of the fluxes, of which the greatest number sent to hospitals are such
as have languished for some time under this disease, in which state it
generally proves fatal in the West Indies, in consequence of incurable
ulcers in the great intestines, to which the heat of the climate, as
well as the scorbutic habit and sea diet, is particularly unfavourable.
But the whole of the mischief arising from it does not appear in the
table; for it was the most apt of any disease to supervene upon other
complaints which were under cure at the hospital. It more particularly
attacked those who were recovering from the scurvy, and was the cause
of the greater number of deaths under this head in the table. It was
found to be more contagious than fevers, either because the men’s
constitutions were more predisposed to it, or, perhaps, because the
infectious matter of it being more gross and less volatile, it is not
so readily dissipated by the heat of the climate; for, either from
this, or some other circumstance, infectious fevers are not so easily
generated, nor so apt to spread, as in Europe. That these fluxes were
owing to infection may be inferred from hence, that, when men ill of
the scurvy were cured on board of the ships they belonged to, they
were not liable to this disease, neither did they prevail at these
hospitals afterwards, when great care was taken to separate infectious
diseases from the others.
The only regular hospital on this station is that at Antigua. This
island being the seat of the royal dock yard, there is an established
hospital in time of peace as well as war. It so happened, that great
fleets never came here to put their sick and wounded on shore, as at
Barbadoes; so that the greater number of those received into it were
from single ships that came to careen. As there was, therefore, less
necessity for crowding, and as the slighter cases could be admitted,
there was a less proportion of deaths here than at most of the other
hospitals.
There were two other establishments for the reception of the sick and
wounded on this station, but they were only temporary. These were at
St. Lucia and St. Christopher’s, where the men being received in great
numbers at a time from large fleets, and as there were accommodations
only for the most urgent cases, the mortality approached more nearly
to that of Barbadoes. There died at St. Christopher’s, in the years
1780 and 1781, in the proportion of one in six, and at St. Lucia, in
the same time, one in five and a half, or two in eleven. The air of
the hospital at St. Lucia was remarkably pure, and this degree of
mortality was owing to the sick having been accommodated in tents and
huts. In the two last years of the war, when an hospital was built, and
regularly established, the mortality was not much above one half of
this.
Some authors have endeavoured to form an estimate of the success of
practice from the different rates of mortality; but this is extremely
fallacious; for the fatality of diseases will depend on their violence,
the proportion of deaths being very different in cases that are slight,
from what it is in those that are dangerous. We shall take a view,
however, of the hospital at Barbadoes at another period, in which
there seemed little or no difference in the violence of the disease,
and when the superior success seemed to be owing to the hospital’s not
being so crowded, and to the better attendance and treatment of the
sick. The following is a view of the diseases that were admitted in
the last three months of the year 1782, the greater part of which were
landed from the reinforcement of eight ships of the line that joined
the fleet at Barbadoes in the beginning of December:
+--------------------+-----------+-------+----------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+--------------------+-----------+-------+----------------+
| Fevers | 224 | 29 | { 8 |
| | | | NEARLY { |
| Fluxes | 17 | 6 | { 3 |
| | | | |
| Scurvy | 50 | 5 | { 10 |
| | | | ONE IN { |
| Ulcers | 25 | 10 | { 2½ |
| | | | |
| Other Complaints | 46 | 8 | { 6 |
+--------------------+-----------+-------+-NEARLY-{-------+
| Total | 362 | 58 | { 6 |
+--------------------+-----------+-------+----------------+
It happened on this, as on the former occasion, that none were sent on
shore but such as were very ill, or had contagious complaints, the rest
being provided with refreshments on board of their ships. There were no
wounds at this time, but there was a greater proportion of fevers; so
that the complaints, upon the whole, might be said to be about equally
dangerous. The mortality now was, however, considerably less, and this
is to be imputed to the more favourable situation of the hospital,
which I did not allow to be overcrowded; and the men had all manner of
justice done them in point of attendance and accommodation.
I shall give another example of the same kind in the hospital at
Jamaica, when our fleet went there after the battle of the 12th of
April. All the men accounted for here were landed from the fleet under
Lord Rodney in May, June, and July, 1782[26].
+--------------------+-----------+-------+-------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+--------------------+-----------+-------+-------------+
| | | | NEARLY |
| | | | ONE IN |
+--------------------+-----------+-------+-------------+
| Fevers | 224 | 71 | 3 |
| Fluxes | 65 | 23 | 3 |
| Scurvy | 48 | 10 | 5 |
| Ulcers | 92 | 21 | 4 |
| Wounds | 70 | 18 | 4 |
| Other Complaints | 40 | 18 | 2 |
+--------------------+-----------+-------+-------------+
| Total | 539 | 161 | 3½|
+--------------------+-----------+-------+-------------+
This uncommon degree of mortality was not owing to the bad air of the
place, for Port Royal is naturally as healthy as most parts in that
climate; nor was it owing to bad accommodations, or to neglect of any
kind; but is imputable entirely to this circumstance, that the hospital
being extremely small, those only were sent to it who were very ill.
There were at this time upwards of forty ships of the line at Jamaica,
and an hospital, containing only three hundred beds, could afford but
a very inadequate relief. Some officers are unwilling that any man
should die on board of their ships, for fear of dispiriting the others;
and many were sent to the hospital, in the most desperate stage of
sickness, that they might there die.
There cannot be a stronger proof than this of the fallacy of judging
of the success of practice by the proportion of the deaths; for the
sick on this occasion were better accommodated, better provided for in
every respect, and as regularly attended, as at any other period of my
service in the West Indies, yet the mortality was greater than at any
other time.
Having given instances of the common rate of mortality in hospitals in
Europe and the West Indies, I shall next give examples of the success
we had in North America, when the fleet was there in the autumns of
1780 and 1782.
ACCOUNT of the Sick landed at New York from the West-India Fleet,
consisting of eleven Ships of the Line, in Autumn, 1780.
+--------------------+-----------+-------+-------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+--------------------+-----------+-------+-------------+
| | | | NEARLY |
| | | | ONE IN |
+--------------------+-----------+-------+-------------+
| Fevers | 34 | 9 | 4 |
| Fluxes | 229 | 27 | 9 |
| Scurvy | 433 | 40 | 11 |
| Ulcers | 47 | 8 | 6 |
| Other Complaints | 82 | 10 | 8 |
+--------------------+-----------+-------+-------------+
| Total | 825 | 94 | 9 |
+--------------------+-----------+-------+-------------+
ACCOUNT of the Sick landed at New York from the West-India Fleet,
consisting of twenty-six Ships of the Line, in Autumn, 1782.
+--------------------+-----------+-------+-------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+--------------------+-----------+-------+-------------+
| | | | NEARLY |
| | | | ONE IN |
+--------------------+-----------+-------+-------------+
| Fevers | 104 | 14 | 7 |
| Fluxes | 131 | 14 | 9 |
| Scurvy | 617 | 30 | 20 |
| Ulcers | 74 | 10 | 7 |
| Other Complaints | 70 | 4 | 17 |
+--------------------+-----------+-------+-------------+
| Total | 996 | 72 | 14 |
+--------------------+-----------+-------+-------------+
The difference of mortality here, from what occurred in the West
Indies, is partly imputable to climate, and partly to the smaller
number of acute diseases. In the two accounts last stated, the
difference in favour of the latter seemed chiefly to arise from the
superior attention to the sick, and the better treatment of them. It
was mentioned before, that in autumn, 1782, at New York, they were
better supplied, both at hospitals and on board of their ships, with
every thing that could be wished, and that on this occasion almost
every scheme I had proposed was realised. The extraordinary success
in the scurvy was owing to the great quantities of vegetables that
were supplied; for several fields of cabbages had been planted in
the neighbourhood of the hospital for the use of the sick. This was
owing to the humane attention of Admiral Digby, who had also caused
cows to be purchased to supply the hospital with milk. Cleanliness,
and the separation of diseases, were also strictly attended to; and
I am persuaded that many of the scorbutic men were saved by keeping
them separated from the fevers and fluxes; for it has been observed,
that men ill of the scurvy, or recovering from it, are very apt to be
infected, particularly with the flux.
It appears, that the disease in which climate makes the greatest
difference is the flux. It was observable, that though the dysentery
at this time was more fatal on board of the ships at New York than in
the West Indies, yet it was less so at the hospital. The cause of this
seems to be, that the acute state of this disease, of which men die on
board before there is time to remove them to an hospital, is more fatal
in a cold climate; but when it becomes more protracted, which is the
case with most of the cases sent to hospitals, they then do much better
in a cold than in a hot climate.
I shall here subjoin an account of the numbers that were admitted, and
died, during the whole war, at the hospitals of the different parts at
which the fleets I was connected with touched.
+----------------------+-----------+-------+-------------+
| DISEASES. | Admitted. | Died. | Proportion. |
+----------------------+-----------+-------+-------------+
| | | | NEARLY |
| | | | ONE IN |
+----------------------+-----------+-------+-------------+
| At Gibraltar | 2131 | 203 | 10 |
| Barbadoes | 4604 | 861 | 5 |
| Antigua | 6099 | 914 | 7 |
| St. Lucia | 3363 | 478 | 7 |
| St. Christopher’s | 853 | 142 | 6 |
| Jamaica | 10088 | 1672 | 6 |
| New York | 17880 | 2179 | 7½|
+----------------------+-----------+-------+-------------+
| Total | 45018 | 6449 | 7 |
+----------------------+-----------+-------+-------------+
I have been able to calculate the numbers of deaths from disease in
this great fleet, both on board and at hospitals, during the period
of my own service, which was three years and three months, and they
amounted to three thousand two hundred[27] independent of those that
were killed and died of wounds.
There died of disease in the fleet I belonged to, from July, 1780, to
July, 1781, about one man in eight, including both those who died on
board and at hospitals[28]. But the annual mortality in the West-India
fleet, during the last year of the war, that is, from March, 1782,
to March, 1783, was not quite one in twenty[29]. This difference was
partly owing to the general increase of health in fleets as a war
advances, partly to some improvements in victualling, and partly to
better accommodations as well as regulations in what related to the
care of the sick.
Though the mortality in fleets in the West Indies is, upon the whole,
greater than in Europe, yet it has so happened, that, in the late war,
the fleet at home has, at particular periods, been considerably more
sickly than that in the West Indies was at any one time. I was informed
by Dr. Lind, that, when the grand fleet arrived at Portsmouth in
November, 1779, a tenth part of all the men were sent to the hospital.
It appears[30], that in the years 1780 and 1781, a period at which the
fleet in the West Indies was most sickly, the medium of the numbers on
the sick list was one in fifteen, and many of these were very slight
complaints; whereas, in the fleet alluded to in England, the diseases
were mostly fevers, and so ill as actually to be sent to the hospital.
It appears likewise, that there was the greatest proportion of sick in
our fleet when it was on the coast of America in September, 1780[31].
This difference is owing to the greater prevalence of the ship fever,
and of the scurvy, in a cold than in a hot climate.
