Although of late years its ravages amongst the soldiers of our own as well as of other European nations have considerably abated, the disease is still more or less prevalent in the British, French, Prussian, Austrian, Bavarian, Italian, Spanish, Belgian, Swedish, and Russian armies. Purulent ophthalmia is also by no means uncommon amongst the non-military population, such as the poorer classes and their children, and the children in workhouses, asylums, and pauper schools. Dr Parkes says it has evidently been propagated amongst the civil inhabitants by the soldiery.
The following narrative of an outbreak of purulent ophthalmia that occurred on board a vessel freighted with slaves for the West Indies forcibly illustrates the character and infectious nature of this disease.
In the year 1819 the “Le Roideur,” a French vessel, sailed with a cargo of 160 negroes from Bonny, on the coast of Africa, to Guadaloupe. The “Le Roideur’s” crew consisted of 22 men, so that the number of human beings on board, including officers, was 182. No epidemic had been observed amongst the natives from whom the slaves had been taken, and further, at the time of sailing the crew were in perfect health, and the slaves were said to be free from disease of any kind.
The wretched Africans were closely packed in the hold of the vessel, the air of which, as may be imagined, soon became frightfully foul; and after about the thirtieth or fortieth day, the drinking water running scarce, their daily allowance was reduced from 8 oz. to half a wineglassful. Then it was that ophthalmia first showed itself amongst the wretched occupants of the hold, the lids of their eyes becoming red and inflamed. The surgeon of the vessel advised that they should breathe in succession the purer air of the deck. But this course had to be relinquished, since it was found that many of the negroes on leaving the hold jumped over the side of the vessel, and purposely drowned themselves. The disease, which was of a most virulent kind, spread rapidly amongst the negroes, and from these to the crew.
A notable fact demonstrating the propagation of purulent ophthalmia by material particles was the circumstance that the first amongst the crew who was seized was a sailor who guarded the hatch communicating with the hold. The day after another of the crew was attacked, and in three days after this the disease had assailed the captain, and almost the whole of the crew. The disease continued
to spread daily, until at last there remained one only of the whole crew unaffected and with sight intact, and to him was deputed the important task of steering the vessel. Great fear was manifested lest he too might eventually be overtaken with the total or partial blindness that had come to the remainder of the crew.
The “Le Roideur” reached Guadaloupe on the 21st of June, when it was found that thirty more of the negroes had entirely lost their sight (thirty-six of whom had been thrown into the sea, since they were unsaleable), twelve had lost the sight of an eye, and fourteen were more or less blind.
Of the crew, twelve including the surgeon were entirely blind, five were blind of one eye, and four partially so.
Three days after the arrival of the vessel in port the steerer of the vessel was seized with the disease.[69]
[69] Blythe.