comparative prevalence
and mortality of different diseases at different times. One of the
abstracts is here inserted, (Table I.) by way of specimen, and the
proportional result of them for fourteen months is set down in another
table, (Table II.)
Though this last exhibits a tolerably just view, yet it may be
remarked, as one imperfection, that there was no distinction made
at this time in my returns between the killed and those who died
of disease; so that in the month of May, which stands first, the
proportion is too high; for there were sixty-four killed, and two
hundred wounded, in the two actions of that month.
TABLE I.
+--------------------------------------------+
| ABSTRACT OF RETURNS, |
| 1ST JUNE, 1781. |
+--------------------------------------------+
| Transcriber’s keys: |
| |
| A Complement. |
| B Sick and Wounded on Board. |
| C Sent to the Hospital in the |
| course of last Month. |
| D Dead on Board in the course |
| of last Month. |
+----------------+--------+------+------+----+
| SHIPS’ | A | B | C | D |
| NAMES. | | | | |
+----------------+--------+------+------+----+
| Sandwich | 732 | 28 | 36 | 2 |
+----------------+--------+------+------+----+
| Barfleur | 767 | 133 | 22 | 1 |
+----------------+--------+------+------+----+
| Gibraltar | 650 | 67 | 88 | 10 |
+----------------+--------+------+------+----+
| Triumph | 650 | 7 | 9 | 2 |
+----------------+--------+------+------+----+
| Centaur | 650 | 45 | 26 5 |
+----------------+--------+------+------+----+
| Torbay | 600 31 | 57 | 5 |
+----------------+--------+------+------+----+
| Monarch | 600 | 62 | 14 | 2 |
+----------------+--------+------+------+----+
| Terrible | 600 | 85 | 24 | 1 |
+----------------+--------+------+------+----+
| Alfred | 600 | 57 | 38 | 1 |
+----------------+--------+------+------+----+
| Russel | 600 | 44 | 134 | 7 |
+----------------+--------+------+------+----+
| Alcide | 600 | 42 | 35 | 1 |
+----------------+--------+------+------+----+
| Shrewsbury | 600 | 30 | 23 | 5 |
+----------------+--------+------+------+----+
| Invincible | 600 | 50 | 63 | 9 |
+----------------+--------+------+------+----+
| Resolution | 600 | 107 | 54 | 3 |
+----------------+--------+------+------+----+
| Ajax | 550 | 20 | 10 | 2 |
+----------------+--------+------+------+----+
| Princessa | 560 | 88 | 40 | 5 |
+----------------+--------+------+------+----+
| Belliqueux | 500 | 19 | 0 | 1 |
+----------------+--------+------+------+----+
| Prince William | 500 | 25 | 14 | 2 |
+----------------+--------+------+------+----+
| Panther | 420 | 16 | 6 | 0 |
+----------------+--------+------+------+----+
| Triton | 200 | 5 | 1 | 0 |
+----------------+--------+------+------+----+
| Hyena | 200 | 11 | 0 | 0 |
+----------------+--------+------+------+----+
| Cyclops | 200 | 5 | 2 | 0 |
+----------------+--------+------+------+----+
| Total | 11979 | 977 | 696 | 64 |
+----------------+--------+------+------+----+
The main body of the fleet lay at Barbadoes till the 6th of June, and
the men had recruited extremely by their stay there; for vegetables,
fruit, and other refreshments, can be procured at an easier rate, and
in much greater plenty, at this island, than any other on the station.
The fleet arrived at St. Lucia the next day after it sailed from
Barbadoes, and remained there till the 18th of June. The whole of this
month was showery at this island, though it is not accounted the common
rainy season; for more rain falls here than at any of the other islands
at that time in our possession, being the most mountainous, as well as
the most woody and uncultivated, of them all. These rains produced some
increase of sickness, but very little, when compared to what took place
at the same time in the army on shore, and in the ships refitting at
the Carenage. There died about this time from fifty to fifty-five men
every week in an army of not quite two thousand men.
The difference in point of health between the Carenage (which, as the
word implies, is the place where ships go to be hove down, or otherwise
repaired) and Gros-Islet Bay, where the main body of the fleet lay,
affords a striking proof of the effects of situation. The Carenage is
a land-locked creek, with a marsh adjacent to it, whereas the other is
a road open to the fine air of the sea, the only land sheltering it to
windward being a small, dry island, consisting of one hill, of half a
league in circumference, and some of the cliffs of the main island of
St. Lucia.
The increase of sickness here was farther prevented by the men
having little labour to perform on shore, nor any haunts to
encourage intemperance, a vice which the Admiral endeavoured still
more effectually to prevent, by ordering all the rum stills in the
neighbourhood to be destroyed.
It may be proper here to introduce a general account of the seasons
and temperature of the West Indies, as there will be frequent occasion
hereafter to make allusions to them. With regard to the heat, though
the range of the temperature is very small, in comparison of what it
is in Europe, the variations follow the same seasons; for July and
August are the hottest months, and December and January the coolest.
This we would naturally expect, as our plantations lie all in the
northern hemisphere, between the 10th and 20th degree of N. latitude,
and therefore bear the same relation as Europe does to the sun’s
annual course. The hurricanes happen in the same season in which the
periodical rains chiefly fall, that is, in the months of August,
September, and October, which are called the hurricane months, and
this is also the most unhealthy season. The time of the year which is
most apt to be rainy, next to this, is from the middle of May to the
middle or end of June, but this is not invariable. The lowest I ever
observed the thermometer was at 69°; it stands very commonly at 72° at
sunrise, in the cool season, rising to 78° or 79° in the middle of the
day. In the hot season, the common range is from 76° to 83°. It seldom
exceeds this in the shade at sea; and the greatest height at which I
ever observed it in the shade at land was 87°. This is far short of
the extremes of heat which they experience at certain seasons on the
continent of North America, even very far north. In Pennsylvania and
New York, the thermometer, I have been assured, rises frequently above
90°. It does so commonly enough in the East Indies; but I believe it
never was known to rise so high in the West Indies, so that the heat,
comparatively speaking, may be called moderate and steady.
The comparative mortality in June is small, owing to the fleet’s having
been cleared of all the bad cases at Barbadoes before it sailed from
thence. Though the proportion of sick in July is less, that of the
mortality is greater, (see Table II.) which seems to be owing to this
circumstance, that the cases taken ill during the rainy weather of June
did not terminate fatally till the succeeding month.
In the course of this summer the fleet was reinforced by several ships
of the line from England. The Triumph arrived in May, without any sick
on board; but a flux prevailed a few weeks afterwards, without any
evident cause, except the influence of the climate, and the exposure
and fatigues during the operations of May. The disease, however, soon
subsided, and the ship being kept in excellent order and discipline,
continued healthy during all the remaining time in which she served
with us.
In June, the Russel, of 74 guns, arrived from North America, and the
Shrewsbury, a ship of the same rate, from England. The former left
England in 1778, but was obliged to put back by stress of weather
and sickness, and upon arriving afterwards on the coast of America,
was extremely afflicted both with fevers and the scurvy. These were
removed to the hospital, and this ship had become free of all sickness
before sailing for the West Indies, except that a few of the men were
seized with fevers, and she remained healthy after arriving there, not
suffering from any regular attack of sickness, such as affected the
ships in general from Europe. The Shrewsbury left England healthy, but
was soon attacked with a fever and flux, which continued to prevail
till the end of the year.
The fever in these two ships resembled rather the low ship fever of
Europe than the bilious one peculiar to the climate. This last, indeed,
seldom or never prevails to a great degree on board of a ship, unless
it has been caught on the watering duty, or from some other exposure to
the air of the land. I have, however, known a few instances of bilious
fevers in men who never had been on shore from the time they left
England; I have even known men of the same description attacked with
intermittent fevers, which are supposed to depend still more on land
air. This is perhaps owing either to the quantity of water in a great
ship, part of which is always more or less putrid, or to the fresh-cut
wood of the country taken on board for fuel, the steam of all which
must resemble a good deal the effluvia of woods and marshes, which are
supposed to give rise to intermittents.
In the beginning of July our fleet was reinforced with the Culloden,
Egmont, and Centaur, all of 74 guns. In the end of the same month
we were joined by the Alcide and Torbay, of the same rate, and also
directly from England. The fleet was at this time at St. Christopher’s,
having arrived there on the 22d of the month, with a large convoy from
England, which had joined it at St. Lucia, under protection of the
Thunderer and Berwick, two ships of the line, which being bound to
Jamaica, I do not reckon as belonging to our fleet.
TABLE II.