With regard to the mortality at hospitals, the comparison is greatly in
favour of those in England. This is owing to the greater regularity,
and the better accommodation and diet, which an hospital at home
admits of, as well as to the difference of climate. It has also been
mentioned, that, on most occasions, the hospitals I attended abroad
were so limited as to contain only the worst cases, in consequence of
which there would of course be a greater proportional mortality than
in the great hospitals of England.
The following is an account of the whole loss of lives from disease,
and by the enemy[32], in three years and three months, in the fleets
and hospitals with which I was connected:
Died of disease[33] 3200
Killed in battle 648
Died of wounds 500
----
Total[34] 4348
PART II.
OF THE CAUSES OF SICKNESS IN FLEETS, AND THE MEANS OF PREVENTION.
INTRODUCTION.
In the year 1780 I printed a small treatise for the use of the fleet,
containing general rules for the prevention of sickness; and this part
of the work is chiefly taken from it.
My own opportunities of experience, as exhibited in the preceding
Part, have been sufficiently extensive to suggest many observations on
this subject; but as my object is utility, rather than the praise of
originality, I shall not confine myself to these. Great part of what
is to be advanced is taken from books[35] and conversation, as well as
my own experience, my design being to exhibit a concise view of all
the discoveries on this subject that have come to my knowledge. I have
assumed nothing, however, from mere report or testimony, having had
opportunities, from my own observations, of verifying or disproving the
assertions of others.
More may be done towards the preservation of the health and lives
of seamen than is commonly imagined; and it is a matter not only of
humanity and duty, but of interest and policy.
Towards the forming of a seaman a sort of education is necessary,
consisting in an habitual practice in the exercise of his profession
from an early period of life; so that if our stock of mariners should
come to be exhausted or diminished, this would be a loss that could not
be repaired by the most flourishing state of the public finances; for
money would avail nothing to the public defence without a sufficient
number of able and healthy men, which are the real resources of a
state, and the true sinews of war.
In this view, as well as from the peculiar dependence of Britain on her
navy, this order of men is truly inestimable; and even considering men
merely as a commodity, it could be made evident, in an œconomical and
political view, independent of moral considerations, that the lives and
health of men might be preserved at much less expence and trouble than
what are necessary to repair the ravages of disease.
It would be endless to enumerate the accounts furnished by history
of the losses and disappointments to the public service from the
prevalence of disease in fleets. Sir Richard Hawkins, who lived in the
beginning of the last century, mentions, that in twenty years he had
known of ten thousand men who had perished by the scurvy. Commodore
Anson, in the course of his voyage of circumnavigation, lost more
than four fifths of his men chiefly by that disease. History supplies
us with many instances of naval expeditions that have been entirely
frustrated by the force of disease alone: that under Count Mansfeldt in
1624; that under the Duke of Buckingham the year after; that under Sir
Francis Wheeler in 1693; that to Carthagena in 1741; that of the French
under D’Anville in 1746; and that of the same nation to Louisbourg in
1757[36].
That the health of a ship’s company depends in a great measure upon
means within our power, is strongly evinced by this, that different
ships in the same situation of service enjoy very different degrees of
health. Every one who has served in a great fleet must have remarked,
that out of ships with the same complement of men, who have been the
same length of time at sea, and have been victualled and watered in
the same manner, some are extremely sickly, while others are free from
disease. Is it not naturally to be inferred from hence, that the health
of men at sea depends in a great measure upon circumstances within the
power of officers, and, indeed, upon their exertions, much more than
medical care[37]?
It has appeared in the preceding part of this work, that the diseases
most prevalent among seamen are fevers, fluxes, and the scurvy. These
are indeed some of the most fatal that can attack the human body; but
there is a numerous tribe of complaints, which are also some of the
most severe scourges of human nature, from which they are in a manner
entirely exempt.--These are the diseases to which the indolent and
luxurious are subject, and which so far embitter their life as to
render their portion of worldly enjoyment nearly on a level with that
of the poor and laborious. The diseases alluded to are chiefly the
gout, stomach complaints, hypochondriac and other nervous disorders.
In all countries it is the better sort of people that are most subject
to these; for they are owing to the want of bodily exercise, to the
great indulgence of the senses, and a greater keenness and delicacy in
the passions and sentiments of the mind. Man being formed by nature for
active life, it is necessary to his enjoying health that his muscular
powers should be exercised, and that his senses should be habituated
to a certain strength of impression. Animal and vegetable nature may
be aptly enough compared to each other in this respect; for a tree or
plant brought up in a greater degree of shelter and shade than what is
suitable to its nature, will be puny and sickly; it will neither attain
its natural growth nor strength of fibre, nor will it be able to bear
the influence of the weather, nor the natural vicissitudes of heat and
cold to which it may be exposed.
It is to be remarked, however, that exercise and temperance may be
carried to excess, and that in these there is a certain salutary
medium; for when labour and abstinence amount to hardship, they are
equally pernicious as indulgence and indolence. This is strongly
exemplified in seamen; for, in consequence of what they undergo, they
are in general short lived, and have their constitutions worn out ten
years before the rest of the laborious part of mankind. A seaman, at
the age of forty-five, if shewn to a person not accustomed to be among
them, would be taken by his looks to be fifty-five, or even on the
borders of sixty[38].
The most common chronic complaints which a long course of fatigue,
exposure to the weather, and other hardships, tend to bring on, are
pulmonary consumptions, rheumatisms, and dropsies. It is also to be
considered, that these complaints, particularly the last, are farther
fomented by hard drinking, which is a common vice among this class of
men, and they are led to indulge in it by the rigorous and irregular
course of duty incident to their mode of life.
With regard to gout, indigestion, hypochondriac complaints, and low
spirits, there is something in hard labour of every kind that tends to
avert them, and particularly in that rough mode of it peculiar to a sea
life. There is also something in the harsh sensations from the objects
which seamen are in use to see, hear, and handle, which so modifies
their constitutions and hardens their nerves as to make them little
liable to what may be called the diseases of excessive refinement,
such as those above mentioned. I have, indeed, met with such diseases
at naval hospitals; but I always remarked that they were in landsmen
who had been pressed, and who had been bred to sedentary and indolent
occupations.
The diseases above enumerated, as well as most other chronic
complaints, being the offspring of indolence and luxury, while fevers
and feverish complaints fall equally on all ranks and descriptions
of men, it was a saying of some of the ancients, that acute diseases
were sent from heaven[39]; whereas chronic diseases were of man’s own
creation. But I shall endeavour in the course of this work to evince,
that, with regard to seamen at least, acute diseases are as much
artificial as any others, being the offspring of mismanagement and
neglect; with this difference, that they are imputable not so much to
the misconduct of the sufferers themselves, as of those under whose
protection they are placed.
If I were to add any other complaint to the three already mentioned,
as most prevalent, and peculiar to a sea life, it would be those foul
and incurable ulcers which are so apt to arise at sea, particularly
in a hot climate. The slightest scratch, or the smallest pimple, more
especially on the lower extremities, is apt to spread, and to become
an incurable ulcer, so as to end in the loss of a limb. The nature of
the diet, and the malignant influence of the climate, both conspire in
producing them.
The diseases most frequent and prevalent at sea have this advantage,
that they are more the subjects of prevention than most others, because
they depend upon remote causes that are assignable, and which increase
and diminish according to certain circumstances, which are in a great
measure within our power.
The prevention of diseases is an object as much deserving our attention
as their cure; for the art of physic is at best but fallible, and
sickness, under the best medical management, is productive of great
inconvenience, and is attended with more or less mortality. The means
of prevention are also more within our power than those of cure; for
it is more in human art to remove contagion, to alter a man’s food
and cloathing, to command what exercise he is to use and what air he
is to breathe, than it is to produce any given change in the internal
operations of the body. What we know concerning prevention is also more
certain and satisfactory, in as much as it is easier to investigate the
external causes that affect health than to develope the secret springs
of the animal œconomy.
This part of the work, therefore, is chiefly addressed to those who
direct the navy either in a civil or military capacity; for the general
health of ships depends so much upon the victualling and manning in
the first instance, and, afterwards, on the degree of discipline and
order which are kept up, that I am persuaded that a certain degree of
attention on their part would almost entirely eradicate disease from
our fleets.
Several remarks in this part of the work will be found so obvious,
that it might seem superfluous to mention them. But it has been my
intention to omit nothing that I have heard of or observed as a matter
of ascertained utility, and, I believe, the most experienced will find
either something new, or what they had not before sufficiently attended
to. Though the design of it is that of being extensively useful, yet my
trouble would be compensated, should it prove the means of health and
comfort to a single ship’s company; nay, I should not repent my labour,
could I enjoy the conscious certainty of its being the means of saving
the life of one brave and good man.
The prevention of disease has relation only to the external causes that
affect health, and I shall consider these under the four heads of
I. AIR,
II. ALIMENT,
III. EXERCISE,
IV. CLOATHING.
CHAP. I.
AIR.
Under this head I shall not only consider the natural state of the air
of the atmosphere in point of heat and cold, moisture and dryness,
purity and corruption, but also the different artificial impregnations
of it from the holds or other parts of a ship, or from the persons of
men who have been neglected in point of cleanliness.
The common air of the atmosphere at sea is purer than on shore, which
gives to a sea life a very great advantage over a life at land. This
advantage is still greater in the tropical regions, where the land
air, especially such as proceeds from woods and marshes, is so fatal,
and where the heat is also considerably less at sea than on shore. But
this superior purity of the air at sea is more than counterbalanced
by the artificial means of propagating diseases on board of a ship.
Since a sea life, however, has this great natural advantage to health,
the causes of disease peculiar to it are chargeable rather to the
mismanagement of men than to any thing unavoidable in nature; and we
are from this encouraged to exert our endeavours in removing them.
The effects of land air, however, are not to be neglected by those who
are studious of preserving the health of a ship’s company, for seamen
are exposed to it in various ways while they are in harbour; and this
is what we shall first treat of.
SECT. I.
Of the noxious Effects of LAND AIR in particular Situations.
All the diseases incident to a fleet, except the scurvy, are more
apt to arise in a harbour than at sea, and particularly the violent
fevers peculiar to hot climates. There are generally woods and marshes
adjacent to the anchoring places in the West Indies, and the men are
exposed to the bad air proceeding from thence, either in consequence of
the ship’s riding to leeward of them, or of people’s going on shore on
the duties of wooding and watering. Instances of this, without number,
might be adduced from the accounts of voyages to all the tropical
countries. Our fatal expeditions to the Bastimentos, and to Carthagena,
in former wars, are striking proofs of it; and we have seen the same
effects, though in a much less degree, while the fleet was at Jamaica
in 1782.
I have known a hundred yards in a road make a difference in the
health of a ship at anchor, by her being under the lee of marshes in
one situation, and not in the other[40]. Where people at land are so
situated, as not to be exposed to the air of woods and marshes, but
only to the sea air, they are equally healthy as at sea. There was a
remarkable instance of this on a small island, called Pidgeon Island,
formerly described, where forty men were employed in making a battery,
and they were there from June to December, which includes the most
unhealthy time of the year, without a man dying, and with very little
sickness among them, though they worked hard, lived on salt provisions,
and had their habitations entirely destroyed by the hurricane. During
this time near one half of the garrison of St. Lucia died, though in
circumstances similar in every respect, except the air of the place,
which blew from woods and marshes.
