TI was much interested last
Winter in the subject of
smallpox. Most people find it to
their interest to have just as
little to do with the dread
disease as possible, and so
would have I had not my
professional duties called me
into the tenement houses and so
called hotels in which the pest
waged its relentless and
loathsome warfare. As it was I
got vaccinated, had an awfully
sore arm and learned a great
deal about the disease.
It struck me the other day that
it might be interesting to the
readers of the Eagle, as Winter
is again approaching, to know
what special measures, if any,
are now being taken against a
recurrence of the disease, and
to learn what safeguards exist
against the importation of
contagious diseases into this
city and New York. With this
idea in mind I called one day
last week upon Health
Commissioner Griffin and stated
to him my plan. The commissioner
entered into it heartily. "Why
don't you," he said "commence at
the fountain source of
contagious diseases and describe
'quarantine' and the methods
then used to prevent their
importation. Dr. Convery, who
has charge of all the shipping
coming into this port, is not
only an expert on the subject
but an enthusiast." The
Commissioner's suggestion struck
me as a sensible one. He then
introduced me to Dr. George
Convery. Dr. Convery is a slim
young man of about 35, with a
thin, intelligent face. In the
earlier part of his career the
doctor was a ship's surgeon on
one of the steamers plying to
Mediterranean ports in one of
which he nearly died of yellow
fever. It was probably this
circumstance that led him to
take up the subject of
quarantine as a special study.
He said he would be delighted to
tell the Eagle what he knew on
the subject. The doctor first
took up the origin of
Quarantine, speaking of its use
and abuse as follows:
"Regulations," he said, "for
preserving the health of men
against foreign contagions make
so considerable a part of the
laws of all civilized nations,
that it is very interesting to
know in what state of society,
and under what circumstances
they arise, that we may thereby
be a better judge of their value
and usefulness. It appears, upon
investigation, that they were
originally adopted before the
principles of science on which
they depend had been known, and
in times of fanaticism and
terror. These regulations
referred to three great objects:
1) Quarantines; 2) lazarrettos;
3) areas and stores for
receiving unladed goods and
merchandise.
On examining the history and
actual condition of each of
these places in early times, it
will be found that, in most
cases, they were instrumental in
engendering and perpetuating the
pestilences it was their object
to avoid and subjugate. The
expeditions of the Franks, or
Christians of the west, who, in
the spirit of crusading, poured
into Palestine to rescue it from
the Mohammedans, gave rise to
the quarantines of ships.
Readers of accounts of these
expeditions well knew what
misery, want, uncleanliness and
disease accompanied them as they
marched or sailed. During the
wars that waged between the
Christians and Mohammedans for
the possession of India the
religious animosity of the two
factions had been carried on
with the utmost hatred and by
every species of private and
public aggravation; and as the
Christians at last quitted the
country of the patriarchs they
charged the Turks with all their
disasters and accused them of
being the authors of almost all
the evils which they suffered;
among other miseries, and that
not the least, they affirmed
that the Asiatic had infected
them with the plague. To
countenance this notion they
declared that the Turks were
fatalists, and, as they took no
precautions to avoid or destroy
the cause of this horrible
disease, it was always present
and active among them.
Persuading themselves that this
contagion, if introduced into
Europe, would spread and consume
like a conflagration, they
clamored that a prudent
government, therefore, should
guard against it by every
available means.
"An interdiction of all
intercourse with the infected
cities of the Archipelago and
the Levant promised the most
perfect security from the
contagion, but the policy and
commerce of nations forbade so
strict a prohibition. It was
therefore agreed that maritime
trade might be carried on,
provided merchandize, voyagers,
and everything they carried with
them were subjected to what were
considered salutary restraints:
and one of these restraints was
a quarantine, or detention for
forty days and forty nights, to
conquer the pestilential
contagion, or let it die for
want of something to feed upon.
"
"How it happened that 'forty'
days were mixed upon as the
period of detention can only be
explained on the ground of a
religious or superstitious
veneration for the number
'forty.' Thus, we have the term
quarantine from quarantia-forty.
Under the above rules it was the
custom to hold dirty or infected
vessels, with a perishable
cargo, in a hot climate until
they became more foul and
dangerous from the
multiplication of the formites
within them than they had been
during the voyage. During these
forty days detention of the ship
and cargo, the passengers who
were actually sick, or supposed
to have contagion lurking about
them, were removed to a hospital
to remain until the period of
danger was supposed to have
passed. In consonance with the
general plan of this early
quarantine system, these
hospitals, known by the odious
and revolting names of lazar
houses or lazarettes, being
frequently constructed of very
durable materials (much like
prisons), were the receptacles
for a great number of years in
succession of all the newly
arrived persons who were thought
to be proper subjects of
detention. Hence they became
remarkably foul and pestilential
and those unfortunates who
happily escaped the suspected
plague generally became shortly
after affected with what is
known as prison, ship, or typhus
fever. From the accumulation of
all manner of impurity from year
to year, these lazarettos
themselves became the nurseries
of direful epidemics, and many
times ships that have entered
these ports in a clean condition
have departed foul as a result
of lying for forty days in a hot
climate with the atmosphere
contaminated from the hospitals,
in which the filth and
corruption of years was
supplying the medium for the
propagation of the portable
disease germs. Howard's account
of his detention at the
lazaretto of Venice gives a
striking example of how these
institutions were conducted.