Shewing the proportional Sickness and Mortality, in relation to the
whole Numbers on board, for fourteen Months.
+------------------------------------------------------+
| Transcriber’s keys: |
| A Proportion of Sick and |
| Wounded on board on |
| the First of the Month. |
| |
| B Proportion of Sick and |
| Wounded sent to the |
| Hospital in the Course |
| of the Month. |
| |
| C Proportion of Deaths |
| on board in the Course |
| of the Month. |
+-----------------+-----------+----------+-------------+
| Months. | A | B | C |
+-----------------+-----------+----------+-------------+
| | ONE IN | ONE IN | ONE IN |
+-----------------+-----------+----------+-------------+
| May, 1780 | 18½ | 20½ | 87 |
| June | 13 | 68½ | 418 |
| July | 17½ | 80 | 163 |
| August | 18 | 227 | 80 |
| September | 9 | 6 | 188 |
| October | 14 | 25 | 0 |
| November | 33½ | 192 | 265 |
| December | 16 | 67 | 185 |
| January, 1781 | 14 | 60½ | 316 |
| February | 18 | 413 | 214 |
| March | 15½ | 30 | 201 |
| April | 11 | 59 | 169 |
| May | 9½ | 17 | 188 |
| June | 12 | 40 | 701 |
+-----------------+-----------+----------+-------------+
| Mean Proportion | 15½ | 93 | 227 |
+-----------------+-----------+----------+-------------+
CHAP. II.
Account of the HEALTH of the FLEET from August, 1780, till December
following.----The Fleet divided--The principal Squadron goes to North
America--Fluctuation between Fevers and Fluxes--The Alcide and Torbay
the most sickly Ships--Health mended by the Climate and Diet in North
America--Hurricane in the West Indies--Sufferings in consequence of
it--Fevers the chief Disease.
The hurricane months approaching, the season for active operations in
the West Indies was now over. The whole force of the enemy, consisting
of thirty-fix French and Spanish ships of the line, having gone to St.
Domingo in the end of July, ten sail of the line were detached after
them from our station, for the protection of Jamaica. The Admiral
sailed for North America in August, with eleven ships of the line,
leaving six for the protection of the islands.
There was little alteration in the general state of the sick during the
voyage to America, and indeed we found no diminution of the West-India
heat, which at this season is at the greatest height, until we came to
the 33° of N. latitude.
The only material alteration in point of health was in the Alcide and
Torbay, which had arrived from England with a few men ill of fevers;
but in the course of this voyage these two ships became as unhealthy as
any that ever came under my observation. There was a greater number of
sick on board of them than all the fleet besides, and it increased to
such a degree, that upon their arrival at New York, which was in the
middle of September, after a passage of three weeks, near one half of
their men were unfit for duty. In the Alcide it was a fever that raged;
in the Torbay it was a dysentery; and the unusual degree of sickness
and mortality which appears in the Table for the month of September,
was owing to the very sickly state of these two ships.
TABLE III.
Shewing the Number of Fevers and Fluxes on board on
the First of each Month, and the Number sent to the Hospital in the
Course of the Month.
[Key:
B On board.
H Sent to the Hospital.
+---------------+-------------------+-------------------+-------------------+
| | MAY, 1780. | JUNE. | JULY. |
| SHIPS’ NAMES, +---------+---------+---------+---------+---------+---------+
| AND | Fever. | Flux. | Fever. | Flux. | Fever. | Flux. |
| Date of their +----+----+----+----+----+----+----+----+----+----+----+----+
| Arrival. | B | H | B | H | B | H | B | H | B | H | B | H |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Sandwich, | | | | | | | | | | | | |
| 16th March | 6 | 0 | 16 | 19 | 3 | 0 | 12 | 0 | 10 | 5 | 16 | 3 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Terrible, | | | | | | | | | | | | |
| 16th March | 0 | 0 | 40 | 20 | 0 | 3 | 86 | 75 | 3 | 25 | 60 | 24 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Triumph, | | | | | | | | | | | | |
| 7th May | | 0 | | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 17 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Russell, | | | | | | | | | | | | |
| 18th June | | | | | | | | | 22 | 0 | 0 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Shrewsbury, | | | | | | | | | | | | |
| 26th June | | | | | | | | | 5 | 0 | 0 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alcide, | | | | | | | | | | | | |
| 30th July | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Torbay, | | | | | | | | | | | | |
| 30th July | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Monarch, | | | | | | | | | | | | |
| 22d Nov. | | | | | 3 | 0 | 2 | 0 | 5 | 12 | 15 | 4 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alfred, | | | | | | | | | | | | |
| 22d November | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
+---------------+-------------------+-------------------+-------------------+
| | AUGUST. | SEPTEMBER. | OCTOBER. |
| SHIPS’ NAMES, +---------+---------+---------+---------+---------+---------+
| AND | Fever. | Flux. | Fever. | Flux. | Fever. | Flux. |
| Date of their +----+----+----+----+----+----+----+----+----+----+----+----+
| Arrival. | B | H | B | H | B | H | B | H | B | H | B | H |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Sandwich, | | | | | | | | | | | | |
| 16th March | 20 | 0 | 5 | 0 | 16 | 4 | 5 | 2 | 5 | 9 | 4 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Terrible, | | | | | | | | | | | | |
| 16th March | 25 | 0 | 30 | 13 | 19 | 12 | 41 | 9 | 2 | 0 | 3 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Triumph, | | | | | | | | | | | | |
| 7th May | 5 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | continued healthy.|
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Russell, | | | | | | | | | | | | |
| 18th June | 5 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | continued healthy.|
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Shrewsbury, | | | | | | | | | No Return, the |
| 26th June | 14 | 0 | 12 | 0 | 20 | 0 | 20 | 0 | Ship being absent.|
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alcide, | | | | | | | | | | | | |
| 30th July | 17 | 0 | 0 | 0 | 54 | 0 | 3 | 22 | 20 | 2 | 59 | 37 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Torbay, | | | | | | | | | | | | |
| 30th July | 6 | 0 | 3 | 0 | 3 | 0 |169 |143 | 3 | 0 | 12 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Monarch, | | | | | | | | | | | | |
| 22d Nov. | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alfred, | | | | | | | | | | | | |
| 22d November | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
+---------------+-------------------+-------------------+-------------------+
| | NOVEMBER. | DECEMBER. | JANUARY, 1781. |
| SHIPS’ NAMES, +---------+---------+---------+---------+---------+---------+
| AND | Fever. | Flux. | Fever. | Flux. | Fever. | Flux. |
| Date of their +----+----+----+----+----+----+----+----+----+----+----+----+
| Arrival. | B | H | B | H | B | H | B | H | B | H | B | H |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Sandwich, | | | | | | | | | | | | |
| 16th March | 3 | 0 | 5 | 0 | 8 | 0 | 10 | 0 | 9 | 0 | 13 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Terrible, | continued quite | | | | | | | | |
| 16th March | healthy. | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Triumph, | | | | | | | | | | | | |
| 7th May | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Russell, | | | | | | | | | | | | |
| 18th June | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Shrewsbury, | No Return, the | | | | | | | | |
| 26th June | Ship being absent.| 0 | 0 | 13 | 0 | 1 | 0 | 7 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alcide, | | | | | | | | | | | | |
| 30th July | 0 | 0 | 23 | 10 | 0 | 0 | 14 | 0 | 6 | 5 | 17 | 0 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Torbay, | | | | | | | | | | | | |
| 30th July | 6 | 0 | 5 | 0 | 0 | 1 | 22 | 30 | 5 | 0 | 10 | 1 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Monarch, | | | | | | | | | | | | |
| 22d Nov. | | | | | | | | | | | | |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
| Alfred, | | | | | | | | | | | | |
| 22d November | | | | | 6 | 0 | 5 | 0 | 15 | 16 | 11 | 8 |
+---------------+----+----+----+----+----+----+----+----+----+----+----+----+
We shall hereafter see reason for supposing that fever and dysentery
proceed from the same cause; and as both these ships arrived
from England in a similar state with regard to health, fevers would
probably have been the prevailing disease in both; but a part of the
87th regiment, then serving as marines in the fleet, was put on board
of the Torbay at St. Christopher’s, and some of them being ill of the
dysentery, gave this turn to the disease which afterwards prevailed on
board. I have formed a Table to shew the fluctuating state of these
two diseases, and this was one of my first and most imperfect attempts
towards a medical history of the fleet in a methodical way. (Table III.)