The duties of wooding and watering are so unwholesome, that negroes,
if possible, should be hired to perform them. In general, however, the
employing of seamen in filling water and cutting wood is unavoidable,
but it should be so managed as not to allow them, on any account,
to stay on shore all night; for, besides that the air is then more
unwholesome, men, when asleep, are more susceptible of any harm, either
from the cold or the impurity of air, than when awake and employed.
As the service necessarily requires that men should be on shore more
or less, however unwholesome the air may be, means are to be used
to prevent its pernicious impressions on the body. Certain internal
medicines, such as bitters, aromatics, and small quantities of
spirituous liquors, tend to preserve the body from its bad effects.
Of the bitters, Peruvian bark is, perhaps, the best; and there is a
well-affected instance of its efficacy in the account given by Mr.
Robertson of a voyage in the Rainbow to the coast of Africa; and by
the same means Count Bonneval and his suite escaped sickness in the
camps in Hungary, while half of the army were cut off by fevers. In
consequence of Mr. Robertson’s representation of the effects of bark
in curing and preventing the fevers of that climate, the ships of
war fitted out for the coast of Guinea have been supplied with it
gratuitously, and Government would find its account in extending this
bounty to all the tropical stations.
We have seen, in the former part of this work, that the fever produced
by the impure air of marshes may not appear for many days after the
noxious principle, whatever it is, has been imbibed; men having been
sometimes seized with it more than a week after they had been at sea.
It naturally occurs, therefore, that something may be done in the
intermediate time to prevent the effects of this bad air; and nothing
is more adviseable than to take some doses of Peruvian bark, after
clearing the bowels by a purgative. Some facts, related in the first
part of this work, show that an interval of ten days or a fortnight may
elapse between the imbibing of the poison and its taking effect. And,
in order to guard against the diseases of this climate in general, it
would be more proper to take some large doses of bark once in either
of these periods, than to make a constant practice of taking a little,
as I have known some people do, by which they may also render their
body in some measure insensible to its good effects. I knew a physician
of some eminence in the West Indies, who always enjoyed uninterrupted
health, and he imputed it to his taking from half an ounce to an ounce
of bark every change and full of the moon, as he thought that fevers
of the intermitting and remitting kind, were more apt to occur at
these periods. Whether this idea be well founded or not, the practice
is proper, upon the other principle that has been mentioned, and the
phases of the moon will at least serve as an aid to the memory.
The spices of the country, such as capsicum and ginger, for which
nature has given the inhabitants of the torrid zone an appetite, have
also been found powerful in fortifying the body against the influence
of noxious air. Either these, or the bark, or similar substances, of a
bitter and aromatic nature, given in a glass of spirits to men going
upon unwholesome duty, have been found to have a powerful effect in
preventing them from catching the fevers of the climate. The practice
may be thought too troublesome in the hurry of service in a great
fleet; and I in general avoid mentioning any thing but what is easily
practicable, and highly important to the body of seamen at large; but
such a precaution may be of service at least to officers, or to a
ship’s company, when service is easy, or on a small scale.
But besides the poisonous effluvia of woods and marshes, the sensible
qualities of the air are also to be attended to. If I were required to
fix on the circumstances most pernicious to Europeans, particularly
those newly arrived in the West Indies, I would say, that they are too
much bodily exercise in the sun, and sleeping in the open air; and the
practices most hurtful next to these are, intemperance in drinking,
and bad hours. The sickness and mortality among new comers may, in
general, be imputed to some one of these causes. It is in favour of
this opinion that women are not subject to the same violent fevers as
the other sex, which is probably owing to their not giving into the
above-mentioned irregularities.
The last direction I shall mention with regard to the preservation of
health in a harbour is, that the ship should be made to ride with a
spring on the cable, that the side may be turned to the wind, whereby
a free ventilation will be produced, and the foul air from the head,
which is the most offensive part, will not be carried all over the
decks, as it must be when the ship rides head to wind.
Having little experience of my own with regard to diseases at sea in
cold climates, I cannot recommend any particular precautions; but
Dr. Lind thinks that garlick infused in spirits is one of the best
preservatives against the bad effects of cold and wet. The French ships
of war are furnished with great quantities of garlick as an article
of victualling, and its effects seem to be very salutary. It would
appear, that substances of this kind are very conducive to health in
hot climates also. I was informed by Capt. Caldwell, that, when he
commanded a sloop of war on the coast of Guinea, he was supplied with
a large quantity of shalots by a Portuguese about the time he left the
coast, and his men were remarkably healthy on the passage to the West
Indies, while the other ships in company, who wanted this supply, were
very sickly.
But besides the obvious and sensible qualities of the air above
mentioned, there are certain obscure properties which we do not
understand, and which we find difficult to investigate; for there are
diseases prevailing in certain places which seem to depend on some
latent state of the air. Of this kind is the complaint of the liver,
so common in the East Indies, yet almost entirely unknown in the West
Indies; and in the West Indies there are certain diseases which prevail
in one island and not in another; such as the _elephantiasis_[41]
of Barbadoes, which is an affection of the lymphatics peculiar to
that island. In the climates of Europe there are also certain obscure
conditions of the air that favour one epidemic more than another, and
in some years more than others[42]. All this is very mysterious to us;
and although we could detect these properties of the air, we probably
could not prevent their bad effects, since man must every where breathe
the air, whatever its qualities may be.
SECT. II.
Of FOUL AIR from the Neglect of Cleanliness in Men’s Persons--INFECTION.
Nature has wisely so contrived our senses and instincts, that the
neglect of cleanliness renders a person loathsome and offensive to
himself and others, thereby guarding against those fatal diseases that
arise from bodily filth. The noxious air we speak of is generated
by men keeping the same clothes too long in contact with the body,
while they are at the same time confined and crowded in small and
ill-ventilated apartments. Such is the origin of the jail fever,
otherwise called the ship and hospital fever; and it seems to be with
reason that Dr. Cullen ascribes the low, nervous fever of Britain to
a similar origin, being caused, as he thinks, by an infection of a
milder kind, arising in the clothes and houses of the poor, who, from
slovenliness or indigence, neglect to change their linen, and air
their houses.
Man is evidently more subject to disease than any other species of the
animal creation, owing partly to the natural feebleness of his frame,
but still more perhaps to the artificial modes of life which his reason
leads him to adopt. There is no circumstance of this kind by which
health is more affected than by clothing. Some of the most fatal and
pestilential diseases are produced and communicated by it; for we see
that the greater number of fevers, particularly those of the low and
malignant sort, may be traced to the want of personal cleanliness.
There are few subjects more mysterious and difficult of investigation
than this of infection. The origin of specific contagions, such as
the small pox and the venereal disease, seems to be almost beyond the
reach of a conjecture; and why all the contagions we know, excepting
that of the bite of a mad dog, should be confined to one species of
animal, their effects not being communicable to any other, is equally
unaccountable. Why is the body incapable of being affected more
than once by certain morbid poisons; and whence comes the striking
and curious differences of susceptibility to infection in different
individuals at the same time, and of the same individual at different
times?
It would appear that the infection of fever, which we are chiefly to
consider here, does not, like some of the diseases above mentioned,
depend on the continued propagation of a certain poison, but that it
may spontaneously arise from a concurrence of circumstances, producing
a long stagnation of the effluvia of the body on the clothes, for want
of clean linen, while people are excluded from the free air, as in
jails, hospitals, or ships.
In order, therefore, to preserve the crews of ships from such diseases,
means should be taken not only to prevent the introduction of infection
already existing, but to prevent the generation of it on board.
1. Means of preventing the Introduction of Infection.
War being a state of violence and confusion, in which the hurry and
emergency of service may be such as to render it impossible to put
in practice all the rules which might be laid down concerning the
preservation of health, yet it is necessary that those who direct
the navy, either in a civil or military capacity, should be aware of
the causes of sickness and mortality, in order to guard against them
as far as is practicable. From an indolent acquiescence in this idea
of the hardships and inconveniences of war being unavoidable, I have
known neglect to arise in the conduct of officers with regard to those
under their command, as if it was not the duty of a commander to employ
his utmost attention to alleviate the misfortunes and mitigate the
sufferings of his fellow creatures; and we have seen that much more
of the calamities of war arise from disease than from the sword. The
like excuse might be framed for the neglect of stores and arms, which,
the hurry of service might equally expose to injury. We see, indeed,
infinite pains taken to prevent cordage from rotting, and arms from
rusting; but however precious these may be as the necessary resources
of war, it will not be disputed that the lives of men are still more
so; yet, though there is the additional inducement of humanity to
watch over the health of men, I do not think that this, in general, is
studied with a degree of attention equal to what is bestowed on some
inanimate objects.
Ships of war are exposed to infection chiefly by receiving such men
as have been raised by pressing, who are frequently confined in
guardships, under such circumstances of bad air and bodily filth
as tend to generate the most virulent infection. The service also
requires sometimes that men be received from jails, and they are either
criminals delivered over by the civil jurisdiction of the country,
or captives who have been restored by the enemy after a course of
confinement in their prisons. It may happen too, as we have seen[43],
that the enemy, who are made prisoners at sea, may have infection about
them, and will communicate it the more readily that they are strangers.
There are few fevers but what are infectious at some stage or other of
the disease; but it is not necessary that fever should actually exist
in order to create infection. In the most violent and pestilential
fevers, such as have sometimes originated in the jails of England, the
persons who communicated them were not affected with it themselves[44].
Infection, like some other poisons, does not affect those who are
accustomed to it, and therefore those who are in the habit of being
exposed to it frequently escape its bad effects, especially if it is
gradually applied, as must be the case with those about whose persons
it is generated. For the like reason, physicians and nurses are less
susceptible than others; and strangers, who are accustomed to a pure
air, are the most susceptible of any. It is observed by Dr. Short,
that contagious epidemics are more frequent and fatal in the country
than in London, and this may probably be accounted for on the same
principle; for every person in a great town is exposed to the breath
and effluvia of others, and to a variety of putrid exhalations, which
are unavoidable where multitudes inhabit together; but they are so
used to them, that they are not affected by them; whereas in the
country, where people are less accustomed to each other’s company,
and less used to impure air in general, they are the more readily
affected when infection is introduced among them. It may even admit
of a doubt if any society of men, living together, are entirely free
from morbid contagion. It certainly sometimes happens, that a ship,
with a long-established crew, shall be very healthy; yet, if strangers
are introduced among them, who are also healthy, sickness will be
mutually produced. This principle in the human constitution, by
which the presence of strangers affects it, is well illustrated by a
fact[45], founded on the best testimony, that, in one of the small
western islands of Scotland, which is so remote, that the inhabitants
are frequently without any communication with strangers for several
months together; they become so susceptible, in consequence of this
long interruption of intercourse, that they are seized with a catarrh
when strangers of any description come among them. It was said before,
that cleanliness was founded on a natural aversion to what is unseemly
and offensive in the persons of others; and there seems also to be
implanted in human nature, for the same purpose, an instinctive horror
at strangers, as is visible in young children and uncultivated people.
In the early ages of Rome, one word signified both a stranger and an
enemy[46].
