Shewing the Number of Fevers and Fluxes on board on the First of each Month, and the Number sent to the Hospital in the Course of the Month.
Key: B On board. H Sent to the Hospital.
| SHIPS’ NAMES, AND Date of their Arrival. |
MAY, 1780. | JUNE. | JULY. | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Fever. | Flux. | Fever. | Flux. | |||||||
| B | H | B | H | B | H | B | H | B | H | B | H | |
| Sandwich, 16th March | 6 | 0 | 16 | 19 | 3 | 0 | 12 | 0 | 10 | 5 | 16 | 3 |
| Terrible, 16th March | 0 | 0 | 40 | 20 | 0 | 3 | 86 | 75 | 3 | 25 | 60 | 24 |
| Triumph, 7th May | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 32 | 17 | ||
| Russell, 18th June | 22 | 0 | 0 | 0 | ||||||||
| Shrewsbury, 26th June | 5 | 0 | 0 | 0 | ||||||||
| Alcide, 30th July | ||||||||||||
| Torbay, 30th July | ||||||||||||
| Monarch, 22d Nov. | ||||||||||||
| Alfred, 22d November | ||||||||||||
| SHIPS’ NAMES, AND Date of their Arrival. |
AUGUST. | SEPTEMBER. | OCTOBER. | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Fever. | Flux. | Fever. | Flux. | |||||||
| B | H | B | H | B | H | B | H | B | H | B | H | |
| Sandwich, 16th March | 20 | 0 | 5 | 0 | 16 | 4 | 5 | 2 | 5 | 9 | 4 | 0 |
| Terrible, 16th March | 25 | 0 | 30 | 13 | 19 | 12 | 41 | 9 | 2 | 0 | 3 | 0 |
| Triumph, 7th May | 5 | 0 | 7 | 0 | 0 | 0 | 3 | 0 | continued healthy. | |||
| Russell, 18th June | 10 | 3 | 0 | 0 | continued healthy. | |||||||
| Shrewsbury, 26th June | 14 | 0 | 12 | 0 | 20 | 0 | 20 | 0 | No return, the Ship being absent. | |||
| Alcide, 30th July | 17 | 0 | 0 | 0 | 54 | 0 | 3 | 22 | 20 | 2 | 59 | 37 |
| Torbay, 30th July | 6 | 0 | 3 | 0 | 3 | 0 | 169 | 143 | 3 | 0 | 12 | 0 |
| Monarch, 22d Nov. | ||||||||||||
| Alfred, 22d November | ||||||||||||
| SHIPS’ NAMES, AND Date of their Arrival. |
NOVEMBER. | DECEMBER. | JANUARY, 1781. | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Fever. | Flux. | Fever. | Flux. | |||||||
| B | H | B | H | B | H | B | H | B | H | B | H | |
| Sandwich, 16th March | 3 | 0 | 5 | 0 | 8 | 0 | 10 | 0 | 9 | 0 | 13 | 0 |
| Terrible, 16th March | continued quite healthy. | |||||||||||
| Triumph, 7th May | ||||||||||||
| Russell, 18th June | ||||||||||||
| Shrewsbury, 26th June | No return, the Ship being absent. | 0 | 0 | 13 | 0 | 1 | 0 | 7 | 0 | |||
| Alcide, 30th July | 0 | 0 | 23 | 10 | 0 | 0 | 14 | 0 | 6 | 5 | 17 | 0 |
| Torbay, 30th July | 6 | 0 | 5 | 0 | 0 | 1 | 22 | 30 | 5 | 0 | 10 | 1 |
| Monarch, 22d Nov. | 3 | 0 | 2 | 0 | 5 | 12 | 15 | 4 | ||||
| Alfred, 22d November | 6 | 0 | 5 | 0 | 15 | 16 | 11 | 8 | ||||
We shall hereafter see reason for supposing that fever and dysentery proceed from the same cause; and as both these ships arrived from England in a similar state with regard to health, fevers would probably have been the prevailing disease in both; but a part of the 87th regiment, then serving as marines in the fleet, was put on board of the Torbay at St. Christopher’s, and some of them being ill of the dysentery, gave this turn to the disease which afterwards prevailed on board. I have formed a Table to shew the fluctuating state of these two diseases, and this was one of my first and most imperfect attempts towards a medical history of the fleet in a methodical way. (Table III.)