There was but little sickness in the rest of this squadron, except in
the Terrible, where the dysentery prevailed a good deal. None of the
ships of the line which we found in the West Indies, upon our arrival
there, were now in company, except the Yarmouth, and this was the most
healthy of all the ships that went to North America.
The health of the fleet was very much recruited by its short stay in
America; for the men were supplied with fresh meat and spruce beer,
and they enjoyed the two finest months of the year in that temperate
climate. The squadron left New York in the middle of November, and
though dispersed by a violent storm, all the ships arrived safe in the
West Indies before the middle of December.
In October the fleet had attained such a degree of health, that though
the calculation in the Table is made from five of the most sickly
ships, no death happened in this month on board of any of them. In
November the mortality was also inconsiderable, though the ships left
in the West Indies are included in the calculation; which, had it been
made upon those only that went to North America, the deaths would have
been no more than one in seven hundred and eleven in this month, which
is rather less than that of any other month in the Table.
The amendment in health, in consequence of the change of climate, was
most remarkable in the Terrible, which, by the time she left America,
had entirely got rid of the violent dysentery that had prevailed for
some time on board. This sudden change in the health of this ship was
evidently owing to the great attention of the Captain to cleanliness
and discipline, and no less to the assiduity and abilities of the
Surgeon. The Alcide still continued sickly, though not so much so as
the Torbay. The former had sailed on a cruise in October, and having
met with very rough weather, the sick list was thereby increased. The
dysentery now prevailed in that ship, as well as fevers, and those
men chiefly were attacked with fevers who were ill of the scurvy, or
recovering from it. This was not very common; and there were several
other remarkable particulars with regard to the fevers in this ship;
for her men were not only uncommonly subject to this disease, both in
America and the West Indies, but to all the various forms of it; the
low, infectious, ship fever of Europe, the bilious remitting, and the
malignant yellow fever of hot climates. It would appear from this,
as well as other instances, that a ship may assume, as it were, a
particular constitution, or a tendency to some particular disease,
for a length of time, and this depending on some lurking and adhering
infection, or the manner in which she may have been victualled,
watered, disciplined, or manned.
The great benefit derived to the health of the fleet, from the change
of climate, as well as other reasons, justified the Admiral in going
to North America; and there was the more merit in this measure, as it
was undertaken without precedent, and without instruction. Upon our
return we found there was great good fortune in it, as well as wisdom;
for there had happened on the 10th of October a more violent hurricane
than any in the memory of man, and the ravage it made both by sea and
land is, perhaps, unparallelled in history. Several of the ships of the
line were exposed to it; but though they suffered extremely, and were
in the utmost danger, none were lost. Two of them happened to be at
Antigua, which was out of the track of this hurricane, as it extended
only from the 12th to the 15th degree of N. latitude; so that the only
islands that suffered by it were Barbadoes, St. Lucia, St. Vincent, and
Martinico.--Four frigates, and as many sloops of war, either foundered
or were wrecked, and about one thousand seamen perished in them. One
of the buildings of the hospital at Barbadoes was entirely demolished
by the impetuosity of the sea, which, having risen to a great height,
dashed a ship against it, and twenty-three seamen were buried in the
ruins[3].
The Montague suffered most on this occasion, and was also most
subject to sickness and mortality, brought on in consequence of the
great fatigue and hardships of the men in bringing her into port
and refitting her; for the ship was almost torn to pieces both in
the rigging and hull, and the bedding and other necessaries and
conveniencies were entirely destroyed. The fever that prevailed on
board at this time was of the most malignant kind known in this
climate; and the worst cases arose in watering, and the other
necessary duties on shore, from which the men would sometimes return
frantic, and die in a few hours. There was a party of soldiers on
board; and as they were not called upon to perform any duties on
shore, they had but little sickness in companion of the sailors.
The other ships having suffered less from the storm, were also less
sickly, as it was not necessary for them to remain so long in the
unhealthy Carenage to repair.
The only disease that prevailed at this time, in these two ships, was
fevers, there being few or no fluxes, though they had been so frequent
in the former part of the year. Though fevers and fluxes depend on the
same general causes, yet when these causes exist in a higher degree,
it would appear that they are more apt to produce fevers. Thus the
exhalations of the earth from marshes are more apt to produce fevers;
and mere excesses of heat and cold, or moisture, are more apt to
produce fluxes; just as in Europe a catarrh, which may be considered as
a local febrile affection, as well as a dysentery, will be excited by
exposure to cold or damp, without any specific bad quality in the air.
The Ajax and Montague are the only two ships of those left in the West
Indies, which are included in the estimate of sickness and mortality
in November and December, and they bear a very great proportion to the
whole; for out of forty-four that died in fourteen ships of the line in
November, twenty died in the Montague, and five in the Ajax; and out of
forty-three, the whole number of deaths in December in twenty-one ships
of the line, ten were of the Montague, and eleven of the Ajax.
CHAP. III.
Account of the HEALTH of the FLEET from January, 1781, till July,
1781, both Months included.----Arrival of seven Ships of the Line
from England--Increase of Sickness in consequence of a Descent on St.
Vincent’s--Long Cruise to windward of Martinico--Great Prevalence
of Scurvy--Difference of Health in different Ships--New Ships not
more unhealthy than others--Why Frigates are more healthy than Ships
of the Line--Remarkable Cure of Scurvy in two Ships--Essence of
Malt--Vegetables most antiscorbutic in their natural State--Advantage
of supplying Refreshments on board of Ships in preference to Hospitals.
We are now come to that period in which our fleet was reinforced with
seven ships of the line, which arrived at Barbadoes from England on the
5th of January, 1781, under the command of Lord Hood. This addition,
with two which had arrived in November, made the force upon this
station again amount to twenty-one ships of the line.
TABLE IV.
Shewing the Number of each Disease on board on the First of each Month,
the Numbers sent to the Hospital, and Dead, in the Course of the Month.
KEY:
B On board.
H Sent to the Hospital.
D Dead.
+--------------+------------------------------------------------+
| SHIPS’ | |
| NAMES. | FEBRUARY, 1781. |
| N. B. Those +---------------+---------------+----------------+
| marked *, | Fever. | Flux. | Scurvy. |
| arrived with +-----+----+----+-----+----+----+-----+-----+----+
| Lord Hood. | B | H | D | B | H | D | B | H | D |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Sandwich | 8 | 0 | 0 | 4 | 0 | 0 | 2 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Barfleur | 8 | 0 | 1 | 4 | 0 | 1 | 3 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Gibraltar | 25 | 0 | 2 | 4 | 0 | 0 | 4 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triumph | 0 | 0 | 1 | 1 | 0 | 1 | 21 | 8 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Centaur | 2 | 0 | 0 | 2 | 0 | 0 | 20 | 0 | 8 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Torbay | 6 | 0 | 0 | 11 | 0 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Monarch | 13 | 0 | 3 | 13 | 0 | 0 | 2 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Terrible | 2 | 0 | 0 | 10 | 0 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Montagu | 40 | 0 | 8 | 14 | 0 | 5 | 4 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alfred | 4 | 0 | 0 | 4 | 0 | 0 | 4 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Russel | 0 | 0 | 0 | 7 | 0 | 1 | 2 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alcide | 1 | 0 | 2 | 9 | 0 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Invincible | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Resolution | 1 | 0 | 0 | 7 | 0 | 1 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Shrewsbury | 8 | 0 | 0 | 0 | 1 | 1 | 6 | 7 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Ajax | 8 | 0 | 1 | 6 | 0 | 5 | 3 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Princessa | 8 | 0 | 1 | 3 | 0 | 1 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Intrepid | 18 | 1 | 1 | 10 | 4 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Belliqueux | 11 | 0 | 0 | 10 | 0 | 5 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Prince | | | | | | | | | |
| William | 21 | 0 | 0 | 17 | 0 | 0 | 4 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Panther | 2 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triton | 7 | 0 | 0 | 15 | 2 | 0 | 14 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Cyclops | 4 | 1 | 0 | 3 | 0 | 0 | 0 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Total | 197 | 2 | 19 | 158 | 7 | 21 | 93 | 19 | 10 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
+--------------+------------------------------------------------+
| SHIPS’ | |
| NAMES. | MARCH. |
| N. B. Those +---------------+---------------+----------------+
| marked *, | Fever. | Flux. | Scurvy. |
| arrived with +-----+----+----+-----+----+----+-----+-----+----+