"Soon after unloading the post,"
he writes, "the sub prior came
and showed me my lodging in the
New Lazaretto, which was a very
dirty room full of vermin and
without a table, chair or bed.
The next morning I employed a
person to wash the room, but
this did not remove the
offensiveness of it or prevent
that constant headache which I
had been used to feel in
visiting the lazarettos and
hospitals of Turkey."
"Thus it is that because
quarantines were established in
the days of Ignorance, rancor
and intolerance between the
Christians and the Turks, they
have been adopted as a matter of
course by the civilized nations
in their intercourse with each
other. As knowledge of diseases
and their causes, however,
became more thoroughly
understood, many of the
objectionable features of the
old quarantine system became
eliminated and a great and
hampering burden was lifted from
the shipping trade and a useless
hardship removed from travelers.
Obstructive quarantine is now
almost a thing of the past,
although some countries, Italy
and Austria still retain many of
the useless and ridiculous
features of the darker ages.
"The time of detention at
quarantine stations has been
greatly modified of late years,
this being especially so in the
cases of steam vessels. At the
time when steamships and sailing
vessels were treated alike great
complaints and dissatisfaction
arose, and many went to the
extent of condemning quarantines
as being absolutely useless.
That boarding stations are of
utility there can be no manner
of doubt, and if the officers of
them exercise due vigilance and
enforce the hygienic
purification, disinfection and
sequestration of suspected or
discovered disease, no epidemic
should be possible from
importation. As the quarantine
station of the Port of New York
is the most important in the
world, probably, the question
has more than once arisen as to
whether it contained the
necessary accommodations,
equipment and facilities for
coping with a serious invasion
of cholera, and whether its
general management was such as
to give a sense of security to
the citizens of New York and
Brooklyn. Both of these
questions must be answered in
the negative. it is admitted by
the Health Officer himself that
the establishment is not up to
the highest standard of
excellence. And when, last
September, the Alesla, with
sixty-four cases of cholera
among 551 Italian passengers,
arrived at this part, the
institution was felt to be
hardly able for the task of
jugulating the disease and
preserving a proper state of
cleanliness, a difficult thing
to do, as, from the pumps being
out of order, the water supply
was not sufficient. The wonder
is not that only thirty-five
cases occurred altogether, but
that the cities of new York and
Brooklyn and the country at
large did not become scorched
and scourged by this horrible
plague. Should the disease have
appeared in the months of July
and August, instead of in the
latter part of September, it is
more than likely that it would
not have been confined to
Swinburne island; for, if
credence may be placed in the
history of cholera epidemics,
only the most stringent
regulations can give any
safe-guard against its spread.
"The diseases subject to
quarantine at this port are
cholera, yellow fever, typhus
fever and small-pox. As to
typhus fever, it so seldom
occurs, except among sailors in
dirty sailing vessels, that it
is of no consequence and need
not receive notice in
conjunction with the subject of
quarantine. Small-pox, too,
being so easily stamped out by
proper vaccination, calls for no
comment, except that when cases
pass quarantine and come into
the City of New York or Brooklyn
it calls attention to the fact
that there is a want of care at
the place where the greatest
vigilance is needed, and gives
rise to the disquieting thought
that if smallpox slips by, why
not cholera and yellow fever? As
during the season' cases of
yellow fever are of very common
occurrence at quarantine, the
fact that it is feebly, if at
all, contagious, is the probable
reason of our immunity from it,
for, as it has before now passed
into New York and Brooklyn, it
is liable to do so again. With
regard to cholera, we are
brought; face to face with a
very different disease. It does
not limit itself to the
seaboard, as yellow fever, but
passes with fearful rapidity in
every direction, and, though not
contagious, like smallpox, or
typhus fever, or scarlatina,
still every cholerale stool or
substance contaminated with the
excrets becomes a focus for
disseminating the poison. When
it is considered how frightfully
rapid is the spread of this
disease and how small the
quantity of infecting material
sufficient to create an
epidemic, can we hope that an
institution confessedly crippled
will be able to hold in check
the invasion of it when, sooner
or later, it reaches our shores
in greater strength than the
installment brought by the
Alesia? While it is not the
purpose of this article to
excite alarm in the minds of the
community, still it is well to
have a just appreciation of the
place upon which our safety
depends and concerning the
workings of which he report of
the State Board of Health's
investigating concludes as
follows: "In conclusion, sir,
from all the evidence I have
been able to collect, it is the
unanimous opinion of those
posted on such matters, that it
would be difficult to imagine a
worse state of affairs than now
exist at the quarantine station.
It is hard to realize in this
age of civilization that the
harbor of the City of New York
should be so inadequately
provided with facilities for the
prevention and extinction of an
epidemic."
The State Board of health does
not consider it within its
province to pronounce upon the
actions of the quarantine
authorities. I have merely
endeavored to give a few facts
concerning the condition of
affairs as they were found by
the different persons who
visited the station, and allow
you to form your own judgment
upon it. That the health of the
State, and the country was put
in great jeopardy by the
culpable unreadiness of the
station admits of no question.
In another article I will take
up the quarantining of arriving
passengers, showing the methods
used to protect New York and
Brooklyn from danger of
infection from them, and how far
from adequate they are for this
purpose.