Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London
Forty-ninth annual report on the health and sanitary condition of the Borough of Islington
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After death.
(c) The cleansing of the rooms.
(d) The renewal of the wainscoting and ceiling.
(e) The scrubbing and cleansing of the doors and windows.
(/) The introduction of fresh plants so that the infected
atmosphere might not be communicated to persons who lived near.
The edict also ordered the Governors and Directors (1) to burn the clothing
etc., ot persons infected with the disease, and (2) to provide new clothes in
cases of poverty. The decree provided penalties (1) Three years at the galleys
or prison according to the condition of the person, and three years imprisonment
and 300 ducats fine for opposing the officials making their inventories,
etc (2) Physicians who did not reveal the nature of the illness to pay a fine of
300 ducats for the first offence, and for the second ten years' banishment. It
also enacted on the relatives that (1) those who buy an infected robe shall have
three years at the galleys, and (2) those who sell shall pay three times the
value of the robe as a fine, (3) those who refuse to send the patient to a
hospital, or remove him without the knowledge of the Officer of Health, shall
have three months' imprisonment if of low birth, or pay a fine, 300 ducats if
noble.
A.D. 1785-94. Stark and Baillie first described miliary tubercle, i.e.,
the minute grey early tubercle.
A.D. 1792. Portal found that tubercles disintegrate and leave cavities
in the lungs.
1819 Laennec (1781-1826) first showed by his careful anatomical observations
of the lungs that growths to which the name "tubercles " were applied,
formed almost the sole cause of consumption, and he, therefore, restricted the
term " phthisis " to the disease produced by tubercles in the lungs. It was his
immortal discovery of auscultation by means of the stethescope that enables
physicians to-day to examine the lungs of living men, and to determine their
lesions.
Andral, a French physician, confirmed these observations, and even went
so far as to say that under certain conditions emenations become a source of
true contagion.
A.D. 1803. Vetter, a German, compared the matter resulting from the
disentegrations of tubercles to cheese, whence the name " caseous " afterwards
applied to tubercular matter.