The country being now depopulated, and much of the territory without owners, vast tribes of Arabs emigrated from their abodes in the interior of Sahara, and took possession of the country contiguous to the river Draha, as well as many districts in Suse; and, in short, settling themselves, and pitching their tents wherever they found a fertile country with little or no population.
The symptoms of this plague varied in different patients, the variety of age and constitution gave it a like variety of appearance and character. Those who enjoyed perfect health were suddenly seized with head-aches and inflammations; the tongue and throat became of a vivid red, the breath was drawn with difficulty, and was succeeded by sneezing and hoarseness; when once settled in the stomach, it excited vomitings of black bile, attended with excessive torture, weakness, hiccough, and convulsion. Some were seized with sudden shivering, or delirium, and had a sensation of such intense inward heat, that they threw off their clothes, and would have walked about naked in quest of water wherein to plunge themselves. Cold water was eagerly resorted to by the unwary and imprudent, and proved fatal to those who indulged in its momentary relief. Some had one, two, or more buboes, which formed themselves, and became often as large as a walnut, in the course of a day; others had a similar number of carbuncles; others had both buboes and carbuncles, which generally appeared in the groin, under the arm, or near the breast. Those who were affected[154] with a shivering, having no buboe, carbuncle, spots, or any other exterior disfiguration, were invariably carried off in less than twenty-four hours, and the body of the deceased became quickly putrified, so that it was indispensably necessary to bury it a few hours after dissolution. It is remarkable, that the birds of the air fled away from the abode of men, for none were to be seen during this calamitous period; the hyænas, on the contrary, visited the cemeteries, and sought the dead bodies to devour them. I recommended Mr. Baldwin’s[155] invaluable remedy of olive oil, applied according to his directions; several Jews, and some Mooselmin, were induced to try it, and I was afterwards visited by many, to whom I had recommended it, and had given them written directions in Arabic how to apply it: and I do not know any instance of its failing when persevered in, even after the infection had manifested itself.
I have no doubt but the epidemy which made its appearance at Cadiz, and all along the southern shores of Spain, immediately as the plague was subsiding in West Barbary, was the same disorder with the one above described, suffering, after its passage to a Christian country, some variation, originating from the different modes of living, and other circumstances; for nothing can be more opposite than the food, dress, customs, and manners of Mohammedans and Christians, notwithstanding the approximation of Spain to Marocco. We have been credibly informed, that it was communicated originally to Spain, by two infected persons, who went from Tangier to Estapona, a small village on the opposite shore; who, after eluding the vigilance of the guards, reached Cadiz. We have also been assured that it was communicated by some infected persons who landed in Spain, from a vessel that had loaded produce at L’araiche in West Barbary. Another account was, that a Spanish privateer, which had occasion to land its crew for the purpose of procuring water in some part of West Barbary, caught the infection from communicating with the natives, and afterwards proceeding to Cadiz, spread it in that town and the adjacent country.
It should be observed, for the information of those who may be desirous of investigating the nature of this extraordinary distemper, that, from its character and its symptoms, approximating to the peculiar plague, which (according to the before mentioned Arabic record) ravaged and depopulated West Barbary four centuries since, the Arabs and Moors were of opinion it would subside after the first year, and not appear again the next, as the Egyptian plague does; and agreeably to this opinion, it did not re-appear the second year: neither did St. John’s day, or that season, affect its virulence; but about that period there prevails along the coast of West Barbary a trade wind, which beginning to blow in the month of May, continues throughout the months of June, July, and August, with little intermission. It was apprehended that the influence of this trade wind, added to the superstitious opinion of the plague ceasing on St. John’s day, would stop, or at least sensibly diminish the mortality; but no such thing happened, the wind did set in, as it invariably does, about St. John’s day; the disorder, however, encreased at that period, rather than diminished. Some persons were of opinion, that the infection maintained its virulence till the last; that the decrease of mortality did not originate from a decrease of the miasma, but from a decrease of population, and a consequent want of subjects to prey upon; and this indeed is a plausible idea; but admitting it to be just, how are we to account for the almost invariable fatality of the disorder, when at its height, and the comparative innocence of it when on the decline? for then, the chance to those who had it, was, that they would recover and survive the malady.
The old men seemed to indulge in a superstitious tradition, that when this peculiar kind of epidemy attacks a country, it does not return or continue for three or more years, but disappears altogether (after the first year), and is followed the seventh year by contagious rheums and expectoration, the violence of which lasts from three to seven days, but is not fatal. Whether this opinion be in general founded in truth I cannot determine; but in the spring of the year 1806, which was the seventh year from the appearance of the plague at Fas in 1799, a species of influenza pervaded the whole country; the patient going to bed well, and on rising in the morning, a thick phlegm was expectorated, accompanied by a distressing rheum, or cold in the head, with a cough, which quickly reduced those affected to extreme weakness, but was seldom fatal, continuing from three to seven days, with more or less violence, and then gradually disappearing.