There was but little sickness in the rest of this squadron, except in the Terrible, where the dysentery prevailed a good deal. None of the ships of the line which we found in the West Indies, upon our arrival there, were now in company, except the Yarmouth, and this was the most healthy of all the ships that went to North America.
The health of the fleet was very much recruited by its short stay in America; for the men were supplied with fresh meat and spruce beer, and they enjoyed the two finest months of the year in that temperate climate. The squadron left New York in the middle of November, and though dispersed by a violent storm, all the ships arrived safe in the West Indies before the middle of December.
In October the fleet had attained such a degree of health, that though the calculation in the Table is made from five of the most sickly ships, no death happened in this month on board of any of them. In November the mortality was also inconsiderable, though the ships left in the West Indies are included in the calculation; which, had it been made upon those only that went to North America, the deaths would have been no more than one in seven hundred and eleven in this month, which is rather less than that of any other month in the Table.
The amendment in health, in consequence of the change of climate, was most remarkable in the Terrible, which, by the time she left America, had entirely got rid of the violent dysentery that had prevailed for some time on board. This sudden change in the health of this ship was evidently owing to the great attention of the Captain to cleanliness and discipline, and no less to the assiduity and abilities of the Surgeon. The Alcide still continued sickly, though not so much so as the Torbay. The former had sailed on a cruise in October, and having met with very rough weather, the sick list was thereby increased. The dysentery now prevailed in that ship, as well as fevers, and those men chiefly were attacked with fevers who were ill of the scurvy, or recovering from it. This was not very common; and there were several other remarkable particulars with regard to the fevers in this ship; for her men were not only uncommonly subject to this disease, both in America and the West Indies, but to all the various forms of it; the low, infectious, ship fever of Europe, the bilious remitting, and the malignant yellow fever of hot climates. It would appear from this, as well as other instances, that a ship may assume, as it were, a particular constitution, or a tendency to some particular disease, for a length of time, and this depending on some lurking and adhering infection, or the manner in which she may have been victualled, watered, disciplined, or manned.
The great benefit derived to the health of the fleet, from the change of climate, as well as other reasons, justified the Admiral in going to North America; and there was the more merit in this measure, as it was undertaken without precedent, and without instruction. Upon our return we found there was great good fortune in it, as well as wisdom; for there had happened on the 10th of October a more violent hurricane than any in the memory of man, and the ravage it made both by sea and land is, perhaps, unparallelled in history. Several of the ships of the line were exposed to it; but though they suffered extremely, and were in the utmost danger, none were lost. Two of them happened to be at Antigua, which was out of the track of this hurricane, as it extended only from the 12th to the 15th degree of N. latitude; so that the only islands that suffered by it were Barbadoes, St. Lucia, St. Vincent, and Martinico.—Four frigates, and as many sloops of war, either foundered or were wrecked, and about one thousand seamen perished in them. One of the buildings of the hospital at Barbadoes was entirely demolished by the impetuosity of the sea, which, having risen to a great height, dashed a ship against it, and twenty-three seamen were buried in the ruins3.
The Montague suffered most on this occasion, and was also most subject to sickness and mortality, brought on in consequence of the great fatigue and hardships of the men in bringing her into port and refitting her; for the ship was almost torn to pieces both in the rigging and hull, and the bedding and other necessaries and conveniencies were entirely destroyed. The fever that prevailed on board at this time was of the most malignant kind known in this climate; and the worst cases arose in watering, and the other necessary duties on shore, from which the men would sometimes return frantic, and die in a few hours. There was a party of soldiers on board; and as they were not called upon to perform any duties on shore, they had but little sickness in companion of the sailors.
The other ships having suffered less from the storm, were also less sickly, as it was not necessary for them to remain so long in the unhealthy Carenage to repair.
The only disease that prevailed at this time, in these two ships, was fevers, there being few or no fluxes, though they had been so frequent in the former part of the year. Though fevers and fluxes depend on the same general causes, yet when these causes exist in a higher degree, it would appear that they are more apt to produce fevers. Thus the exhalations of the earth from marshes are more apt to produce fevers; and mere excesses of heat and cold, or moisture, are more apt to produce fluxes; just as in Europe a catarrh, which may be considered as a local febrile affection, as well as a dysentery, will be excited by exposure to cold or damp, without any specific bad quality in the air.
The Ajax and Montague are the only two ships of those left in the West Indies, which are included in the estimate of sickness and mortality in November and December, and they bear a very great proportion to the whole; for out of forty-four that died in fourteen ships of the line in November, twenty died in the Montague, and five in the Ajax; and out of forty-three, the whole number of deaths in December in twenty-one ships of the line, ten were of the Montague, and eleven of the Ajax.
