BOOK III.

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.

Observations on the Diseases of Seamen · 第 3 / 8 章