| Lord Hood. | B | H | D | B | H | D | B | H | D |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Sandwich | 8 | 3 | 1 | 4 | 0 | 0 | 2 | 2 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Barfleur | 28 | 4 | 0 | 35 | 0 | 0 | 5 | 27 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Gibraltar | 8 | 1 | 0 | 0 | 0 | 0 | 6 | 22 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triumph | 3 | 0 | 0 | 2 | 0 | 1 | 24 | 18 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Centaur | 7 | 0 | 0 | 4 | 0 | 0 | 50 | 0 | 8 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Torbay | 7 | 0 | 0 | 8 | 0 | 0 | 8 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Monarch | 5 | 0 | 0 | 4 | 0 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Terrible | 2 | 0 | 0 | 9 | 0 | 2 | 3 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Montagu | § | § | 5 | § | § | 3 | § | § | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alfred | 25 | 0 | 0 | 8 | 0 | 1 | 56 | 16 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Russel | 7 | 0 | 0 | 8 | 2 | 0 | 0 | 61 | 5 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alcide | 1 | 0 | 0 | 1 | 0 | 0 | 15 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Invincible | 6 | 1 | 0 | 1 | 0 | 0 | 5 | 6 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Resolution | 6 | 0 | 0 | 5 | 0 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Shrewsbury | 5 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Ajax | 2 | 0 | 2 | 10 | 0 | 5 | 6 | 0 | 6 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Princessa | 6 | 0 | 5 | 2 | 0 | 0 | 4 | 102 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Intrepid | 10 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Belliqueux | 3 | 1 | 2 | 52 | 0 | 1 | 0 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Prince | | | | | | | | | |
| William | 23 | 12 | 0 | 47 | 62 | 5 | 6 | 10 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Panther | 5 | 0 | 0 | 8 | 0 | 0 | 4 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triton | 3 | 2 | 0 | 12 | 2 | 0 | 6 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Hyena | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Cyclops | 4 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Total | 174 | 24 | 16 | 238 | 67 | 18 | 202 | 265 | 27 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| SHIPS’ | |
| NAMES. | APRIL. |
| N. B. Those +---------------+---------------+----------------+
| marked *, | Fever. | Flux. | Scurvy. |
| arrived with +-----+----+----+-----+----+----+-----+-----+----+
| Lord Hood. | B | H | D | B | H | D | B | H | D |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Sandwich | 6 | 0 | 2 | 9 | 1 | 1 | 2 | 4 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Barfleur | 24 | 0 | 0 | 25 | 0 | 0 | 33 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Gibraltar | 0 | 0 | 1 | 0 | 0 | 0 | 18 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triumph | 0 | 0 | 1 | 3 | 0 | 2 | 12 | 0 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Centaur | 1 | 0 | 0 | 3 | 1 | 0 | 55 | 1 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Torbay | 6 | 0 | 0 | 8 | 0 | 0 | 23 | 27 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Monarch | 8 | 0 | 4 | 17 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Terrible | 0 | 0 | 0 | 10 | 0 | 0 | 4 | 3 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Montagu | § | § | § | § | § | § | § | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alfred | 11 | 0 | 0 | 26 | 0 | 1 | 116 | 44 | 4 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Russel | 0 | 0 | 0 | 4 | 0 | 1 | 44 | 0 | 3 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alcide | 1 | 0 | 0 | 3 | 0 | 0 | 8 | 16 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Invincible | 4 | 0 | 0 | 4 | 0 | 0 | 2 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Resolution | 5 | 0 | 0 | 8 | 0 | 2 | 7 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Shrewsbury | 4 | 3 | 0 | 0 | 0 | 0 | 4 | 6 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Ajax | 4 | 0 | 1 | 15 | 4 | 2 | 30 | 5 | 10 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Princessa | 6 | 0 | 0 | 1 | 0 | 0 | 40 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Intrepid | 9 | § | § | 13 | § | § | 1 | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Belliqueux | 0 | 0 | 0 | 3 | 0 | 0 | 2 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Prince | | | | | | | | | |
| William | 19 | 2 | 0 | 147 | 40 | 0 | 16 | 7 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Panther | 2 | 0 | 0 | 4 | 3 | 0 | 9 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triton | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Cyclops | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Total | 115 | 5 | 9 | 317 | 49 | 9 | 428 | 115 | 26 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
----------------------------------------------------------------+
| SHIPS’ | |
| NAMES. | MAY. |
| N. B. Those +---------------+---------------+----------------+
| marked *, | Fever. | Flux. | Scurvy. |
| arrived with +-----+----+----+-----+----+----+-----+-----+----+
| Lord Hood. | B | H | D | B | H | D | B | H | D |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Sandwich | 2 | 2 | 1 | 10 | 5 | 0 | 5 | 18 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Barfleur | 12 | 3 | 1 | 16 | 1 | 0 | 54 | 10 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Gibraltar | 4 | 0 | 0 | 0 | 0 | 0 | 30 | 22 | 4 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triumph | 0 | 1 | 1 | 0 | 0 | 0 | 13 | 8 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Centaur | 0 | 0 | 0 | 2 | 0 | 2 | 15 | 4 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Torbay | 6 | 0 | 0 | 13 | 7 | 0 | 44 | 31 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Monarch | 5 | 2 | 2 | 3 | 0 | 0 | 57 | 11 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Terrible | 0 | 0 | 1 | 10 | 4 | 0 | 5 | 20 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Montagu | § | § | § | § | § | § | § | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alfred | 15 | 10 | 1 | 11 | 3 | 0 | 130 | 25 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Russel | 0 | 1 | 0 | 8 | 0 | 0 | 132 | 102 | 4 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alcide | 0 | 0 | 1 | 1 | 0 | 0 | 40 | 35 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Invincible | 7 | 0 | 1 | 6 | 8 | 4 | 31 | 54 | 4 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Resolution | 5 | 2 | 0 | 9 | 0 | 0 | 15 | 45 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Shrewsbury | 3 | 1 | 0 | 5 | 2 | 0 | 22 | 6 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Ajax | 4 | 1 | 1 | 3 | 0 | 0 | 8 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Princessa | 2 | 0 | 0 | 2 | 0 | 1 | 30 | 40 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Intrepid | § | § | § | § | § | § | § | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Belliqueux | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Prince | | | | | | | | | |
| William | 5 | 5 | 2 | 53 | 5 | 0 | 7 | 4 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Panther | 3 | 2 | 0 | 8 | 4 | 0 | 1 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triton | 2 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Cyclops | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Total | 76 | 30 | 12 | 166 | 39 | 7 | 641 | 436 | 22 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
+--------------+------------------------------------------------+
| SHIPS’ | |
| NAMES. | JUNE. |
| N. B. Those +---------------+---------------+----------------+
| marked *, | Fever. | Flux. | Scurvy. |
| arrived with +----+----+-----+-----+----+----+-----+--- -+----+
| Lord Hood. | B | H | D | B | H | D | B | H | D |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Sandwich | 2 | 0 | 0 | 3 | 0 | 0 | 10 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Barfleur | 20 | 0 | 0 | 13 | 0 | 0 | 58 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Gibraltar | 3 | 1 | 0 | 4 | 0 | 0 | 48 | 17 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triumph | 1 | 0 | 0 | 0 | 0 | 0 | 6 | 5 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Centaur | 4 | 0 | 0 | 9 | 0 | 1 | 15 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Torbay | 16 | 0 | 0 | 6 | 0 | 0 | 9 | 0 | 1 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Monarch | 4 | 3 | 1 | 4 | 0 | 0 | 36 | 5 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Terrible | 3 | 1 | 0 | 12 | 0 | 0 | 20 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Montagu | § | 0 | 0 | § | 0 | 2 | § | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alfred | 14 | § | § | 10 | 0 | 0 | 26 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Russel | 0 | 1 | 0 | 19 | 1 | 0 | 14 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Alcide | 4 | 2 | 0 | 5 | 0 | 0 | 26 | 5 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Invincible | 8 | 0 | 0 | 22 | 0 | 0 | 10 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Resolution | 1 | 0 | 0 | 3 | 12 | 0 | 84 | 0 | 2 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Shrewsbury | 3 | § | § | 4 | § | § | 20 | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Ajax | 2 | 0 | 0 | 2 | 0 | 1 | 6 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Princessa | 2 | 0 | 0 | 6 | 40 | 0 | 70 | 154 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Intrepid | § | § | § | § | § | § | § | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Belliqueux | 2 | 0 | 1 | 3 | 0 | 0 | 8 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Prince | | | | | | | | | |
| William | 4 | 4 | 2 | 13 | 3 | 1 | 8 | 7 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| * Panther | 3 | 0 | 0 | 8 | 1 | 0 | 1 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Triton | 2 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Hyena | 3 | 0 | 1 | 2 | 0 | 0 | 5 | 0 | 0 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Cyclops | § | § | § | § | § | § | § | § | § |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
| Total | 101 | 12 | 6 | 149 | 57 | 5 | 480 | 198 | 4 |
+--------------+-----+----+----+-----+----+----+-----+-----+----+
N. B. Where the Spaces are marked thus, §, no Return was made.
The whole fleet was tolerably healthy during this month, the season
being dry and cool; there was, however, a small increase of sickness
at this time, and it was owing to a descent made on St. Vincent’s in
December. The soldiers, (of whom there was still a regiment on board of
the fleet) the marines, and some of the seamen, had been on shore for
one night only; but many of them having lain on the ground, some having
been intoxicated, or having eaten to excess of sugar-cane and fruit,
caught fevers and fluxes, which increased the proportion of diseases
and deaths the following months, as appears by the Table.