During the plague at Mogodor, the European merchants shut themselves up in their respective houses, as is the practice in the Levant; I did not take this precaution, but occasionally rode out to take exercise on horseback. Riding one day out of the town, I met the Governor’s brother, who asked me where I was going, when every other European was shut up? “To the garden,” I answered. “And are you not aware that the garden and the adjacent country is full of (Genii) departed souls, who are busy in smiting with the plague every one they meet?” I could not help smiling, but told him, that I trusted to God only, who would not allow any of the Genii to smite me unless it were his sovereign will, and that if it were, he could effect it without the aid of Genii. On my return to town in the evening, the sandy beach, from the town-gate to the sanctuary of Seedi Mogodole,[156] was covered with biers. My daily observations convinced me that the epidemy was not caught by approach, unless that approach was accompanied by an inhaling of the breath, or by touching the infected person; I therefore had a separation made across the gallery, inside of my house, between the kitchen and dining parlour, of the width of three feet, which is sufficiently wide to prevent the inhaling the breath of a person. From this partition or table of separation I took the dishes, and after dinner returned them to the same place, suffering none of the servants to come near me; and in the office and counting-house, I had a partition made to prevent the too near approach of any person who might call on business; and this precaution I firmly believe to be all that is necessary, added to that of receiving money through vinegar, and taking care not to touch or smell infectious substances.
Fear had an extraordinary effect in disposing the body to receive the infection; and those who were subject thereto, invariably caught the malady, which was for the most part fatal. At the breaking out of the plague at Mogodor, there were two medical men, an Italian and a Frenchman, the latter, a man of science, a great botanist, and of an acute discrimination; they, however, did not remain, but took the first opportunity of leaving the place for Teneriffe, so that the few Europeans had no expectation of any medical assistance except that of the natives. Plaisters of gum ammoniacum, and the juice of the leaves of the opuntia, or kermuse ensarrah, i.e. prickly pear, were universally applied to the carbuncles, as well as the buboes, which quickly brought them to maturity: many of the people of property took copious draughts of coffee and Peruvian bark. The Vinaigre de quatre voleurs was used by many, also camphor, smoking tobacco, or fumigations of gum Sandrac; straw was also burned by some, who were of opinion, that any thing which produced abundance of smoke, was sufficient to purify the air of pestilential effluvia.
During the existence of the plague, I had been in the chambers of men on their death-bed: I had had Europeans at my table, who were infected, as well as Moors, who actually had buboes on them; I took no other precaution than that of separation, carefully avoiding to touch the hand, or inhale the breath; and, notwithstanding what may have been said, I am decidedly of opinion that the plague, at least this peculiar species of it, is not produced by any infectious principle in the atmosphere, but caught solely by touching infected substances, or inhaling the breath of those who are diseased; and that it must not be confounded with the common plague of Egypt, or Constantinople, being a malady of a much more desperate and destructive kind. It has been said, by persons who have discussed the nature and character of the plague, that the cultivation of a country, the draining of the lands, and other agricultural improvements, tend to eradicate or diminish it; but at the same time, we have seen countries depopulated where there was no morass, or stagnate water for many days journey, nor even a tree to impede the current of air, or a town, nor any thing but encampments of Arabs, who procured water from wells of a great depth, and inhabited plains so extensive and uniform, that they resemble the sea, and are so similar in appearance after, as well as before sun-rise, that if the eye could abstract itself from the spot immediately surrounding the spectator, it could not be ascertained whether it were sea or land.
I shall now subjoin a few cases for the further elucidation of this distemper, hoping that the medical reader will pardon any inaccuracy originating from my not being a professional man.
Case I.—One afternoon, I went into the kitchen, and saw the cook making the bread; he appeared in good health and spirits; I afterwards went into the adjoining parlour, and took up a book to read; in half an hour the same man came to the door of the room, with his eyes starting from his head, and his bed clothes, &c. in his hands, saying, “open the gate for me, for I am (m’dorb) smitten.” I was astonished at the sudden transition, and desired him to go out, and I would follow and shut the gate. The next morning he sent his wife out on an errand, and got out of bed, and came to the gate half dressed, saying that he was quite recovered, and desired I would let him in. I did not, however, think it safe to admit him, but told him to go back to his house for a few days, until he should be able to ascertain that he was quite well; he accordingly returned to his apartments, but expired that evening, and before day-break his body was in such a deplorable state, that his feet were putrefied. His wife, by attending on him, caught the infection, having a carbuncle, and also buboes, and was confined two months before she recovered.