These observations naturally suggest several useful and practical
remarks. It would appear that the utmost attention is necessary not
only to guard against the actual presence of disease, but to be
jealous of all new draughts of men, especially if they should come
from guardships, jails, or tenders, and have been turned over from
ships where disease is known to have prevailed; nay, that it is best
to avoid mixtures of any kind.
The infection of fevers seems different from most others in this,
that it is very various in its degrees of virulence. There is reason
to think that the poison of the small pox, and that of the venereal
disease, are in their own nature invariable, and that the difference
of these diseases, in point of malignancy, depends on the constitution
and other circumstances of those affected; whereas that of fevers
being of different degrees of activity, and being frequently obscure
and latent, is, on that account, the more treacherous, and ought to be
watched with the greater circumspection.
The mode of manning the navy by pressing, I take it for granted, is
unavoidable; at any rate, it would not become me to arraign a practice
which has had the public sanction for ages. It is, however, one of
the principal means both of generating and spreading the seeds of
disease, in consequence of the indiscriminate seizure of men for the
public service, and the confinement that is necessary to secure them.
And as the exigences of the service make it necessary to admit persons
of every description, there is no other remedy for this evil but to
annihilate, if possible, the contagion that may thus be conveyed into
ships of war. This is done by stripping and washing the new recruits
who may be suspected of importing infection; also by cutting off their
hair, clothing them with new clothes, and destroying the old, before
they are allowed to mix with the ship’s company in which they are to
enter.
Those who have put these methods strictly in practice, have been
sensible of their great utility; and the most exact attention is
necessary, as a single infected man, or even any part of his clothing,
may spread sickness through a whole ship’s company. When we reflect
what havock an infectious fever sometimes makes in a ship, it will
appear how very important this fort of attention is; and when the
cause of the sickliness of particular ships is traced to its source,
it will generally be found to have originated from taking on board
infected men at Spithead, or wherever else the ship’s company may have
been completed.
After the first edition of this part of the work was printed, an
excellent institution was established at Portsmouth for the prevention
of infection. A ship was appointed for the reception of the recruits
of the fleet to which they were carried, to be stripped, washed, and
provided with new apparel, before they joined their respective ships.
This had a visible good effect on the health of the fleet; and it was
planned and executed by Sir Charles Middleton, Comptroller of the Navy,
whole unwearied assiduity, as well as integrity and ability in that
important post, claim the highest praise and gratitude from his country.
It follows farther, from the preceding observations, that there is a
sort of risque in mixing two different sorts of men, even when there
is no actual disease or suspicion of infection; for, whether it is from
dormant infection, or merely from the circumstance of change of air,
such mixtures are known from experience to be sometimes productive
of sickness. The late Admiral Boscawen was so sensible of this, that
he avoided it, unless when some evident utility or necessity of
service made it proper; and upon this principle he used to resist the
solicitation of captains when they requested to carry men from one ship
to another upon changing their commands.
One probable reason, among others, for ships of the line being more
sickly than frigates or smaller ships is, that in greater numbers there
is a greater chance of men of various descriptions and modes of life
being mixed together.
2. Means of preventing the Production of Infection.
The infection of fever is not always imported from without, but may
be originally and spontaneously generated on board. The causes of
this, as mentioned before, are want of personal cleanliness, and also
confinement and crowding in close apartments.
In order to promote cleanliness, care should be taken that every man,
on his first entering into the service, be provided with a proper
change of linen, and that a frequent muster and review be made, in
order to inspect their persons, and to examine their stock of apparel.
A true seaman is in general cleanly, but the greater part of men in
a ship of war require a degree of compulsion to make them so; and
such is the depravity of many, that it is common enough for them to
dispose of their clothes for money to purchase spirituous liquors. A
muster and review, therefore, wherein men should be obliged once in
the week to present themselves clean before their officers, and to
produce a certain necessary quantity of clean apparel, would conduce
both to sobriety and cleanliness. The exertion of authority, and the
infliction of punishment, is so far from being considered by the men
as a hardship, that they expect it; and it is the duty of an officer,
as it is of a parent to a child, to constrain those entrusted to his
care to perform what is for their good. It is common also for men to
lay up their clothes in a wet and unwashed state, which in time is
productive of the most offensive and unwholesome vapours; and this can
be prevented only by their chests and bags being frequently inspected
by their superiors.
It must be evident to any one who reflects on this subject, that a
regulation of this kind is as necessary as any other part of duty; and
it deserves to be made an article in the public instructions, instead
of being left to the discretion of officers. This sort of discipline
is particularly necessary in ships of the line, in which one cause of
the greater unhealthiness is the difficulty of taking cognizance of
so great a number; for, unless some regular method, as by muster, is
established, there will be men who will escape notice, and skulk below,
indulging in laziness and filth.
The good sense and humanity of many captains in the late war, led
them to adopt certain methodical regulations for the preservation of
cleanliness and order. The only public sanction given to this sort of
discipline, was that of Lord Howe, who gave it in orders to those under
his command, that each ship’s company should be divided into as many
divisions as there were lieutenants, and that these should be divided
into squads, with a midshipman appointed to each; and that the officers
should be respectively responsible for the good order and discipline of
the men assigned to them.
It is an excellent custom, and pretty general in the navy, to allow
the men one day in the week for washing, when the weather and other
circumstances will admit of it. It would be a farther improvement in
the rules of the service to supply sope in the same manner as tobacco
and slops are supplied, that is, to let the men have what quantity
they want from the purser, who is allowed to charge it against their
wages[49].
Next to want of cleanliness, the circumstances most apt to give rise
to infection are, close air and crowding. A certain length of time is
necessary, in order that these should have this effect, and the longer
they take place, the more certainly will infection be produced, and it
will be the more virulent[50].
In order to admit air freely, the ports should be kept open whenever
the weather will permit this to be done. The great objection to free
ventilation is the danger of exposing men to the air in cold climates.
But it fortunately happens, that fire, while it is the most effectual
means of counteracting the cold air, is also the best means of
promoting ventilation; for wherever there is fire, there is a constant
change of air taking place by means of the draught to which it gives
occasion. This cannot be done with safety and convenience in all parts
of the ship; but frequent fires in the lower parts of a ship will prove
extremely salutary by drying up the moisture, and producing a change of
air, and also in a cold climate by the warmth it produces.
The hammocks and bedding should also be aired by exposing them upon
deck, especially after the ports have been long shut in consequence
of bad weather. They cannot be thoroughly aired unless they are
unlashed; and as this could not be conveniently done daily in men of
war, it might be done from time to time by the different divisions
in rotation[51]. When the men come to sleep upon them after these
operations, they experience the same agreeable sensations as from a
change of linen; and this must conduce to health as well as pleasure,
like all other natural and moderate gratifications. It may be farther
remarked in favour of cleanliness, that it is not only directly
conducive to health, but is naturally connected with habits of good
order, sobriety, and other virtues. The most cleanly men are always the
most decent and honest, and the most slovenly and dirty are the most
vicious and irregular.
A ship of war must have a much greater number of men on board than what
are necessary to navigate her; for, besides the marines, a great many
hands are necessary to man the great guns in time of action. For this
reason, there is a greater risque of the inconveniences of overcrowding
than in ships intended for commerce, and therefore much greater
attention is necessary with regard to ventilation and cleanliness.
There is a piece of management which tends also in some measure to
obviate the necessity of crowding. This is to berth the watches
alternately, by which it is meant, that one half of each watch should
lie on different sides, whereby they do not sleep so close, and are not
so much exposed to each other’s breath and to the heat and effluvia of
each other’s bodies. This has the farther advantage of preserving the
trim of the ship.
What has been said of the ship and men in general, applies still more
strongly to the sick, and the berth[52] assigned to them; for there is
nothing so apt to increase, and even generate, contagion, as a number
of sick together, unless uncommon attention is paid to cleanliness
and ventilation. This is so true, that, unless where the complaint is
very catching, it is best not to separate the sick; for if they are a
good set of men on board, those who are confined by sickness will be
better nursed and tended by their messmates than in a sick berth. But
if the state of infection renders separation necessary, the best part
for the accommodation of the sick, in a ship of the line, is under the
forecastle in a warm climate, and on the fore part of the main deck in
a cold one. When they are under the forecastle, however, they ought
to occupy only one side, as they would otherwise be disturbed by the
men who must pass to and from the head, and the men in health would, in
this case, be exposed also to contagion. As infection is most likely
to arise among the sick, attention to cleanliness and air is doubly
requisite where they lie; and it has a good effect to sprinkle hot
vinegar and diffuse its steams among them once or twice a day.
Thus we see that cleanliness and discipline are the indispensable and
fundamental means of health, without which every other advantage and
precaution is thrown away. Government never bestowed more attention
and expence upon the victualling of the navy than during the late war;
but it would be to little purpose to provide the most nourishing and
antiscorbutic diet, the most wholesome and cordial wines, the most
efficacious remedies, and the most skilful physicians and surgeons,
if the men are not constrained to keep their persons sweet, their
clothing and bedding clean, and their berths airy and dry. It is,
therefore, upon officers more than any others that the health of the
fleet depends; and I should be excused in the frequent mention I make
of this, were it known how often I have been the witness of the fatal
effects of the neglect of these rules.
3. Means of eradicating Infection.
When, from a neglect of the means above mentioned, an infectious
fever comes actually to prevail, and the infection, perhaps, adheres
obstinately to the ship in spite of cleanliness, good air, and diet,
and all the other means, which, if employed in due time, would have
prevented it, then some measures are to be taken for eradicating this
subtile poison.
The first step towards this is, to prevent the disease from spreading,
and this is done by separating the sick from the healthy, and cutting
off all intercourse as much as possible. For this end, it is necessary
to appropriate a particular berth to contagious complaints, and not
only to prevent the idle visits of men in health, but to discover and
separate the persons affected with such complaints as soon as possible,
both to prevent them from being caught by others, and because recent
complaints are most manageable and curable. Officers might be very
useful in making an early discovery of complaints, by observing those
who droop and look ill in the course of duty; for seamen think it
unmanly to complain, and have an aversion to be put on the sick list.
I have heard of a method practised in some ships, of keeping a book on
the quarter deck for the officer to mark the names of such men as might
look ill, or might be missed from duty upon calling the roll, in order
to afford the surgeon a means of finding out those who should be the
objects of his care.
Those whose profession it is to superintend the health of the ship,
would find it for their ease and interest, and should consider it as
their duty, to walk over the different decks once a day, or every other
day, in order to make an early discovery of those who may be taken
ill. Though I have laid great stress on the duty of the commander, as
the proper guardian of health, yet his assiduity will not avail unless
the surgeon also does his part, by such acts of attention as I have
mentioned, joined to skill in his profession.
Surgeons are, perhaps, more regarded in our service than in that of
other nations; but it would be for the public benefit if they were
still more respected and encouraged. To men of liberal education
and sentiments, as surgeons ought to be, and generally are, the
most effectual inducements for them to do their duty are flattering
attentions, and a certain degree of estimation in the eyes of their
officers. Liberality of manners, on the part of superiors, is the most
likely means of encouraging a conscientious performance of duty in this
profession; for though strict and distant behaviour may operate upon
the minds of those whose functions are merely mechanical, how can it
infuse that tender attention to human sufferings, and that sense of
duty, which may induce a man entrusted with the health and lives of his
fellow creatures to act his part with propriety and effect?