I have exhibited, in another Table, a view of the sickness and
mortality of this fleet for the five succeeding months. (Table IV.)
This account, as well as most of those that are to follow, is confined
to three diseases, that may be called the sea epidemics. These are,
fever, flux, and scurvy.
The whole fleet met at Barbadoes on the 13th of January, and no service
was undertaken till the accounts of the Dutch war arrived on the 30th
of that month. In consequence of this intelligence, the greater part of
the ships of war went against St. Eustatius, which was taken on the 3d
of February.
Ten days after this a squadron of seventeen ships of the line was sent
to cruise to windward of Martinico, with a view to intercept a French
squadron which was then said to be on its passage from Europe. The
cruise was there continued for six weeks; after which small divisions
of the ships were sent to water and refit, by turns, at St. Lucia, and
were relieved by the ships left for the protection of that island.
Soon after this, the whole squadron came to leeward of Martinico; and
though the former intelligence had proved false, the greater part
of our fleet still kept the sea, in order to block up the enemy in
Fort-Royal Bay. This they continued to do till the 29th of April, when
a French fleet of twenty-two ships of the line, from Europe, joined by
four from Martinico, forced their way into their own port, pushing to
leeward our fleet, consisting only of eighteen ships of the line; so
that the greater part of them did not get into port till they came to
an anchor at Barbadoes on the 23d of May.
It was in this season of cruising, and keeping the sea, that the fleet
contracted such a degree of scurvy as had never before been known in
the West Indies. This disease is not so apt to arise in a hot climate
as in a cold one; and the prevalence of it on this occasion was owing
to the men having been for a great length of time upon sea victualling;
for one part of the fleet had not had a fresh meal from the time of
leaving America, that is, for six months; and that part of it which
came last from England had been in the same circumstances for seven
months; nor had any of them been in a place capable of supplying
vegetable refreshments from the time they left Barbadoes in the end of
January. But though no fresh meat or vegetables could be procured at
St. Lucia or St. Eustatius, yet the scurvy did not make such progress
in the ships that lay at anchor there, as in those that were at sea;
and it appears that the time in which it prevailed most was, while the
greatest number of ships was at sea, that is, in the month of March.
It appears, indeed, by the Table, that there was a greater number ill
of this complaint on the 1st of May than on the 1st of April; but it
appears also, that more were sent to the hospital in March than in
April, and very near half of the May list must have been taken ill in
March[4]. The difference of being in port and at sea consists chiefly,
1st, In there being plenty of water while in port, so that it can be
used freely, not only to drink, but to wash the clothes; and we know
that cleanliness tends greatly to ward off the scurvy. 2dly, Though
no fresh meat nor vegetables could be procured at those ports, sugar,
which may be considered as a very antiscorbutic article of diet, could
always be procured at a very cheap rate, and the seamen, when in port,
used to exchange their salt provisions for it. 3dly, There is at sea
a dismal uniformity of life, favourable to indolence and sadness, and
therefore tending to hasten the progress and aggravate the symptoms of
the scurvy; whereas the change of scene and variety of objects, when in
port, tend to cheer and recreate the mind, and thereby to avert this
disease.
The squadron that came from England under Lord Hood, suffered, upon the
whole, much less from acute diseases, during the first months of their
service in this climate, than the ships that arrived with Lord Rodney,
which was probably owing, in part at least, to the former having
arrived at the driest and coolest season of the year. The Barfleur,
however, had a large proportion of all the three prevailing diseases;
and large ships are in general more subject to them than those of a
smaller rate. But of all the ships in the fleet, the Alfred had the
greatest proportion of the three sea epidemics. The Prince William
suffered more than any other ship in the fleet from the flux, and the
Princessa from the scurvy. In some instances, reasons can be assigned
for the prevalence of particular diseases in particular ships, such as
accidental infection, or the manner in which they have been victualled,
manned, or disciplined; but in many cases the cause is so subtile or
obscure as to elude our inquiry.
The most healthy of the new squadron, during this campaign, were the
Belliqueux and Panther; the former was a new ship, and came from
England with a very irregular and ill-disciplined crew. Soon after
arriving in the climate, she was threatened with a dysentery, which,
though it spread a good deal, did not prove severe nor mortal; but
being left at St. Eustatius on this account, while the rest of the
fleet was cruising, she soon became very healthy, and remained so. This
is the second instance we have had occasion to remark of a new ship
being healthy.
The Panther preserved her health by being on small separate cruises,
and frequently in port, not being attached to the main squadron. The
Sandwich was the only other ship not engaged in the long cruise.
Of the ships lately from England, that were employed in this cruise,
the Gibraltar seems to have been the least sickly. This ship left
England healthy; but having received a draft of dirty men when upon
the eve of sailing, a fever of the infectious kind broke out on the
passage, so that she arrived in the West Indies in a sickly state.
This fever disappeared very soon after; and it is proved by this,
as well as other facts, that a warm climate, so far from tending to
generate, or even to foster the infection of fever, tends rather to
extinguish it. The Gibraltar had been put under excellent discipline
by her former commander, while in the Channel service; and this being
afterwards kept up, the men were always clean and regular. This was the
Spanish Admiral’s ship, taken by the fleet under the command of Lord
Rodney off Cape St. Vincent’s, in January 1780. She was then called
the Phœnix, and was of a singular excellence both with respect to
materials and construction. Whether the cedar, of which a great part of
her timbers consisted, contributed to the healthiness, by its balsamic
effluvia, I will not pretend to determine.
The Invincible was also uncommonly healthy during this cruise, which
may likewise be ascribed to good discipline, and to her having been
more than three years in commission before sailing from England,
whereby the men were brought into order, and accustomed to each other
and to a sea life. This ship was almost singular in having no acute
diseases for several months after arriving from Europe; but at length
paid the tribute to the climate in May and June, as may be seen in the
Table.
From the account of the three frigates at the bottom of the list in
the Table, it appears how much more healthy they are than ships of the
line. The total complements of the three is exactly equal to that of
one seventy-four-gun ship; but their whole sickness and mortality is
less than that of any one ship of the line of that class, although the
Triton was uncommonly sickly for a frigate.
There seem to be several causes for the superior degree of health
usually enjoyed by this smaller class of ships. There is less chance of
mixtures of men in frigates, as their complement is smaller, and it is
more easy for the captain and officers to keep an eye over a few men
than a great number; for, in a great ship, there are generally men,
who, concealing themselves in the most retired parts, no one takes
cognizance of them, and they destroy themselves, and infect others,
by their laziness and filth. In the next place, there is a greater
proportion of volunteers and real seamen in frigates, and more landmen
and pressed men in ships of the line, the former being more in request,
on account of the greater chance of prize money. Lastly, a small ship
is more easily ventilated, and the mass of foul air issuing from
the hold, from the victuals, water, and other stores, as well as the
effluvia exhaling from the men’s bodies, is less than in a large ship.
Many other and more minute remarks might be made on different ships
in this season of hard service; but to do this would be tedious, and
the inspection of the Tables may suggest observations to the reader.
There is a striking and instructive fact, however, with regard to two
ships, which I cannot help relating. The Alcide and Invincible, both
of seventy-four guns, in working to windward, after the action with
the French fleet, on the 29th of April, anchored at Montserrat on the
11th of May, in order to water. They remained there only part of two
days, and they procured no refreshment, except a few bushels of limes.
The scurvy then prevailed to a great degree in both ships; but between
this time and the 23d of May, when they came to an anchor at Barbadoes,
sixty men, who had been confined with this disease, were discharged,
as fit for duty, from the sick list of the Invincible, and a hundred
and fourteen from that of the Alcide. These were the only two ships
that had the advantage of the limes; and during these twelve remaining
days of the voyage the scurvy continued to increase in all the other
ships. Dr. Lind is the first author who gives a decided preference to
lemons, limes, and oranges, over every other antiscorbutic; and the
above-mentioned fact proves as demonstrably as possible the infinite
advantage of this species of acid in scurvy.
