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Devoe Part 3

The Manner of People's Infecting One Another

Here also I ought to leave a further remark for the use of posterity, concerning the manner of people's infecting one another; namely, that it was not the sick people only from whom the plague was immediately received by others that were sound, but the well.

To explain myself: by the sick people I mean those who were known to be sick, had taken their beds, had been under cure, or had swellings and tumours upon them, and the like; these everybody could beware of; they were either in their beds or in such condition as could not be concealed. By the well I mean such as had received the contagion, and had it really upon them, and in their blood, yet did not show the consequences of it in their countenances: nay, even were not sensible of it themselves, as many were not for several days. These breathed death in every place, and upon everybody who came near them; nay, their very clothes retained the infection, their hands would infect the things they touched, especially if they were warm and sweaty, and they were generally apt to sweat too. Now it was impossible to know these people, nor did they sometimes, as I have said, know themselves to be infected.

These were the people that so often dropped down and fainted in the streets; for oftentimes they would go about the streets to the last, till on a sudden they would sweat, grow faint, sit down at a door and die. It is true, finding themselves thus, they would struggle hard to get home to their own doors, or at other times would be just able to go into their houses and die instantly; other times they would go about till they had the very tokens come out upon them, and yet not know it, and would die in an hour or two after they came home, but be well as long as they were abroad. These were the dangerous people; these were the people of whom the well people ought to have been afraid; but then, on the other side, it was impossible to know them.

And this is the reason why it is impossible in a visitation to prevent the spreading of the plague by the utmost human vigilance: viz., that it is impossible to know the infected people from the sound, or that the infected people should perfectly know themselves.

For example, many persons in the time of this visitation never perceived that they were infected till they found to their unspeakable surprise, the tokens come out upon them; after which they seldom lived six hours; for those spots they called the tokens were really gangrene spots, or mortified flesh in small knobs as broad as a little silver penny, and hard as a piece of callus or horn; so that, when the disease was come up to that length, there was nothing could follow but certain death; and yet, as I said, they knew nothing of their being infected, nor found themselves so much as out of order, till those mortal marks were upon them.

But everybody must allow that they were infected in a high degree before, And must have been so some time, and consequently their breath, their sweat, their very clothes, were contagious for many days before. This occasioned a vast variety of cases which physicians would have much more opportunity to remember than I; but some came within the compass of my observation or hearing, of which I shall name a few.

A certain citizen who had lived safe and untouched till the month of September, when the weight of the distemper lay more in the city than it had done before, was mighty cheerful, and something too bold (as I think it was) in his talk of how secure he was, how cautious he had been, and how he had never come near any sick body.

Says another citizen, a neighbour of his, to him one day, 'Do not be too confident, Mr -; it is hard to say who is sick and who is well, for we see men alive and well to outward appearance one hour, and dead the next.' 'That is true', says the first man, for he was not a man presumptuously secure, but had escaped a long while - and men, as I said above, especially in the city began to be over-easy upon that score. 'That is true,' says he; 'I do not think myself secure, but I hope I have not been in company with any person that there has been any danger in.' 'No?' says his neighbour. 'Was not you at the Bull Head Tavern in Gracechurch Street with Mr - the night before last?' 'Yes,' says the first, 'I was; but there was nobody there that we had any reason to think dangerous.'

Upon which his neighbour said no more, being unwilling to surprise him; but this made him more inquisitive, and as his neighbour appeared backward, he was the more impatient, and in a kind of warmth says he aloud, 'Why, he is not dead, is he?' Upon which his neighbour still was silent, but cast up his eyes and said something to himself; at which the first citizen turned pale, and said no more but this, 'Then I am a dead man too', and went home immediately and sent for a neighbouring apothecary to give him something preventive, for he had not yet found himself ill; but the apothecary, opening his breast, fetched a sigh, and said no more but this, 'Look up to God'; and the man died in a few hours.

Upon the foot of all these observations I must say that though Providence seemed to direct my conduct to be otherwise, yet it is my opinion, and I must leave it as a prescription, viz., that the best physic against the plague is to run away from it.

