if ventilation be found insufficient. In the
long scale of bilious fevers, graduated by many shades,
this is probably the last and most mortal term.
It seizes the native of the place equally with strangers.
It has not been long known in any part of the United
States. The shade next above it, called the stranger’s
fever, has been coeval with the settlement of the
larger cities in the southern parts, to wit, Norfolk,
Charleston, New Orleans. Strangers going to these
places in the months of July, August, or September,
find this fever as mortal as the genuine yellow fever.
But it rarely attacks those who have resided in them
some time. Since we have known that kind of yellow
fever which is no respecter of persons, its name has
been extended to the stranger’s fever, and every
species of bilious fever which produces a black vomit,
that is to say, a discharge of very dark bile.
Hence we hear of yellow fever on the Allegany mountains,
in Kentucky, &c. This is a matter of definition
only: but it leads into error those who do not
know how loosely and how interestedly some physicians
think and speak. So far as we have yet seen,
I think we are correct in saying, that the yellow
fever, which seizes on all indiscriminately, is an
ultimate degree of bilious fever, never known in the
United States till lately, nor farther south, as yet,
than Alexandria, and that what they have recently called
the yellow fever in New Orleans, Charleston, and Norfolk,
is what has always been known in those places as confined
chiefly to strangers, and nearly as mortal to them,
as the other is to all its subjects. But both
grades are local: the stranger’s fever less
so, as it sometimes extends a little into the neighborhood;
but the yellow fever rigorously so, confined within
narrow and well defined limits, and not communicable
out of those limits. Such a constitution of atmosphere
being requisite to originate this disease as is generated
only in low, close, and ill-cleansed parts of a town,
I have supposed it practicable to prevent its generation
by building our cities on a more open plan. Take,
for instance, the chequer-board for a plan. Let
the black squares only be building squares, and the
white ones be left open, in turf and trees. Every
square of houses will be surrounded by four open squares,
and every house will front an open square. The
atmosphere of such a town would be like that of the
country, insusceptible of the miasmata which produce
yellow fever. I have accordingly proposed that
the enlargements of the city of New Orleans, which
must immediately take place, shall be on this plan.
But it is only in case of enlargements to be made,
or of cities to be built, that his means of prevention
can be employed.
The genus irritabile vatum could not let the author of the Ruins publish a new work, without seeking in it the means of discrediting that puzzling composition. Some one of those holy calumniators has selected from your new work every scrap of a sentence, which, detached from its context, could displease an American reader. A cento has been made of these, which has run through a particular description of newspapers, and excited a disapprobation even in friendly minds, which nothing but the reading of the book will cure. But time and truth will at length correct error.