Account of the Health of the Fleet from January, 1781, till July, 1781, both Months included.——Arrival of seven Ships of the Line from England—Increase of Sickness in consequence of a Descent on St. Vincent’s—Long Cruise to windward of Martinico—Great Prevalence of Scurvy—Difference of Health in different Ships—New Ships not more unhealthy than others—Why Frigates are more healthy than Ships of the Line—Remarkable Cure of Scurvy in two Ships—Essence of Malt—Vegetables most antiscorbutic in their natural State—Advantage of supplying Refreshments on board of Ships in preference to Hospitals.
We are now come to that period in which our fleet was reinforced with seven ships of the line, which arrived at Barbadoes from England on the 5th of January, 1781, under the command of Lord Hood. This addition, with two which had arrived in November, made the force upon this station again amount to twenty-one ships of the line.
KEY:
B On board.
H Sent to the Hospital.
D Dead.
| SHIPS’ NAMES. N. B. Those marked *, arrived with Lord Hood. |
FEBRUARY, 1781. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Scurvy. | |||||||
| B | H | D | B | H | D | B | H | D | |
| Sandwich | 8 | 0 | 0 | 4 | 0 | 0 | 2 | 0 | 0 |
| * Barfleur | 8 | 0 | 1 | 4 | 0 | 1 | 3 | 0 | 0 |
| * Gibraltar | 25 | 0 | 2 | 4 | 0 | 0 | 4 | 0 | 0 |
| Triumph | 0 | 0 | 1 | 1 | 0 | 1 | 21 | 8 | 0 |
| Centaur | 2 | 0 | 0 | 2 | 0 | 0 | 20 | 0 | 8 |
| Torbay | 6 | 0 | 0 | 11 | 0 | 0 | 1 | 0 | 0 |
| Monarch | 13 | 0 | 3 | 13 | 0 | 0 | 2 | 0 | 0 |
| Terrible | 2 | 0 | 0 | 10 | 0 | 0 | 1 | 0 | 0 |
| Montagu | 40 | 0 | 8 | 14 | 0 | 5 | 4 | 0 | 0 |
| Alfred | 4 | 0 | 0 | 4 | 0 | 0 | 4 | 0 | 1 |
| Russel | 0 | 0 | 0 | 7 | 0 | 1 | 2 | 1 | 0 |
| Alcide | 1 | 0 | 2 | 9 | 0 | 0 | 1 | 0 | 0 |
| * Invincible | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Resolution | 1 | 0 | 0 | 7 | 0 | 1 | 0 | 0 | 0 |
| Shrewsbury | 8 | 0 | 0 | 0 | 1 | 1 | 6 | 7 | 0 |
| Ajax | 8 | 0 | 1 | 6 | 0 | 5 | 3 | 0 | 1 |
| * Princessa | 8 | 0 | 1 | 3 | 0 | 1 | 0 | 0 | 0 |
| Intrepid | 18 | 1 | 1 | 10 | 4 | 0 | 1 | 0 | 0 |
| * Belliqueux | 11 | 0 | 0 | 10 | 0 | 5 | 0 | 0 | 0 |
| * Prince William | 21 | 0 | 0 | 17 | 0 | 0 | 4 | 0 | 0 |
| * Panther | 2 | 0 | 0 | 4 | 0 | 0 | 0 | 0 | 0 |
| Triton | 7 | 0 | 0 | 15 | 2 | 0 | 14 | 0 | 0 |
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 |
| Cyclops | 4 | 1 | 0 | 3 | 0 | 0 | 0 | 1 | 0 |
| Total | 197 | 2 | 19 | 158 | 7 | 21 | 93 | 19 | 10 |
| SHIPS’ NAMES. N. B. Those marked *, arrived with Lord Hood. |