The fleet was supplied with essence of malt during all this campaign;
and though it was, no doubt, of service, it was far from having that
powerful and manifest effect that the acid fruits had, and certainly
did by no means prevent the scurvy in all cases. I have strong
testimonies, however, of its beneficial effects from the surgeons of
several of the ships, particularly of the Gibraltar, Centaur, Torbay,
and Alcide, in all of which it was found either to cure the scurvy in
its first beginning, to retard its progress, or to mend the appearance
of scorbutic ulcers, and dispose them to heal.
I had conceived that melasses, being a vegetable sweet, must have
been a very powerful antiscorbutic; but the greatest part of the last
reinforcement of seven ships came from England furnished with this as
an article of victualling, as a substitute for a certain proportion of
oatmeal, which was withheld agreeably to a late very judicious order
of the Admiralty. But though I am persuaded that this article of diet
mitigated the disease, it was very far from preventing it; and the
Princessa in particular, which suffered most from the scurvy, was well
supplied with it.
There is reason to think that it is not in the vegetable sweet alone
that the antiscorbutic principle resides, but in this in conjunction
with the natural mucilage, such as exists in the malt. I suspect
likewise that the change which the essence undergoes in its preparation
tends also to rob it of some of its original virtue. But the melasses
are still farther altered by being deprived of the natural mucilage
by means of quick lime, with which all sugar is clarified in the
boilers. Dr. Hendy, of Barbadoes, to whom I have been obliged for
several remarks, informed me, that the liquor, before it undergoes this
operation, has been found by him to produce the most salutary effects
in the scurvy; but as this cannot be had at sea, we had no opportunity
of comparing it with other antiscorbutics. It is certain also that the
medical effects of the native sweet juices are, in other respects, very
different from what they are in their refined state; for manna, wort,
and the native juice of the sugar cane, are purgative; whereas sugar
itself is not at all so[5]. This affords a presumption, that they may
be also different in their antiscorbutic quality; and there is reason
to think, from experience, that the more natural the state in which
any vegetable is, the greater is its antiscorbutic quality. Vegetables,
in the form of sallads, are more powerful than when prepared by fire;
and I know, for certain, that the rob of lemons and oranges is not
to be compared to the fresh fruit. Raw potatoes have been used with
advantage in the fleet, particularly by Mr. Smith, of the Triton,
who made the scorbutic men eat them, sliced with vinegar, with great
benefit. This accords also with what Dr. Mertans, of Vienna, has lately
communicated to the Royal Society of London.
When the fleet arrived at Barbadoes on the 23d of May, it was found
that the number of sick on board amounted to sixteen hundred, and that
there was not accommodation for more than two hundred at the hospital.
As there was hardly any complaint but scurvy, the Admiral, at my
representation, issued an order for serving the sick on board of their
own ships with fruit and other vegetables and refreshments, such as
milk and soft bread. This course of diet commenced in the beginning
of June; and as the greater part of the fleet was near four weeks
thereafter in port, they enjoyed the advantages of it during that time;
and the very great diminution of sickness and mortality, which appears
by the Tables in that month, sufficiently evinces the benefit derived
from it. In less than four weeks the fleet, from being very sickly,
became extremely healthy.
It was remarked, that the men recovered faster on board than on shore;
and it would appear that land air, merely as such, has no share in the
cure of the scurvy, and that the benefit arises from the concomitant
diet, cleanliness, and recreation. The expedient of curing men on board
of their ships was here suggested by necessity; but it succeeded so
well, that it was adopted afterwards in preference to an hospital,
which is indeed a useful relief to a fleet where there are contagious,
acute disorders; but with regard to scurvy, I am convinced, that on
foreign stations, at least, where the accommodations of the sick are
more indifferent than in England, many advantages would arise from
supplying men with refreshments on board of their ships. It appears
that only four men died of this disease in the whole fleet in the month
of June, though there were so many ill of it; whereas it appears by
the books of hospitals, that scorbutic men die there in a much greater
proportion, and chiefly in consequence of other diseases, particularly
the flux, which they catch by infection, or bring on by intemperance.
It is farther in favour of this scheme, that great numbers of those
sent on shore are lost by desertion. It is also a great saving to
Government, the expence not being a fourth part of what it would cost
at an hospital.
The fleet left Barbadoes on the 10th and 12th of July, and continued
healthy till the greater part of it sailed for North America in the
beginning of August.
PART I.
BOOK II.
Continuation of the MEDICAL HISTORY of the FLEET, from August, 1781,
till the Conclusion of the War in April, 1783.
CHAP. I.
Some Account of the Interval between the Campaign of 1781 and the
Junction of the Reinforcement from England in April, 1782.----The
main Body of the Fleet goes to North America--Lord Rodney goes to
England, and returns to the West Indies with twelve Ships of the
Line--Health of the Fleet in England--Sickness most prevalent in
the Beginning of a War--A natural Tendency to Recovery in Ships and
Individuals--Advantages of this Squadron in point of Victualling.
When the main body of the fleet went to America in August, Lord Rodney
went to England for the recovery of his health.--Wishing to lay before
the public boards several reforms that suggested themselves to me in
the course of the late service, I accompanied the Admiral, purposing to
return when the season for hostile operations should have brought back
the fleet from the coast of America.
Soon after arriving in England, I presented a memorial[6] to the Board
of Admiralty, proposing such means for the preservation of the health
of the fleet as had occurred to me during my past service.
The Board of Admiralty considered this memorial with all the attention
that could be expected in the general hurry of service, inseparable
from a great and extensive war; and I am happy in being able to say,
that, in consequence of my application, most of the particulars
recommended have since been so far carried into effect as to produce a
practical conviction of their utility.
Lord Rodney having recovered his health, hurried out to his station
with all the force that could then be equipped, as the enemy were
expected at the Caribbee Islands, with a superior force, after their
successes against us in the autumn campaign in America.
I had again the honour to accompany the Admiral. He first sailed from
Portsmouth, with four ships of the line, on the 14th of December, and
was to have been joined by two more that lay ready at Plymouth; but by
the time we arrived off this harbour the wind became contrary, whereby
we were detained there till the 14th of January, 1782. During this time
more ships were got ready, and six were added to the squadron; for the
public anxiety at that time called forth every exertion to strengthen
this reinforcement, upon which the fate of the whole West Indies was
supposed to depend.
This fleet cleared the Channel in the midst of a storm, and with the
wind at the same time so scanty, that we barely weathered Ushant; but
Lord Rodney’s perseverance and resolution, stimulated by the exigency
of the occasion, banished all hesitation and timidity. The rough
weather, and contrary winds, continued through the variable latitudes;
but having met with fresh blowing trade winds, common at that season,
we had the good fortune to get safe to Barbadoes with the whole
squadron on the 19th of February.
All the twelve ships[7] of this reinforcement had been on service for
a considerable length of time since they had been last commissioned,
except the Anson, a new ship, which had never before been at sea, and
the Fame and Yarmouth, which had lately undergone a thorough repair,
since which time they had been only for a few weeks at sea in the
Channel before they were ordered on this expedition.
The only ship that was sickly when we left England was the Fame, on
board of which some pressed men, with the infection about them, had
been received from the Conquestadore guardship; and the fever which
broke out in Plymouth Sound, where I was first sent for to visit that
ship, was probably owing to the infection which these men brought with
them. The other ships were, upon the whole, healthy; for it appeared
by the weekly accounts delivered to the Admiral, that the mortality,
including even that of the Fame, for the four weeks before we sailed,
had been only one in thirteen hundred, and that there had been about
one in twenty-nine on the sick list.
An opportunity offered on this occasion of comparing the health of
ships of war in England with that in the West Indies. The health of the
fleet in general at home was at this time about the proportion above
mentioned; but it is to be remarked, that it was healthier then than in
the former part of the war.
Plymouth hospital, which is calculated for twelve hundred men, was not
half full; and there were not at this time more than six hundred men
at that of Haslar, which is calculated to contain two thousand; but
the latter was generally full during the first two or three years of
the war, from the great fleets that put into Portsmouth. At one time
part of the sick were even obliged to be accommodated with tents in the
neighbourhood of the hospital, for want of room. But towards the end
of the year 1781 the infectious fever, which constitutes a great part
of the sickness in the European seas, was almost extirpated, and in
a cruise of five weeks in the north part of the Bay of Biscay, under
Admiral Darby, in September and October of this year, only six men were
buried in that time from twenty-eight ships of the line.
