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قراءة كتاب An account of the plague which raged at Moscow, in 1771
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An account of the plague which raged at Moscow, in 1771
other parts of the town besides the hospital; but, I added, that, even in this case, we might hope to eradicate the evil when the frost should set in, provided speedy and proper measures were resorted to.
We wished that what had passed on this subject should not transpire; but the rumour of the plague having broke out at Kiow, some months before, had produced such an effect upon the minds of the public, that the precautions which were adopted, with regard to the military-hospital, threw the whole city into the greatest alarm. All attempts to dissipate the fears of the inhabitants were fruitless.
After some days, however, when it was known that only seven persons in the hospital itself were ill of the disorder, and that the rest remained free from infection, the public fell into the opposite extreme, and thinking themselves in perfect security, the grandees, nobles, merchants, common people, in a word, all the inhabitants, except the governour and a few others, ceased to give themselves any further trouble about the means of prevention.
This idea of security, which was countenanced by the before-mentioned state-physician, Dr. Rinder, continued until the month of March. The medical consultations ceased. In spite of all our efforts to the contrary, every kind of precaution was neglected in the city; it was only at the military-hospital that, by order of the Empress, the means of prevention were still observed; in consequence whereof the plague was entirely suppressed there, after twenty-four persons had been seized with it, only two of whom recovered[10]. Six weeks after the death of the last of them, all their clothes, beds, &c. together with the house, to which they had been removed, and which was built of wood, were burnt. The hospital was opened again at the end of February.
The generality of mankind judge of things by events only; and will never believe that the plague is among them, until they have certain proof thereof in the number of funerals[11]. It is owing to this and other mistaken notions, that the plague is not put a stop to in the beginning; at which period it may be compared to a spark which might easily be extinguished, but which, if left to itself, bursts out into a conflagration which nothing can resist.
The opinion which went to assure the inhabitants that they were safe from the plague, was very generally believed, as in such cases almost always happens[12]. It only remained for us to console ourselves with the consciousness of having discharged our duty faithfully, and to the best of our abilities. Would to God that the business had stopped here, and that what afterwards took place had not confirmed the truth of our assertions. We should not then have beheld the dreadful destruction of so many of our fellow-creatures, nor have witnessed the most horrid of all public calamities.
On the 11th of March we are again convened at the Board of Health. In the centre of the town there was a large building used for manufacturing clothing for the army; three thousand persons were employed in it, nearly a third part of whom, of the most necessitous class, occupied the ground-floors; the rest, after working there the whole day, returned in the evening to their respective homes, in different parts of the town. Dr. Yagelsky, at that time second physician to the Military Hospital, whom the Governor-General had sent to the manufactory in the morning, brings word that he had found several patients, (eight to the best of my recollection) labouring under the same disorder, (accompanied with petechiæ, vibices, carbuncles, and buboes) which he had seen three months before at the military hospital; and that on seven dead bodies which he had examined, he had perceived similar appearances. On enquiring of the workmen in the manufactory, in what manner, and how long this disorder had made its appearance among them, he was told that a woman who had a swelling in her cheek, had betaken herself to one of her relations who lived in the manufactory, and had died there; and that, from that time, one or other of them was every day taken ill of the disorder. They further stated, that from the period above-mentioned to the present day, they had lost one hundred and seventeen persons, including the seven dead bodies not yet interred. This account given by Dr. Yagelsky, was corroborated by two other physicians, who had been sent the same day to examine the patients and dead bodies.
In a Memoir addressed to the Governor-General and the Senate (by whom we had been called together) we renew our declarations, that this disorder is the plague[13]; and we advise them to remove out of the town all the persons dwelling in the manufactory, taking care to separate the sick from the healthy; that they should order the clothes and furniture of the dead and infected to be burnt; and that the strictest search should be made to find out whether the contagion existed in any other part of the city. The inhabitants are again seized with a panic; and they now too well perceive the consequences of their neglect of the precautions recommended. We were thirteen physicians at this meeting[14], two of whom, who three months before had agreed with us that the disease which broke out at the military hospital was the plague, now said that the present disorder was not the plague, but a putrid fever; an opinion which they enforced in a separate conference with the Senate. These two physicians (Drs. Kuhlmann and Schiadan) who still differed from us in opinion, had been led into their error, by observing that the number of deaths in the town was not greater than usual, but rather less than in the preceding years, and that there were very few people ill.
Some days after, being summoned to meet the other physicians and surgeons at the senate, where each of us was required to deliver our sentiments explicitly, I affirmed, in the most solemn manner, that I was thoroughly convinced that the disease under consideration was the plague; ten of my colleagues were of the same opinion, and the two others before mentioned still maintained the contrary[15]; nevertheless, they admitted the propriety of adopting precautions against a disorder, which, though not the plague, was of a contagious nature.
The first day (the 11th of March) is spent in deliberations. The infected building is shut up, and guards are placed there, to prevent any person from going in or coming out. Several make their escape through the windows,