In order to prevent sickness from spreading, it is not sufficient to
cut off all personal intercourse. The clothes of men are as dangerous
a vehicle of infection as their persons; and it should be a strict and
invariable rule in case of death from fever, flux, or small pox, to
throw overboard with the body every article of clothing and bedding
belonging to it.
Upon the same principle, in case of recovery from any contagious
disease, as it would be too great a waste to destroy the clothes and
beds, they should be smoked, and then scrubbed or washed before the
men join their messes and return to duty. This precaution is the more
necessary, as infection in a ship is extremely apt to be communicated
by bedding, from the custom of stowing the hammocks in the netting, by
which they are brought in contact with each other. This, however, is
an excellent custom, as it not only clears the ship below, and serves
to form a barricade on the gunwale, but tends to air the bedding; and
this salutary effect should not be prevented, except in case of rain,
by the coverings, called hammock-cloths, by the use of which utility is
evidently sacrificed to an excess of neatness.
It sometimes happens that the number of sick in a ship is so great,
that it is not possible to take proper and effectual measures on board
for stopping the progress of disease. But when she can be cleared of
the sick by sending them to an hospital, no pains should be spared to
extirpate the remaining seeds of infection.
For this purpose, let their clothing and bedding be sent along with
them; let their hammocks, utensils, and whatever else they leave
behind, be smoked, and either scrubbed or washed before they are used
by other men, or mixed with the ship’s stores; let the decks, sides,
and beams of their berths, be well washed, scraped, smoked, and dried
by fire; then let them be sprinkled with hot vinegar, and, finally,
white-washed all over with quick lime.
Should any officer object to the trouble and inconvenience of all
this, let him reflect for a moment how much more troublesome and
inconvenient, as well as noisome and disagreeable, sickness itself
proves to be; let him reflect that the efficiency of the ship,
considered as a bulwark of defence, or an engine of annoyance, depends
on the number of healthy hands, and that his own character is to depend
on the exertions to be made by them in the day of battle, not to
mention the attention due from him as a man to the sufferings of the
objects themselves.
But besides these recent infections, it sometimes happens that the
seeds of disease adhere to the timbers of a ship for months and years
together, and can be eradicated only by a thorough cleansing and
fumigation. Sweeping, washing, scraping, and airing, are not sufficient
entirely to remove the subtile infectious matter; but they will
assist and will prepare it to be acted upon by heat and smoke, which
are the only means to be depended upon. A complete fumigation can only
be performed when the ship is in dock; and I shall here transcribe a
method recommended by Dr. Lind.
“It will be proper to remove every thing out of the ship, so that the
hold may be swept, and, when the men have withdrawn, to light a number
of charcoal fires in different parts, and to throw a handful or two of
brimstone on each. The steam of these should be closely confined by
shutting the ports and hatchways from morning till evening, no person
in the mean time being allowed to go below, nor for some time after
opening the ports and hatchways, that the steam may be dispersed.
“In order to purify the men’s clothes, it would farther be proper to
fumigate the hulk into which they are removed with tobacco once or
twice a week while their ship is in dock, the men remaining below as
long as they can bear it.
“The clothes and hammocks of the men should be exposed in the hulk
to the smoke of the tobacco, and those which are more particularly
suspected may be hung up the ship, and exposed to the steam of the
charcoal and brimstone.
“The ship having been already fumigated with tobacco, it will be
sufficient to use the fumigation of charcoal and brimstone above
described for three days, and, after the last day’s fumigation, the
inside of the ship should be well washed with boiling vinegar, and,
before the men return on board, all the decks should be scraped and
washed.”
When a ship is at sea, these precautions cannot be taken so completely;
but if infection is present, or is suspected, then cleansing and
fumigating may be practised in a less degree. I have known a ship at
sea fumigated with gunpowder kneaded with vinegar, so as to prevent it
from exploding, and to make it burn slowly with a spattering flame.
Flowers of sulphur[53], with about an eighth part of nitre, will
answer still better. A quantity of these is placed in each interval
of the guns between decks, every person being turned up, and the
ports and hatches shut till they are consumed, and till the smoke has
dispersed. It has also been recommended to burn resinous bodies, such
as the woods of fir, spruce, and juniper, as the smoke of these is more
salutary. Upon the same principle, the effluvium of tar is thought
wholesome; and the cables that are coiled in the lower parts of a ship
being soaked with tar, like most of the other ropes of a ship, probably
conduce to the health of a place otherwise dank and unwholesome.
Fumigation may also be performed by means of tar, either by throwing it
on red-hot irons, or a wood fire, which may be carried about between
decks in a pot or moveable grate, or over some cannon balls in a tub,
or by immersing a red-hot loggerhead[54] in a bucket of tar. If this
is done in the place occupied by the sick, it will have a still better
effect; and it will be of service to them to be removed for a short
time under the half deck or forecastle till this or other means of
purification are put in practice. In whatever manner fumigation is
performed, it will be of service to spread out the clothes and bedding
of the men, or to hang them upon lines, that they may be exposed to the
heat and smoke.
It will also be of great service to make the men expose their frowsy
clothes to the sun and wind. If a strong infection is suspected,
and it cannot be afforded to destroy the clothes, the best means of
eradicating the poison is to hang them for a length of time over pots
of burning brimstone in a large cask standing endways, with small
apertures to admit air enough for the brimstone to burn.
Fire in every shape is to be considered as the principal agent of
purification, by its heat and the ventilation it occasions, perhaps,
still more than its smoke. It has already been repeatedly inculcated,
that the great enemies of infection are ventilation and heat. I have
mentioned smoke and the effluvia of balsamic bodies, but these are
not to be depended on; and it is the more necessary to mention this,
as the attention bestowed on more trifling means may divert the mind
from a proper regard to what is more essential. It is mentioned by the
benevolent Mr Howard, that it is the custom in some parts abroad to
scatter fresh branches of pine or spruce in the hospitals, in order to
purify the air; but, trusting to this, they neglect the admission of
fresh air, which is the only effectual method of sweetening the air.
There is reason to think that the open air very soon dissipates and
renders inert all infections of the volatile kind, and of course the
warmer the air is the more readily it will have this effect. It is
accordingly observed, that infection is much less apt to be generated
about the persons of men, and that it adheres to them for a much less
space of time in a hot climate than in a cold or temperate one. This
is a remark, which, so far as I know, has not been made by any author;
and, till observation suggested it to me, I fancied the reverse to
be the truth. I have seen so many instances of filth and crowding
in ships and hospitals in the West Indies, without contagion being
produced, and which in Europe could hardly have failed to produce it,
or to render it more malignant, that I am convinced there is something
in tropical climates unfavourable to the production and continuance of
infectious fevers[55]. The ships which bring this fever from Europe
in general get rid of it soon after arriving in a warm climate; and
nothing but the highest degree of neglect can continue or revive it.
The facts above mentioned brought into my mind what is related of the
plague at Smyrna and other places, that it disappears at the hottest
part of the year. It is also curious and important to remark, that the
true pestilence never has been heard of between the tropics. It is not
easy to assign the cause of this effect of heat upon infection, as
every thing relating to this subject is very obscure. We can conceive
it to be owing to the greater degree of airiness which the heat of
the climate makes necessary, or to the use of fewer woollen clothes.
There may be something in the state of the body, particularly in the
pores of the skin, which disposes them less to imbibe or produce the
poisonous effluvia, or, when imbibed, it may more readily be thrown out
by perspiration with the other acrimony of the blood; or more probably,
as has been hinted above, the virulent matter is of such a degree of
volatility as to be readily dissipated in a certain degree of heat[56].
There is a fact, which, though seemingly of a contrary tendency, yet
is in reality in proof of the same opinion. It is, that these same
diseases disappear in circumstances of great cold. When England was
last visited by the plague, it disappeared in winter; and the same is
observed at Moscow and other places. In this case the infectious matter
is rendered _inert_, but not _extinct_, and the return of heat sets it
afloat in the atmosphere, so as to expose it to human respiration. Dr.
Guthrie informs us, that infection is entangled and fixed by the cold
of winter on the doors and walls of the houses of the Russian peasants,
and that upon the return of the warm season it is set loose by the
thaw, and then becoming active, produces diseases.
With regard to the West Indies, the precautions that have been laid
down are chiefly necessary when a ship newly arrives in the climate;
for it is during the first three or four months that sickness is apt to
prevail.
This does not depend upon any thing peculiar to the climate; for I
have known ships arrive without being visited with any sickness. It
seems to be owing, for the most part, to that flock of infection and
disease imported from Europe exerting its effects, and when this has
spent itself, the men remain in good health, unless exposed to the land
air or other accidents; for the air at sea in those climates, as well
as every where else, is extremely pure and wholesome, and there is no
where that seamen are more healthy or comfortable.
SECT. III.
Of the FOUL AIR generated in a Ship.
I mean here to distinguish the unwholesome vapour produced by the
contents of the ship from the infection produced by the effluvia of
men’s persons, which was treated of in the last section.
The means of preventing this foul air from being generated are,
cleanliness, dryness, and ventilation.
All parts of a ship may, if neglected, become dirty, and emit an
offensive vapour; but the parts under water consisting of the orlop and
hold, are more particularly so from the materials they contain, and
from the want of free access to the fresh air; accordingly, there is
always more or less stench in those parts, even in the best-regulated
ships.
It was mentioned in the first part of this work, that an opinion was
entertained by some that no foul air was productive of fevers but
such as proceeds from the living human body. I alledged that this was
otherwise, at least in hot climates; and some proofs of this opinion
were adduced, particularly from the French prizes. Though the neglect
of personal cleanliness is the principal source of disease, yet
cleanliness of every kind, and purity of the air in every respect, is
to be anxiously studied.
With regard to general cleanliness, it is hardly necessary to mention
sweeping, washing, and scrubbing of the decks; for the natural
propensity of the English[57] nation to neatness seldom allows any
neglect of these. Lord Howe, to whose virtues as a man, and abilities
as an officer, his country is so much indebted, gave it in general
orders to wash the upper decks every day, the lower decks twice a
week, and the orlop once a week at least. He also ordered that, every
washing, smoking, mustering, and review of clothes, or any other means
taken for the health of the ship, should be marked in the logbook,
and the reason to be assigned there if omitted at the stated times.
These rules are a good specimen of the order that ought to prevail in
every branch of public duty; for it is well known to every experienced
officer that it is a methodical proceeding of this kind which can alone
render service either easy or effective.
The loss of men’s lives from the foul air of the well is a common
accident in ships, and I have been myself witness to several instances
of it. Where there is the least suspicion of this, a candle should
previously be let down, and if it should be extinguished, it may be
concluded that the air is deadly. It becomes safe for men to breathe in
it by leaving it open for some time, or, more expeditiously, by letting
down fire in a pot or grate, which soon changes the air, by producing a
draught of it upwards.
It is a very salutary practice to let down fires frequently into the
well, both in order to purify the air and to dry the surrounding parts.