This was chiefly owing, as I apprehend, to the length of time which the
war had continued, in consequence of which the men of the respective
ship’s companies had been accustomed to each other, and habituated
to the mode of life peculiar to a man of war, regulating themselves
according to certain rules of good order and cleanliness. The causes
of the fever above mentioned, as shall be more fully illustrated
hereafter, are chiefly connected with the circumstances occurring in
the beginning of a war, when men of all descriptions are mixed, without
proper precautions being taken to guard against the infection imported
from jails or guardships. The sickness in the French fleet was still
greater in the beginning of the war than in the British; and this has
been the case in all the wars of this century. In the fleet commanded
by the Comte d’Orvilliers, in 1779, the sickness was so great as to
disable many of the ships from service, and great numbers of men were
landed at Brest, with a fever so malignant as to infect the inhabitants
of the town and country adjacent. I believe, besides, that the general
health prevailing at this time in the fleet in England, was, in part,
owing to the sour crout and melasses, which were now supplied more
amply than had ever been done before. The entire exemption from scurvy
in particular is to be ascribed to these improvements in diet.
There is a tendency in acute diseases to wear themselves out, both
in individuals that labour under them, and when the infection is
introduced into a community. Unless there was such a _vis medicatrix_,
there could be no end to the fatality of these distempers; for the
infectious matter would go on multiplying itself without end, and would
necessarily destroy every person who might be actually attacked, and
would infect every person who might be exposed to it. But animal nature
is so constituted, that this poison, after exciting a certain set of
motions in the body, loses its effect, and recovery takes place; and
those who happen not to be infected at first, become in some measure
callous to its impression, by being habitually exposed to it. There is,
therefore, a natural proneness to recovery, as well with regard to that
indisposition which takes place among a set of men living together,
as with regard to a single individual who actually labours under the
disease. Thus the most prevailing period of sickness is when men are
new to their situation and to each other, so that time of itself may
prove the means of prevention as well as of cure.
This consideration, however, ought not to supersede any part of
our attention with regard to the scurvy, which does not become
spontaneously extinct like acute diseases.
During the three first weeks of this passage from England to the West
Indies, there was wet and boisterous weather, but it had very little
effect in augmenting sickness; and though it not only subjected the men
to fatigue, cold, and damp, but prevented the ships from opening their
lower-deck ports till the 2d of February, between the 31st and 32d
degree of latitude, thereby producing close air and moisture where the
men sleep, yet, in the whole squadron, from its leaving England till
this time, there were only seven deaths, four of which were in the Fame.
The only sea epidemic that made its appearance was the infectious ship
fever, which, in many cases, was attended with pleuritic, rheumatic,
and other inflammatory symptoms, owing to the cold and wet, to which
the men were exposed in the variable latitudes. The warm, dry, fresh
breezes which we had during the remainder of the passage, were probably
what prevented any bad consequences from the former hardships, for
there died only four men from the above-mentioned date till we arrived
at Barbadoes; and it appeared by the Admiral’s weekly account, that the
proportion of the sick neither increased nor diminished from the time
we got into a warm climate and fine weather till our arrival on the
19th of February.
This squadron left England with several advantages in point of
victualling, which no ships had before enjoyed. They were amply
supplied with sour crout and melasses; they had all more or less wine,
of an excellent quality; and the Formidable had an entire supply of
it, in place of spirits, of which none was put on board. This slip had
hitherto, and did for some months afterwards, enjoy an extraordinary,
perhaps an unparallelled, degree of health. What farther contributed
to the health of this ship was, that she had been long in commission,
and most of the recruits with which the crew had been completed were
men turned over from other ships. There was also extraordinary medical
attention paid, particularly in watching the first beginnings of
complaints.
Upon the arrival of the squadron at Barbadoes, it was found, that,
the two hostile fleets having returned from North America in the
beginning of December, the campaign had opened with the siege of St.
Christopher’s, which had been invested by twenty-eight ships of the
line, and a considerable army. Our fleet, under Lord Hood, having
attempted, with great enterprise and skill, but without success, to
relieve it, Lord Rodney made haste to join them with the reinforcement
he had brought from England. He remained at anchor at Barbadoes only
one night, and in a few days came off Antigua, where he was informed of
the surrender of St. Christopher’s; and here, on the 25th of February,
he was joined by the rest of the fleet in their return to windward.
CHAP. II.
Account of the HEALTH of the FLEET from the Junction of the
Squadron from England, till the general Rendezvous at St. Lucia
in the Beginning of April.----The Fleet found on the Station very
healthy--Health of the Ships from the American Station--Health of
the Ships from England compared with that of the Ships found on the
Station--Small-pox prevalent--Instance of the remarkable Efficacy
of Lemon Juice in curing the Scurvy--Additional Reinforcement from
England--Watering Duty dangerous and unhealthy--The most healthy Ships
those that had been longest in the Climate--List of the Numbers taken
ill of each Complaint in March--Inflammation of the Liver not common
in the West Indies.
The fleet which was found in the West Indies consisted of all the
sixteen that went from thence to America in August, 1781, (except the
Terrible, which had been lost) together with six ships of the line[8]
from the American station, the St. Albans, which arrived from England
in November, and the Russel, which had remained in the West Indies
during the hurricane months. They were all extremely healthy, having
only one man in twenty-eight on the sick list, and very few had been
sent to hospitals.
This fleet, after arriving from America, had lain at anchor for three
weeks at Barbadoes, where it had the advantage of the vegetable
refreshments which that island affords; but during three weeks that
it lay at anchor, in the face of the enemy, at St. Christopher’s,
the men were excluded from all communication with the shore, and had
no vegetable food, except some yams, with which they were supplied
from Antigua, in place of biscuit, of which there was at this time a
scarcity. These ships had therefore been in no port for six weeks,
except for a few days that they lay in the road of Antigua refitting,
and putting the sick and wounded on shore.
The men had also been deprived of their natural rest, and exposed to
the air during all the time that the fleet was at anchor before St.
Christopher’s; for they had been twice attacked by the enemy in that
situation, and were therefore under the necessity of keeping the ships
constantly clear for action; yet no increase of sickness followed.
This might partly be owing to the eagerness and alacrity of spirits
naturally excited in such a situation, and also to the fleet not lying
under the lee of any land, and having springs upon their cables, so
that they had all the perflation and all the purity of air which ships
enjoy when at sea. The fumigation which ships undergo in battle, has
also been thought to contribute to their health.
To whatever cause it was owing, the fleet we found in the West Indies
was at this time healthier than that which had just come from England;
and there was but little difference in the degree of health of the
different ships that composed it. Of those which left the West Indies
in August, and returned in December, the only one that could be said
to have any epidemic disease was the Prince William, which had never
got entirely free from the dysentery that was formerly mentioned as
prevailing so much on board of this ship last year. The disease was
kept up, by the ship never having been cleared of the men affected
with it, and by the crew in general being ill provided with slops[9],
a circumstance that would render them more susceptible of whatever
infection they might be exposed to.
There were also some remains of the same disease in the Intrepid, the
seeds of it having been more or less continued from the summer of 1780,
at which time it prevailed to a most violent degree. The Alfred had
a few of all the sea epidemics, and had been for a long time before
more or less in the same situation, from a neglect of cleanliness,
particularly of the men’s persons.
The only ship in which there was any thing like an epidemic was the
Canada, This ship, when at home, had for many months before she sailed
been in unremitting service, and very little in port. On the passage
from England to America, in August, 1781, there broke out a severe
dysentery, to which the scorbutic habit of the men, from being so
long at sea, probably predisposed them. Though it had abated much in
February, 1782, it was then by no means extinct, and continued till
April. The Prince George had been in commission all the war, and was a
model of discipline and cleanliness, and consequently of health. This
continued till the passage from America, when, upon the first cold
weather after leaving New York, there broke out a violent dysentery, of
which sixteen men died. This is agreeable to what Dr. Lind observes,
that the flux may be brought on by a sudden transition, either from
cold to heat, or from heat to cold. All the men that were ill of this
disease having been sent to the hospital at Barbadoes, and the usual
attention to cleanliness having been kept up, the disease entirely
vanished.
All the other ships of the American station had been more or less
visited with sickness after they left England, except the Bedford. This
was probably owing to this ship having been longer in commission than
any of the others, that is, for four years, and all that time under
the same commander. This last circumstance falls to the lot of few
ships; but a great advantage attends it; for the mutual knowledge and
attachment of the captain and ship’s company is naturally productive of
regularity and good discipline, and thereby of health.
