AN
ACCOUNT
OF THE
PLAGUE AT MOSCOW.
In 1769 war broke out between the Russians and Turks. The year following intelligence was received that the Turks had carried the plague into Wallachia and Moldavia, where it was making great ravages; and that in the town of Jassy a number of Russians had been carried off by a disorder, which, on its first appearance, was called by some of the faculty, a malignant fever; but which the most eminent physicians in the place declared to be the plague. Baron Asch, first physician to the army, sent an account of this disorder in a letter, written in German, to his brother, a physician at Moscow, who showed it to me. The following is a translation thereof: “It attacks people in different ways. Some are slightly indisposed, complaining for several days of a headach, sometimes very violent, at other times less so, and now and then ceasing altogether, and then coming on again. The patients are affected with pains in the chest, and particularly in the neck; they gradually become languid and dejected, with something like intoxication and drowsiness. They have a particular taste in their mouths, which soon turns to a bitter; at the same time they have an ardor urinæ. To these succeed chilly and hot fits, and, lastly, all the symptoms which characterize the plague. The disease sometimes terminates favourably by perspiration, before the appearance of exanthemata, buboes, or carbuncles. The contagion is sometimes more rapid and more violent in its action; in that case the infected are suddenly seized after making a hearty meal, after a fit of anger, or too much bodily motion, with head-ach, nausea, and vomiting; the eyes become inflamed and watery (larmoyans), and pains are felt in those parts of the body where buboes and carbuncles are about to appear. There is no great degree of heat. The pulse is sometimes full and hard; sometimes small, soft, and scarcely perceptible; it often intermits, and, what should be particularly noticed, it is often feeble. These symptoms are accompanied with lassitude, a white tongue, dry skin, urine of a pale yellow colour, or turbid, but without sediment; frequently with a diarrhœa, which it is difficult to stop; and, lastly, with delirium, buboes, carbuncles, and petechiæ[7].”
The following summer this disorder spread into Poland, and committed great havoc there; from thence it passed to Kiow, where it destroyed four thousand souls. Immediately on its appearance at the last-mentioned place, all communication between that town and Moscow was cut off; guards were stationed on all the great roads, and all travellers were ordered to perform quarantine for several weeks.
At the end of November 1770, the anatomical dissector, at the military-hospital in Moscow, is attacked with a putrid petechial fever, which carries him off in three days. The attendants upon the sick[8] of this hospital dwelt with their families in two rooms separate from the wards. In one of these rooms they fall ill one after the other, till, at length, all of them, to the number of eleven, are seized with a putrid fever, accompanied with petechiæ; buboes and carbuncles appear in some of them; and most of them die between the third and fifth day. The attendants occupying the other room are seized in like manner with the same disorder.
On the 22nd of December, we are required to meet at the Board of Health. The first physician to the military-hospital states the circumstances, which I have just related, the truth of which is confirmed by the evidence of three other physicians, who farther report, that fifteen among the attendants, including their wives and children, had fallen victims to this disorder since the end of November; that five still continued ill of it; but that it had not yet shown itself in any of the hospital-wards. Eleven physicians were present at this consultation, and we all agreed that the disorder under consideration was the plague, except Dr. Rinder, state-physician[9], who had visited the sick, several times, in company with Mr. Schafonsky, and who pronounced it to be merely a putrid fever; an opinion which he maintained both in conversation and by writing.
This hospital stands out of the town, near the suburb inhabited by the Germans, from which it is separated by a small stream, called the Yausa. We advised that it should be immediately shut up, and that guards should be placed round it, in order to cut off all communication; that all the attendants upon the hospital-invalids should be removed, together with their wives and children, to a detached situation, care being taken to separate the infected from the healthy; and, lastly, that all the clothes and furniture, not only of those who were dead, but likewise of those who still survived, should be burnt.
The cold had set in later this year than usual; the weather was very damp and rainy until the end of December, when a hard frost came on, and continued through the remainder of the winter.
In addition to our joint report, Field-Marshal Count Soltikoff, governour-general of the place, consulted me in private, and desired to know what steps I thought adviseable under the present circumstances. On a subject pregnant with so much danger to the public at large, I did not hesitate to communicate my sentiments in the most unreserved manner. Accordingly I put into the governor’s hands a paper, wherein I laid great stress upon the necessity of employing every possible precaution with regard to the hospital, where I affirmed, that the plague had appeared among the attendants, as before mentioned; I added, that it would be necessary to make strict enquiries to ascertain, whether the contagion was concealed in any part of the town, and that, wherever it should be discovered, the same precautions, as in the case of the hospital, should be adopted: that, for the same purpose, it would be further necessary to desire the physicians and surgeons, whenever they should perceive any unusual or doubtful symptoms in their patients, to give immediate notice thereof to the Board of Health; and to order the police-officers to appoint a consultation of physicians, whenever several persons should fall ill in the same house. I remarked, however, that there would be great difficulties in the business, if the contagion existed in 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.