It was formerly mentioned that this was daily done in the Intrepid,
and the effect of it was to remove the wetness of the ballast and the
mouldiness which had overspread the sides and beams; and having had
the effect of sweetening and purifying the air, it seemed to be the
principal circumstance that tended to make this ship extremely healthy
from being the most sickly of all the fleet. This precaution, as well
as every other point of cleanliness, is more necessary in large ships,
because the mass of foul air, as well as the quantity of corrupting
materials, is greater[58].
The following fact strongly evinces the good effect of fire and
smoke:--When it was the custom for frigates to have their kitchens
between decks, they were much more healthy than in the present
construction, in which they have them under the forecastle, where the
heat and smoke are dissipated without being diffused through the ship,
and causing a draught of air upwards, as formerly. The men derived then
also great benefit and comfort from having a large fire, round which
they might assemble to warm and dry themselves in a sheltered place.
I leave it to those who preside in the construction of the navy to
determine how far it would be advisable to return to the old manner
of construction. The French ships of the line have their kitchens and
ovens between decks, and this must tend to counteract the effects of
their want of cleanliness. The Dutch ships of the line have their
kitchens on the orlop deck, which must be still more conducive to the
general purity of the air.
Moisture is pernicious both in itself and as the instrument of
putrefaction. All the complaints, called colds, are more owing to wet
than cold; and moisture may be the means of producing, or at least of
exciting dangerous fevers, when they would not otherwise appear. It
besides contributes greatly to the production of scurvy. Ships built
of ill-seasoned wood are found to be very unhealthy on account of the
moisture contained in it. The moisture of timber arises not only from
being used too soon after being felled, but also, as I am informed,
from being stripped of its bark and outer surface when piled and
exposed to the weather in dock yards. This method of smoothing and
piling the wood is only a late practice; and the advantage in point
of convenience and neatness seems to be more than overbalanced by the
detriment it thereby receives.
A wet hold diffuses moist vapour all over the ship; and it was a rule
with some of those commanders whom I observed to be most successful
in preserving the health of their men, not only to have daily fires in
the well, but to bail out the water when the pumps could not exhaust it
all, and never to allow it to collect to more than the depth of a few
inches. It is, therefore, very doubtful whether it is a good practice
to let in water, as is very commonly done in order to sweeten the
hold, for the same sweetness will be preserved if it is kept strictly
dry. If it should happen, indeed, that there should be a great deal of
putrid matter in the lower parts of the ship, from previous neglect or
unavoidable leakage, it may be adviseable to let in a quantity of water
in order to loosen and wash off what is offensive, and then to pump it
out.
There is a circumstance in the first fitting out of a ship well worth
attention, as highly conducive to the dryness and cleanness of the
hold. I mean the choice of the ballast; for that which is called
_shingle_, consisting all of pebbles, is far preferable to that which
is sandy and earthy, as it does not so readily soak and retain the
moisture and filth. Water or fluid of any kind readily subsides in it,
and should any putrid matter be entangled in it, there will be less
difficulty in washing it out.
The decks should not be washed so often when the weather is moist as
when it is fine, as it will be more difficult to dry them, and more
harm may arise from the moisture than benefit from the cleanness.
Washing should also be performed very early in the morning, even in the
best weather, in order that there may be time for the decks to become
dry in the course of the day. It is after a general washing that the
moveable fires, formerly described, are most proper and useful.
Every contrivance should be fallen upon to change the air in the
orlop and hold. Ventilators and windsails[59] are well adapted for
this purpose, and should be used as frequently and for as long a
time as possible. It has also a good effect in cooling the air in
the lower parts of a ship in the West Indies, to lift the gratings
of the hatches, raising them on their edges, and lashing them to the
staunchions. It contributes likewise to cleanliness and coolness to
keep the decks as clear as possible from[60] chests and other lumber,
which are in the way of sweeping and washing, and prevent also the free
course of the air.
Particular attention to ventilation is necessary in frigates, for
almost all that part in which the men sleep is excluded from the air,
and they are therefore very uncomfortable in the West Indies unless
small scuttles are cut in the sides. But if this should be objected to
as weakening or endangering the ship, there is a good contrivance for
the same purpose, which I met with on board of the Nymphe frigate.
It consists of a square wooden pipe, of about nine inches in the side
coming from between decks, running along the side of the ship, and
opening over the gunwale of the forecastle. There was one on each side.
SECT. IV.
Means of guarding against INFECTION and BAD AIR.
Infection never prevails to such a degree, as to affect every person
indiscriminately who is exposed to it. Even where the plague and
small-pox prevail to the greatest degree, there are some persons who,
though susceptible of these diseases, yet escape them. There are
certain other infections of a weaker nature, as was before observed,
and these will remain entirely inactive, till they find constitutions
so disposed as to be fit subjects of their action. The seeds of disease
may be compared to those of vegetables, which lye dormant, unless they
happen to fall into a situation peculiarly adapted for exciting their
activity. It is very difficult to account for this uncertainty in the
operation of infection, but it is extremely providential, that under
the most calamitous state of sickness, there are always some who are
in health and who survive, for the necessary purposes of life. If this
were not the case, it might happen that every person on board of a ship
might perish from sickness in the course of a voyage, a circumstance
which I believe has never been known to happen.
There is an endless variety in the constitution of the human frame,
both in mind and body, as well as in the features of the face. There
are, perhaps, no two individuals in the world in whom the same effect
precisely is produced by the same food, air, medicine, poison, or
passions of the mind. The different effects of infection, therefore,
upon different people, seem to depend, in many cases, on peculiarities
of constitution too obscure to be explained; but there are also known
circumstances which resist or encourage its effects.
The great power of habit[61] in taking off the effect of infection,
has already been mentioned, and it would appear that novelty gives
an increased energy and activity to all impressions, as well as those
on the senses. If a person, therefore, escapes the first attack of
infection, he will be more likely to continue exposed to it with safety
in future.
There are certain precautions necessary to be attended to by those
who are unavoidably exposed to contagion, particularly in the first
instance. Those who can afford a full diet, and a liberal use of wine,
have been observed to resist infection better than those who use food
and drink that is meagre and watery. It is also a good rule not to
go among the sick, nor otherwise to expose one’s self to infectious
air, with an empty stomach; for whether it is that the body is then
more susceptible, or that the pores of the skin and lungs are in a
more highly absorbing state, so as with greater readiness to inhale
the poison of disease, it is certain that a person in that situation
is more apt to catch harm from foul air of any kind. Whatever else
weakens and exhausts the body, renders it also more susceptible of
noxious impressions. Under the head of weakening powers, I comprehend
not only what empties the body of its fluids, such as loss of blood, or
a diarrhœa, but intoxication, fatigue, fasting, watching, and certain
affections of the mind, such as care and grief.
Cold and moisture may also be enumerated among the causes that invite
the attack of infectious diseases. They are of themselves simply
productive of catarrhs, rheumatisms, and the like disorders; but if
an infection should be accidentally present when the body is exposed
to them, then instead of these complaints, the disease peculiar to
that infection will be produced[62]. This was illustrated in the last
reinforcement we had from England; for while bad fevers were breaking
out in most of the other ships, the [63]Union was affected with those
complaints only which are simply the effects of cold and moisture. It
would be more proper, perhaps, to say, _exposure to the air_, than to
call it _cold_; for exposing the naked body to the open air, even in
the warmest climate, is prejudicial to health. This holds at least with
regard to Europeans who are accustomed to clothing, however the natives
of hot climates who are naked, may expose themselves with impunity.
It is of the greatest consequence to ascertain the extent of the
influence of infection, for the means of avoiding and preventing it
will very much depend upon this. It is now known, that infection
extends itself to a very small distance. There are, indeed, some
morbid poisons, such as that of the bite of a mad dog, and that of
the venereal disease, which require actual contact to make them
take effect. Others are more volatile, and seem to he inhaled by the
breath, or absorbed by the skin, but these do not extend far. That
of the plague[64] does not reach above a few yards, and that of the
small-pox and of fevers is probably equally limited. This discovery is
very valuable, by ascertaining the limits of danger; for when a person
imagines he runs the same risk when at a considerable distance from the
seat of disease, as if he were in contact with the person affected,
he will be apt to expose himself wantonly and unnecessarily to the
infection.
It seems to be owing to the ignorance of the extent of its influence,
that the plague has in general been so fatal; for in consequence of
the opinion that the whole surrounding atmosphere was affected, it
was vainly attempted to purify it by large fires in the open air, or
by [65]firing off artillery, instead of trusting to the separation of
the sick so as to avoid their near approach, and to the confinement
of those in health to their own houses, which are all the precautions
necessary to prevent its progress.
CHAP. II.
Of ALIMENT.
SECT. I. Of SOLID FOOD.
The most unnatural circumstance in a sea life is the food which men
use, and the disease most peculiar to it is one which is owing chiefly
to the nature of the aliment; for though other causes conspire in
aggravating the scurvy, the depraved state of the INGESTA is the main
and fundamental cause of it.
It is this disease that is most fatal to seamen next to fevers. It
was formerly as fatal, if not more so; but some modern improvements
have rendered it less frequent and violent. The habitual use of salt
provisions, besides producing evident symptoms of scurvy, begets
such a state of the constitution, that, upon the least scratch being
received, particularly on the lower extremities, a large and incurable
ulcer ensues; and this circumstance, trifling as it appears, is the
cause of losing an incredible number of men to the service, especially
in the West Indies. The greater part of the food of a ship’s company
is necessarily salted meat. Biscuit and pease, though of a vegetable
nature, are hard of digestion; and though they qualify the animal food,
they do not answer the purpose of fresh vegetables. Though officers
have a supply of live stock even for the longest voyages, it would be
impracticable to carry a quantity sufficient to preserve a whole crew
from the scurvy. But certain articles have of late been introduced
into use, of a durable and portable nature, which so qualify the salt
provisions, that they can be used without inducing this disease. These
are either such as are articles of common diet, viz. melasses and sour
krout, or those which are intended only for the sick and recovering,
such as portable soup and the preserved juice of lemons and oranges.
It is one of the most ancient and real grievances in the service,
that there has not been a sufficiently ample supply of nourishment
and cordials for the weak and recovering. This complaint is made by
[66]Dr. Cockburn, who was physician to the fleet in the end of the
last century; and it is a complaint that has not yet been entirely
redressed, nor has the subject been considered with the attention it
deserves. The only improvement in the sea victualling that I know of
from that time till of late, has been the use of raisins for puddings,
and the occasional use of vinegar, which is an article extremely
salutary, and was looked upon as the great preservative of health in
the Roman armies.
After the force of disease has been subdued at sea, men are frequently
lost by relapses, or pine away in dropsies and other chronic
complaints, for want of being supported by some cordial and nourishing
diet. It is mentioned in my memorial to the Admiralty, how insufficient
the small quantity of surgeon’s necessaries are; and it is recommended
that a large quantity of certain species of refreshment should be put
in the purser’s charge, which, being substituted for the common sea
victualling while men are ill or recovering, would cost Government
little or nothing. Besides the articles already mentioned, it was
recommended to set apart a quantity of the best wines, and to be
provided with brown sugar, dried fruits, barley, rice, sago, and salep.