The Royal Oak, Prudent, and America, which left England with the
Bedford, though they had been afflicted with the scurvy and other
complaints soon after arriving in America, had been quite healthy for
some time before coming to the West Indies, and were so much so at
this period, that, though there were a few sores and slight complaints
on their sick lists, there was not a man confined with illness, so
as properly to be called sick. The Royal Oak, having been the flag
ship of Admiral Arbuthnot, was manned with choice seamen, which is a
circumstance generally conducive to health; for these being accustomed
to a sea life, are more provident, more handy and methodical in all
that relates to diet, cloathing, and cleanliness. The scurvy, which
infected her upon first arriving in America, was successfully treated
on board by serving to those who were ill of it a mess, composed of
soft bread, baked on purpose, and mixed with wine and essence of malt.
The Prudent, though now quite healthy, had been sickly soon after being
put into commission in Europe, and upon first arriving in America. She
had been uncommonly sickly, when a new ship, upon her first voyage,
which was to the East Indies, during the peace. This remarkable degree
of sickness was probably owing to a particular experiment that was made
in preparing the wood of which she was built. This experiment consisted
in soaking the timber for a length of time in a strong pickle, in order
to make it less corruptible. The only other ship on which the trial of
this was made was the Intrepid; and it has been already mentioned that
this was an extremely sickly ship. The effect of it upon the wood was
to cause a constant moisture and mouldiness in the orlops and holds.
In the Intrepid, the sickness was never conquered till a practice was
followed of pumping and bailing her with great care, and putting a fire
into the well for six hours every day, by which means the dampness, and
the mildew produced by it, were removed and prevented, and the ship
thereby rendered healthy.
The two squadrons being united, and consisting of thirty-four ships
of the line, proceeded to St. Lucia, where they arrived on the 1st of
March.
I received monthly returns as formerly, and the form of them was
improved by adding a column for the numbers taken ill of the several
diseases in the course of the month. The returns of February are not
complete, there being none for the 1st of that month, as we had not
then arrived; but as the returns of the 1st of March have relation to
the preceding month, a judgement may be formed of the sickness and
mortality of February from the following table:
EXTRACT from the RETURNS of the 1st of March, 1782.
+------------------+-----------+-----------+-----------+
| |Put on the | Died last |Sent to the|
| DISEASES. | Sick List |last Month.| Hospital |
| |last Month.| |last Month.|
+------------------+-----------+-----------+-----------+
| Fevers | 53 | 15 | 9 |
| | | | |
| Fluxes | 263 | 67 | 0 |
| | | | |
| Scurvy | 121 | 2 | 5 |
| | | | |
| Other Complaints | 618 | 25 | 59 |
+------------------+-----------+-----------+-----------+
| Total | 1555 | 109 | 73 |
+------------------+-----------------------+-----------+
This account is abstracted from the returns of twenty-nine ships of
the line, and two frigates.
The diseases and deaths under the head of “Other Complaints,” is much
more numerous in this month than usual, which is chiefly owing to the
preceding actions with the enemy, and to the prevalence of the small
pox. Of the deaths under this head, seventeen were in consequence
of wounds, six from small pox, one from a mortification[10] in the
shoulder, and one from consumption.
None of the epidemics affected one part of the squadron more than
another, except that the ships last from England had a less proportion
of the flux than the rest; and the few cases of this disease that were
in these ships arose after their arrival in the climate. The Conqueror
and Fame, which were the two most sickly ships, had no complaints but
fevers.
The fevers had now begun to take on some of the characteristic symptoms
of the climate; the chief of which is a greater abundance of bile. In
the Repulse, two men had the yellow colour of the skin, which is so
peculiar to the fevers of this climate.
The crew of the Anson caught an infectious fever from a guardship in
England; and when the Prothée sailed, there was a fever of the same
kind on board; but from the change of climate, the symptoms became
milder, and the disease disappeared in both these ships in the course
of this month.
The small pox prevailed more at this time in the fleet than I have ever
known it to do either before or since, and that both in the squadron
from England and in that from North America. There were six cases
in the Formidable, all of which did well, though two were of the
confluent kind.
Though there needs hardly any additional proof of the extraordinary
efficacy of lemon juice in curing the scurvy, yet it may be of service
to impress so useful a truth on the mind by mentioning such striking
proofs of it as occurred from time to time. The Arrogant spoke with
a Portuguese vessel near Madeira, from which some of this fruit was
procured, and the only scorbutic man on board happening to have some
of the most desperate symptoms, such as putrid gums, contracted hams,
the calves of the leg hard and livid, and frequent faintings, a fair
opportunity offered for trying its virtues. The man was allowed two of
them daily, and was perfectly well in sixteen days, during all which
time the ship was at sea, so that it was impossible to ascribe the cure
to any other cause.
The fleet remained at St. Lucia from the 1st till the 18th of March,
completing the water, provisions and stores, landing the sick at the
hospital, and also watching the motions of the enemy, who arrived about
the same time at Martinico from the siege of St. Christopher’s. During
this time we were reinforced with the Duke, of 90 guns, and the Warrior
and Valiant, of 74 guns, from England. On the 18th the whole fleet,
except the Invincible, which was detached with a convoy to Jamaica,
sailed on a cruise to windward of Martinico, in quest of a French
convoy expected from Europe; which having eluded us, and got into their
own harbour, the whole fleet returned to St. Lucia on the 30th of
March, excepting the Prudent, which was sent to Barbadoes.
We found at St. Lucia the Magnificent, of 74, and the Agamemnon, of 64
guns, which were the last reinforcement of this campaign, making the
British fleet on this station amount to forty ships of the line, a much
greater force than was ever before employed on foreign service. They
were all copper bottomed.
The weather continued fine all this month, yet there was some increase
of sickness, owing chiefly to the hardship the men underwent in
wooding and watering. In Choc Bay, where the fleet watered, there was
at this time a higher surf than was ever remembered, which made the
operation of watering (at all times noxious in this climate) uncommonly
toilsome and dangerous. It was, indeed, next to impracticable; for many
longboats were staved on the beach, by which several men had their
limbs broken, and some lost their lives, by being crushed or drowned;
but the necessity of the service admitted of no relaxation or delay.
There was no increase of wind to account for this surf, so that it was
owing either to something in the currents, or to some subterraneous
cause; and there had been felt at Barbadoes and St. Lucia, about this
time, a slight shock of an earthquake[11], to which many imputed
this extraordinary surf. In other respects, there were fewer causes
of sickness than usually occur to a fleet in port in this part of the
world; for the air of the road is remarkably pure, and there were fewer
temptations and opportunities of intemperance than at the other islands.
The monthly returns of the surgeons were very full and complete; but as
it would be tedious to insert at length those of every particular ship,
and as the number of ships fluctuated in different months, I shall do
no more hereafter than set down the general results from calculation,
so as to shew the proportional prevalence of disease and mortality in
each month.
TABLE, shewing the proportional Sickness and Mortality in March.
+-----------------------------------------+
| Transcriber’s Keys: |
| |
| A Proportion of those taken ill in the |
| Course of this Month. |
| |
| B Proportion of those who died, in |
| relation to the Numbers of the Sick.|
+-----------------------+--------+--------+
| | A | B |
| DISEASES. | | |
| | ONE IN | ONE IN |
+-----------------------+--------+--------+
| Fevers | 20 | 64 |
| | | |
| Fluxes | 35 | 71 |
| | | |
| Scurvy | 126 | 0 |
| | | |
| Other Complaints | 33 | 108 |
+-----------------------|--------+--------+
| General Proportion | 9 | 76 |
+-----------------------+--------+--------+
The first column is formed by dividing the whole number on board by
the number taken ill. The second column is formed by first adding the
number ill on board on the first of the month to the number taken ill
during the month, subtracting from this sum the number sent to the
hospital, and dividing the remainder by the number of deaths.
The number on the sick list of twenty-eight ships of the line, and two
frigates, on the first of this month, was eight hundred and forty-five;
the number put on the lists in the course of the month was one thousand
eight hundred and eighty-four; and the number sent to the hospital in
the same time was three hundred and seventy-three; and there died on
board thirty-one.
The total mortality this month, in relation to the whole number of men
on board, was one in six hundred and seven.
It almost always happens, that ships of war are more or less short of
complement, and allowance is made for this in all the calculations; for
having had an opportunity of inspecting the weekly accounts delivered
to the Admiral, it was always in my power to be informed how many there
were short of the legal complement of men in each ship.