I know people encourage themselves by saying God is able to keep us in the midst of danger, and able to overtake us when we think ourselves out of danger; and this kept thousands in the town whose carcases went into the great pits by cartloads, and who, if they had fled from the danger, had, I believe, been safe from the disaster; at least 'tis probable they had been safe. And were this very fundamental only duly considered by the people on any future occasion of this or the like nature, I am persuaded it would put them upon quite different measures for managing the people from those that they took in 1665, or than any that have been taken abroad that I have heard of.

In a word, they would consider of separating the people into smaller bodies, and removing them in time farther from one another - and not let such a contagion as this, which is indeed chiefly dangerous to collected bodies of people, find a million of people in a body together, as was very near the case before, and would certainly be the case if it should ever appear again. The plague, like a great fire, if a few houses only are contiguous where it happens, can only burn a few houses; or if it begins in a single, or, as we call it, a lone house, can only burn that lone house where it begins. But if it begins in a close-built town or city and gets a head, there its fury increases: it rages over the whole place, and consumes all it can reach.

One man, a master of a family in my neighbourhood, having had the distemper, he thought he had it given him by a poor workman whom he employed, and whom he went to his house to see, or went for some work that he wanted to have finished; and he had some apprehensions even while he was at the poor workman's door, but did not discover it fully; but the next day it discovered itself, and he was taken very in, upon which he immediately caused himself to be carried into an outbuilding which he had in his yard, and where there was a chamber over a workhouse (the man being a brazier). Here he lay, and here he died, and would be tended by none of his neighbours, but by a nurse from abroad; and would not suffer his wife, nor children, nor servants to come up into the room, lest they should be infected - but sent them his blessing and prayers for them by the nurse, who spoke it to them at a distance, and all this for fear of giving them the distemper; and without which he knew, as they were kept up, they could not have it.

And here I must observe also that the plague, as I suppose all distempers do, operated in a different manner on differing constitutions; some were immediately overwhelmed with it, and it came to violent fevers, vomitings, insufferable headaches, pains in the back, and so up to ravings and ragings with those pains; others with swellings and tumours in the neck or groin, or armpits, which till they could be broke put them into insufferable agonies and torment; while others, as I have observed, were silently infected, the fever preying upon their spirits insensibly, and they seeing little of it till they fell into swooning, and faintings, and death without pain.

My friend Dr Heath was of opinion that it might be known by the smell of their breath; but then, as he said, who durst smell to that breath for his information? since, to know it, he must draw the stench of the plague up into his own brain, in order to distinguish the smell! I have heard it was the opinion of others that it might be distinguished by the party's breathing upon a piece of glass, where, the breath condensing, there might living creatures be seen by a microscope, of strange, monstrous, and frightful shapes, such as dragons, snakes, serpents, and devils, horrible to behold.

But this I very much question the truth of, and we had no microscopes at that time, as I remember, to make the experiment with. It was the opinion also of another learned man, that the breath of such a person would poison and instantly kill a bird; not only a small bird, but even a cock or hen, and that, if it did not immediately kill the latter, it would cause them to be roupy, as they call it; particularly that if they had laid any eggs at any time, they would be all rotten. But those are opinions which I never found supported by any experiments, or heard of others that had seen it; so I leave them as I find them; only with this remark, namely, that I think the probabilities are very strong for them.

Some have proposed that such persons should breathe hard upon warm water, and that they would leave an unusual scum upon it, or upon several other things, especially such as are of a glutinous substance and are apt to receive a scum and support it.

But from the whole I found that the nature of this contagion was such that it was impossible to discover it at all, or to prevent its spreading from one to another by any human skill. Here was indeed one difficulty which I could never thoroughly get over to this time, and which there is but one way of answering that I know of, and it is this, viz., the first person that died of the plague was on December 20, or thereabouts, 1664, and in or about long Acre; whence the first person had the infection was generally said to be from a parcel of silks imported from Holland, and first opened in that house. But after this we heard no more of any person dying of the plague, or of the distemper being in that place, till the 9th of February, which was about seven weeks after, and then one more was buried out of the same house. Then it was hushed, and we were perfectly easy as to the public for a great while; for there were no more entered in the weekly bill to be dead of the plague till the 22nd of April, when there was two more buried, not out of the same house, but out of the same street; and, as near as I can remember, it was out of the next house to the first.