To these might be added eggs, which, if greased and put in salt, may
be preserved fresh for a great length of time. Carrots and other roots
might also be preserved for the longest voyages by means of sugar; and
green vegetables might in like manner be preserved by means of salt.
But of all the articles, either of medicine or diet, for the cure of
the scurvy, lemons and oranges[67] are of much the greatest efficacy.
They are real specifics in that disease, if any thing deserves that
name. This was first ascertained and set in a clear light by Dr. Lind.
Upon what principle their superior efficacy depends, and in what
manner they produce their effect, I am at a loss to determine, never
having been able to satisfy my mind with any theory concerning the
nature and cure of this disease, nor hardly indeed of any other. An
ingenious treatise has been published on this subject by Dr. Milman,
to which I refer the reader, meaning to confine myself in this work
chiefly to what is practical.
Every person who has beheld with attention and feeling the tedious and
languishing series of suffering which the sick and recovering endure
for want of the means of supporting and recruiting their strength and
spirits, must wish that those who preside in the civil department of
the navy would seriously consider this subject, and complete the reform
that has already been begun.
With regard to the victualling of men in health, a most commendable
attention has been paid to the improvement of it. The ordinary articles
of victualling have not only been of excellent quality, but some new
articles have been added, from which the greatest benefit has been
derived. The chief of these are sour krout and melasses. The latter was
first brought into use by Captain Ferguson in the beginning of the late
war. He ordered it to be served with rice to the men who were affected,
or threatened with the scurvy, in the ship under his command. The
benefit experienced from it in this and other instances was so great,
that during the last two years of the war it was made a regular article
of sea victualling, and substituted in place of a certain proportion of
oatmeal[68].
As bread is one of the principal articles of diet, the utmost care
should be taken in preserving it, and great advantage would arise
from stowing it in casks that are water tight, instead of keeping it
in bags, or letting it lie loose in the bread room. Captain Cook, by
this method, and by giving it a cast in the oven in the course of the
voyage, preserved his biscuit found in every respect for more than
three years. But the greatest improvement in this article of diet would
be to have, in the form of flour, a greater proportion of what is now
allowed in bread. The flour might be made into puddings, and seems, in
this form, to be more nutritious and antiscorbutic than biscuit which
has undergone a strong force of fire. This sort of mess would be still
more proper and agreeable now that melasses is a stated article of
diet. Flour, by being well pressed and rammed, will keep as long as
biscuit, and it can be stowed in one fifth part of the space; it will,
therefore, cost much less in freight than the same quantity of it in
that form, and it may be baked abroad if necessary[69]. Malt, by being
well rammed, may also be preserved for a great length of time.
Of all the former articles of sea victualling, there was none more
abused than oatmeal. The quantity allowed to each man was twice as much
as he could consume, and the overplus went to the purser’s profits,
or was wasted by being given to the hogs, or even wantonly thrown
overboard. Melasses have, with great advantage, been substituted for
part of it, in the proportion of eleven pounds for two gallons of
oatmeal. The first trial of melasses was in the[70] Foudroyant, and it
answered so well, that, in a cruise under Admiral Geary in 1780, this
was the only ship free from the scurvy, and out of two thousand four
hundred men that were landed at the hospital with this disease, there
were none from this ship. It appears to be so similar in its nature
and effects to essence of malt, that it seems hardly worth while for
Government to be at the expence of providing the latter.
A certain proportion of barley has also of late been substituted for
part of the oatmeal, which being more light and palatable, makes a
pleasing variety, particularly to the sick and recovering. Captain Cook
carried wheat with him, and found it to answer equally well. Might not
potatoes also be a proper and salutary substitute, as they will keep
a considerable length of time in a warm climate, and they have been
successfully employed in their raw state for the cure of scurvy? It
would not be right, however, to abolish oatmeal entirely; for there is
a certain preparation of it which is an antiscorbutic of equal efficacy
with any whatever, except the juice of lemons and oranges. This is
flummery, or sowins, which is prepared by letting oatmeal and water
stand together till they grow acidulous, and then boiling them into a
jelly. I know of some well-attested instances of the crews of ships
being saved from the scurvy by this alone.
Butter is a good article of victualling in so far as it renders that
part of the diet which consists of grain and vegetables more palatable,
and thereby induces men to eat more. But as it is extremely corruptible
in a warm climate, hardly any being used by the seamen but what is
more or less rancid, it should never be sent to a tropical station.
Greater quantities of it are condemned than of any other article of
victualling, and it is therefore the most expensive to Government.
There are certain articles that are the natural produce of the
West-India islands, which may be substituted for it with the greatest
advantage. These are sugar and cocoa[71], which, during the last year
of the war, were served in place of butter with great success, and
this proved an alteration in diet not only salutary, but agreeable
to the seamen, whose inclinations are always to be consulted in such
changes[72].
When a ship is in port, encouragement should be given to the sale
of roots, greens, fruits, and sugar. The men have a good custom of
exchanging part of their bread, beef, and pork, for what they can
get from the shore; but as they in general prefer spirituous liquors
to the above-mentioned articles, the greatest care and vigilance
should be used to preclude men from such opportunities of injuring
themselves[73]. Every ship should be furnished with a seine, and other
implements for fishing, when in harbour.
When captures are made, in which there are such articles as sugar,
wine, rice, or fruits, it would be much better in many cases to allow
the immediate use of them at sea, where the men may be disposed to
scurvy or other diseases, than to wait for the conversion of them into
money.
Though it has been my object to introduce as many articles of diet as
possible, independent of salt provisions, it does not follow that these
are in themselves unwholesome. They are pernicious by being made almost
the sole and exclusive article; but if used in moderate quantity,
they are even in some respects well adapted for the food of seamen.
The nature of their life gives them a strong digestion: in their
duties they not only employ violent exercise, but use more muscles
and a greater variety of postures and motions than men of any other
profession. To such constitutions may not food of a refractory nature
and hard of digestion have even an advantage over what is more delicate
and digestible?
It does not appear that it is the salt quality of the provisions used
at sea that makes them productive of scurvy, but the want of their
native juices and of the nutritious principle. A small quantity of
salt is necessary to make all food palatable and wholesome, in so much
that it is reckoned one of the necessaries of life. All animals have a
craving for sea salt, and nature has kindly made it the most abundant
and universal of all saline bodies. Food, without this seasoning, not
only comes to be loathed, but the want of it renders the animal weak
and flabby. As it not only assists digestion, but invigorates all the
bodily functions by stimulating and bracing the fibres, it is in some
cases a valuable medicine. It is remarkable that men are very apt to
tire of a long continuance of fresh provisions[74], but never of what
is salt; and even under the scurvy the latter will be relished, and
sometimes preferred to most other kinds of food. It has been a practice
with some to make the scorbutic men drink sea water; but though it
is not attended with any manifest benefit, I never heard that it
aggravated the disease.
I was told by the gentlemen of the army at New York in 1780, that the
soldiers in cantonments were not near so subject to agues as the people
of the country; and the only difference in their mode of life was,
that the former had in their allowance a certain, proportion of salt
provisions.
In an unhealthy country I should think a free use of salt, as well
as spice[75], would be salutary; and when ships are in port it would
perhaps be better to allow a certain proportion of salt provisions,
because it would not only be wholesome and agreeable, but the men’s
constitutions would probably be more reconciled to an entire salt diet
when necessary: but I would except from this the crews of such ships
as have newly arrived from a long cruise or voyage, in which it may be
necessary to alter the constitution as quickly as possible by a diet
entirely fresh.
Nothing that I have collected from my own observation, or that of
others, has been neglected under this head, except one particular
caution with regard to the preparation of the victuals. The large
utensils employed to boil the provisions are made of copper, and it
sometimes happens from neglect that these are allowed to contract a
rust, which is one of the most active poisons we know. The neglect
consists chiefly in allowing any thing acid, or what is liable to
become acid, such as gruel or burgoo, to remain for a length of time
without being washed out; for when victuals have been prepared in
the boilers thus uncleaned, they produce the most violent effects,
even to the loss of life, as once happened in a ship belonging to our
fleet[76].
SECT. II. Of DRINK.
As the solid part of sea diet is very dry and hard, and as the salt it
contains is apt to excite thirst, a freer use of liquids than at land
is necessary, particularly in a hot climate.
It has been the custom, as far back as we know, to allow seamen the
use of some sort of fermented liquor. We need hardly inquire if this
is salutary or not; for it would be impossible at any rate to withhold
it, since it is an article of luxury, and a gratification which the
men would claim as their right. There is a great propensity in seamen
to intoxicating liquors, which is probably owing to the hardships
they undergo, and to the variety and irregularity of a sea life. But
there is reason to think that all sorts of fermented liquors, except
distilled spirits, are conducive to health at sea.
There is no doubt that malt liquor is extremely wholesome and
antiscorbutic. The common quantity of small beer allowed daily is so
liberal, that few men make use of their whole allowance; and there is
no objection to the constant use of it, except that it is apt to spoil
in the course of a few weeks, and that upon foreign stations the stock
can seldom be renewed. One of the greatest improvements that could
be made in the victualling of the navy would be the introduction of
porter[77], which can be preserved in any climate for any length of
time that may be necessary.
Spruce beer seems to possess similar and equal virtues with malt liquor
and it has this advantage, that the materials of it can at all times
be carried about and used occasionally. It agrees with malt liquor in
being a fermented vegetable sweet, the principal ingredient of it being
melasses. The other ingredient, from which it takes its name, being a
balsamic substance, seems to be more medicinal and antiscorbutic than
hops, and is therefore, perhaps, preferable to malt liquor. There have
been sufficient proofs of its virtues in single ships; and all the men
of war that go to America and the West Indies might be conveniently
supplied with it. Admiral Pigot provided a sufficient quantity for the
whole fleet; but the peace coming on prevented the trial of it.
The most salutary kind of drink next to malt liquor, and spruce beer,
is wine. The benefit which the fleet derived from it at different
times, and the advantage it has over spirits has been often taken
notice of in the former part of this work. It seems to be owing to this
that the French fleet sometimes enjoys superior health to ours, and
is less subject to the scurvy[78]. Wine is also preferable to every
other medicine in that low fever with which ships are so much infested;
and there is no cordial equal to good wine in recruiting men who are
recovering.
Spirits differ from wine in this respect, that they are a mere chemical
liquor, incapable of assimilation with our fluids, having lost in
distillation the native vegetable principle in which the whole of its
nutritious quality and great part of its medical virtue resides.
The abuse of spirituous liquors is extremely pernicious every where,
both as an interruption to duty, and as it is injurious to health. It
is particularly so in the West Indies, both because the rum is of a bad
and unwholesome quality, and because this species of debauchery is more
hurtful in a hot than in a cold climate.
It is with reason that the new rum is accused of being more unwholesome
than what is old; for, being long kept, it not only becomes weaker and
more mellow by part of the spirit exhaling, but time is allowed for the
evaporation of a certain nauseous empyreumatic principle which comes
over in the distillation, and which is very offensive to the stomach;
therefore, though this is the produce of the West-India islands, yet
what is supplied there is inferior to that which is brought from
England.
It was originally the custom to serve seamen with their allowance of
spirits undiluted. The method now in use, of adding water to it, was
first introduced by Admiral Vernon in the year 1740, and got the name
of _grog_. This was a great improvement; for the quantity of half a
pint, which is the daily legal allowance to each man, will intoxicate
most people to a considerable degree, if taken at once in a pure state.
The superiority of wine over spirits in any shape was so conspicuous,
that towards the end of the war the fleets in the West Indies and
North America were supplied with nothing but wine, and with a success
sufficient to encourage the continuance of the same practice in future.
Of WATER.
As water is a necessary of life, and as the health and comfort of men
at sea depend upon its quality, it deserves particular attention.
Spring water is to be preferred to running or stagnated water; for,
unless it is taken at the source, or near it, it is apt to be
impregnated with decayed vegetable and animal substances, such as
leaves, grass, wood, and dead insects. This inconvenience is greatest
in a hot climate, where every thing teems with life, and where the
materials of putrefaction are both more abundant and more prone to
corruption. This is the most pernicious kind of impurity; for the
mineral impregnations common in springs are seldom, in any degree,
unwholesome, and do not tend, like the other, to make the water
corrupt. At many of the West-India watering places the water is found
stagnated just above high-water mark; and care should be taken to go
higher up to take it where it is running.
The purest water is apt to spoil by producing a putrid glare upon
the inner surface of the cask which contains it. There is a great
difference in this respect between a new cask, especially if made of
moist wood, and that cask which has been hardened and seasoned by age
and use. Several contrivances have been proposed for preparing the
vessels that hold the water; but none have been found by experience so
effectual as letting them stand for some time full of sea water; and it
is a great advantage of this method, that it is so easily practicable.
It is in few places we meet with water such as that of Bristol,
which, in clean vessels, may be kept for any length of time. We may
consider all water kept in wooden vessels as more or less liable to
putrefaction; but there is a substance, which is neither rare nor
costly, that effectually preserves it sweet. This is _quick lime_,
with which every ship should be provided, in order to put a pint of it
into each butt when it is filled. It has the advantage of not being
injurious to health; but, on the contrary, is rather friendly to the
bowels, tending to prevent and check fluxes. In the year 1779 several
ships of the line arrived in the West Indies from England, and they
were all afflicted with the flux, except the Stirling Castle, which
was the only ship in which quick lime was put into the water. Nor does
it spoil the water for any culinary purpose. Its action in preventing
putrefaction consists, in part at least, in destroying vegetable and
animal life. An addition of putrescent matter is produced in water by
the generation of small insects; and the glare that collects on the
sides of casks, and also what collects on the surface of the water, is
a species of vegetation of the order called by naturalists _algæ_[79].
Quick lime is a poison to this species of vegetable life as well as to
insects: but upon whatever principle it depends, the property of it in
preserving water sweet is so well ascertained, that it is inexcusable
ever to neglect the use of it.
Quick lime is equally efficacious for this purpose, whether slacked or
unslacked; and though the latter form is more convenient for stowage,
by having less weight and bulk, yet the other is to be preferred for
the sake of safety; for if water should by chance reach the unslacked
lime, a great degree of heat is thereby produced, which has been known
to give occasion to the most formidable accidents.
The only other objection I know of to the use of quick lime is, that it
converts the water into a lime water, rendering it thereby disagreeable
to the palate and stomach: but the quantity necessary to preserve it
makes but a very weak lime water; for part of the lime is precipitated
by the mephitic air, or the aerial acid, as it is otherwise called, of
which there is some contained in the water. The accidental exposure to
the atmosphere, which also abounds with this sort of air, tends farther
to lessen the acrimony of the quick lime[80].
There are other substances which have been found useful in correcting
bad water. Alum and cream of tartar, as antiseptic bodies, have been
employed for this purpose. Vinegar and the vegetable acid juices and
fruits, such as tamarinds, may be used occasionally to take off the
putrid offensive taste which may have arisen in case the use of quick
lime has been neglected. In the fleet under Sir Charles Saunders, the
water of the river St. Lawrence having been found to produce fluxes,
this quality was removed by throwing four pounds of burnt biscuit into
each cask before it was used. But there is nothing so effectual, and
subject to so few inconveniences, as quick lime.
The next method to be mentioned of purifying water is filtration,
which not only separates the gross impurities, but removes the putrid
smell and taste. It is performed with a dripping stone, which is a
convenient contrivance for officers, but cannot furnish a supply for a
whole ship’s company.
When the water of wells or brooks is found loaded with mud, the
following expeditious method of filtration, described by Dr. Lind, has
been practised with success:--Let a quantity of clean sand or gravel
be put into a barrel placed on one end, without the head, so as to
fill one half or more of it, and let another barrel, with both ends
knocked out, of a much smaller size, (or let it be an open cylinder of
any kind) be placed erect in the middle of it, and almost filled with
sand or gravel. If the impure water be poured into the small barrel or
cylinder, it will rise up through the sand of both barrels, and appear
pure above the sand of the large one in the interval between it and the
small one.
But when water is offensive in consequence of being long kept, the most
effectual and expeditious method of sweetening it is by exposing it
to the air in as divided a state as possible. Boiling will not expel
the putrid effluvia contained in water; but such is the attraction of
air for this offensive matter, that the water need only be thoroughly
exposed to it to be rendered quite sweet. This is best done by a
machine invented by Mr. Osbridge, a lieutenant of the navy. It consists
of a hand pump, which is inserted in a scuttle made at the top of a
cask, and by means of it the water, being raised a few feet, falls
through several sheets of tin pierced like cullenders, and placed
horizontally in a half cylinder of the same metal. The purpose of it is
to reduce the water into numberless drops, which being exposed in this
form to the open air, is deprived of its offensive quality. The same
method will serve to separate the superfluous quick lime in the water.
It is a machine very deservedly in common use, and the working of it is
a moderate and salutary exercise to men in fair weather.
The following contrivance will be found to afford a sufficient supply
of sweet water to particular messes, and may be considered as an
artificial and more expeditious sort of dripping stone.--Let the
narrow mouth of a large funnel be filled with a bit of sponge, over
which let there be a layer of clean gravel or sand covered with a
piece of flannel, and over the whole another layer of sand. Muddy or
offensive water being poured upon this, runs or drops out clear; and
care must be taken to change the sand, sponge, &c. frequently, as they
will become loaded with the impurities of the water[81].
There should be in every ship an apparatus for distilling water in
case of distress. This consists merely of a head and worm adapted to
the common boiler, and distillation may go on while the victuals are
boiling. More than eight gallons of excellent fresh water may be drawn
off in an hour from the copper of the smallest ship of war[82]. I refer
for a more particular account of all this to the works of Dr. Lind,
who was the original inventor and recommender of this method.
This invention seems to have escaped others so long, from the idea that
the _desideratum_ in freshening sea water was some substance to be
added to it while under distillation. No such substance is necessary,
and, the more simple the mode of distillation, the fresher the water
will prove.
Rain water at sea is always pure and wholesome, and may be saved
occasionally by means of a sail or awning.
CHAP. III.
Of CLOTHING.
Nature has made man so defenceless, that even the rudest nations, in
the hottest climates, in general, adopt some sort of covering to guard
themselves from the weather. We may affirm, that clothing is the most
artificial circumstance in the life of man; and there is none, of which
the errors subject him to more inconvenience and hardship. Insensible
perspiration is performed by the pores of the skin, and being one of
the most important functions of the body, the suppression of it seems
to be one of the principal causes, or at least one of the most frequent
attendants on feverish and inflammatory complaints; and one of the most
common causes of this suppression is the application of cold to the
skin.
In order to keep up perspiration, it is necessary that the orifices
of the pores of the skin should be bathed, as it were, in the vapour
already secreted from them; and clothing seems to act in confining
this, as well as in preventing the escape of the natural heat and the
access of the external air. Though the air should not be cold, it will
check perspiration by carrying off this vapour and drying the skin.
In the warmest climates exposure of the skin to the external air is
unsafe; for it not only produces a feverish and uneasy sensation at
the time, but occasions the most dangerous internal disorders. In
consequence of the great sensibility and sympathy of the body, and from
the pores of the skin being open in a warm climate, exposure is in some
respects even more dangerous than in a cold one. Nothing is more apt to
bring on the locked jaw and tetanus than sleeping in the open air; and
it was observed in Jamaica, that when it was the custom to wear cotton
and linen clothes, the dry belly-ache was much more common than now
that it is the custom to wear woollen cloth.
We know besides, that the pores of the skin can absorb not only the
moisture that floats in the atmosphere, but a variety of foreign
bodies, whether noxious or medicinal, which may be applied to their
orifices; and as the air is in certain places loaded with noxious
matter, may not clothing be considered as a filter, as it were, to
separate the impurities of the air before it comes in contact with the
surface of the body?
It is therefore every where of the utmost consequence that sufficient
and suitable clothing should be provided.
It would certainly be for the benefit of the service that an uniform
should be established for the common men as well as for the officers.
This would oblige them at all times to have in their possession
a quantity of decent apparel, subject to the inspection of their
superiors. It would also be less easy to dispose of their clothes for
money without detection, and desertion would also thereby be rendered
more difficult.
It is of great consequence that the purser should lay in a sufficient
stock of clothing and bedding suited to the climate for which the
ship is destined, in order that there may be a sufficient supply
after having been on a distant station for a certain length of time.
I have known men suffer the greatest inconvenience and hardship, and
infectious diseases kept up, from the neglect of this.
The greatest evil connected with clothing is the infection generated
by wearing it too long without shifting; for to this cause we have
attributed the jail, hospital, or ship fever. The great importance of
cleanliness appeared when we were treating of infection, from whence we
may judge of what consequence it is that men should be provided with a
shift of linen, as that part of the clothing which is in contact with
the skin is most likely to harbour infection[83].
As clothing is not the gift of nature, being left to man’s own reason,
it is subject to caprice, and thereby productive of inconvenience
and disease. The necessity of it depends very much upon habit, like
every thing else relating to the human body, and therefore sudden and
unseasonable changes of apparel are very unsafe to health. It is also
found that a partial exposure of the body is more pernicious than a
general exposure. If I were writing for the more delicate part of the
world, I should illustrate this by the danger of exposing the feet
alone to cold or wet. It is seldom that seamen are susceptible to so
great a degree, for their hardy and exposed life steels them against
such impressions. But there is another circumstance which renders it of
the utmost consequence to defend the feet against external injury. It
frequently happens, that, without any visible symptoms of scurvy, the
constitutions of seamen are such, that, upon the least scratch being
received on the feet or legs, a large spreading incurable ulcer arises;
which sometimes ends in the loss of a limb; but at any rate disables
them from duty till a cure can be effected by the use of a fresh and
vegetable diet, or a change of climate. Next to acute diseases and
scurvy, this is the most destructive complaint incident to a sea life,
particularly in a hot climate; and I have known great numbers of good
men thereby lost to the service. It is, therefore, of the utmost
consequence that men should not only be supplied with shoes, but be
obliged to wear them, which is found to require a degree of compulsion;
for in the West Indies it is observed that seamen always wish to go
barefooted.