MARCH. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Scurvy. | |||||||
| B | H | D | B | H | D | B | H | D | |
| Sandwich | 8 | 3 | 1 | 4 | 0 | 0 | 2 | 2 | 0 |
| * Barfleur | 28 | 4 | 0 | 35 | 0 | 0 | 5 | 27 | 2 |
| * Gibraltar | 8 | 1 | 0 | 0 | 0 | 0 | 6 | 22 | 0 |
| Triumph | 3 | 0 | 0 | 2 | 0 | 1 | 24 | 18 | 1 |
| Centaur | 7 | 0 | 0 | 4 | 0 | 0 | 50 | 0 | 8 |
| Torbay | 7 | 0 | 0 | 8 | 0 | 0 | 8 | 0 | 0 |
| Monarch | 5 | 0 | 0 | 4 | 0 | 0 | 1 | 0 | 0 |
| Terrible | 2 | 0 | 0 | 9 | 0 | 2 | 3 | 0 | 0 |
| Montagu | § | § | 5 | § | § | 3 | § | § | 1 |
| Alfred | 25 | 0 | 0 | 8 | 0 | 1 | 56 | 16 | 2 |
| Russel | 7 | 0 | 0 | 8 | 2 | 0 | 0 | 61 | 5 |
| Alcide | 1 | 0 | 0 | 1 | 0 | 0 | 15 | 0 | 0 |
| * Invincible | 6 | 1 | 0 | 1 | 0 | 0 | 5 | 6 | 0 |
| Resolution | 6 | 0 | 0 | 5 | 0 | 0 | 1 | 0 | 0 |
| Shrewsbury | 5 | 0 | 1 | 6 | 0 | 0 | 0 | 0 | 0 |
| Ajax | 2 | 0 | 2 | 10 | 0 | 5 | 6 | 0 | 6 |
| * Princessa | 6 | 0 | 5 | 2 | 0 | 0 | 4 | 102 | 2 |
| Intrepid | 10 | 0 | 0 | 9 | 0 | 0 | 0 | 0 | 0 |
| * Belliqueux | 3 | 1 | 2 | 52 | 0 | 1 | 0 | 1 | 0 |
| * Prince William | 23 | 12 | 0 | 47 | 62 | 5 | 6 | 10 | 0 |
| * Panther | 5 | 0 | 0 | 8 | 0 | 0 | 4 | 0 | 0 |
| Triton | 3 | 2 | 0 | 12 | 2 | 0 | 6 | 0 | 0 |
| Hyena | 0 | 0 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| Cyclops | 4 | 0 | 0 | 3 | 0 | 0 | 0 | 0 | 0 |
| Total | 174 | 24 | 16 | 238 | 67 | 18 | 202 | 265 | 27 |
| SHIPS’ NAMES. N. B. Those marked *, arrived with Lord Hood. |
APRIL. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Scurvy. | |||||||
| B | H | D | B | H | D | B | H | D | |
| Sandwich | 6 | 0 | 2 | 9 | 1 | 1 | 2 | 4 | 0 |
| * Barfleur | 24 | 0 | 0 | 25 | 0 | 0 | 33 | 0 | 0 |
| * Gibraltar | 0 | 0 | 1 | 0 | 0 | 0 | 18 | 0 | 0 |
| Triumph | 0 | 0 | 1 | 3 | 0 | 2 | 12 | 0 | 2 |
| Centaur | 1 | 0 | 0 | 3 | 1 | 0 | 55 | 1 | 1 |
| Torbay | 6 | 0 | 0 | 8 | 0 | 0 | 23 | 27 | 2 |
| Monarch | 8 | 0 | 4 | 17 | 0 | 0 | 0 | 0 | 0 |
| Terrible | 0 | 0 | 0 | 10 | 0 | 0 | 4 | 3 | 1 |
| Montagu | § | § | § | § | § | § | § | § | § |
| Alfred | 11 | 0 | 0 | 26 | 0 | 1 | 116 | 44 | 4 |
| Russel | 0 | 0 | 0 | 4 | 0 | 1 | 44 | 0 | 3 |
| Alcide | 1 | 0 | 0 | 3 | 0 | 0 | 8 | 16 | 0 |
| * Invincible | 4 | 0 | 0 | 4 | 0 | 0 | 2 | 0 | 1 |
| Resolution | 5 | 0 | 0 | 8 | 0 | 2 | 7 | 0 | 1 |
| Shrewsbury | 4 | 3 | 0 | 0 | 0 | 0 | 4 | 6 | 0 |
| Ajax | 4 | 0 | 1 | 15 | 4 | 2 | 30 | 5 | 10 |
| * Princessa | 6 | 0 | 0 | 1 | 0 | 0 | 40 | 0 | 1 |
| Intrepid | 9 | § | § | 13 | § | § | 1 | § | § |
| * Belliqueux | 0 | 0 | 0 | 3 | 0 | 0 | 2 | 0 | 0 |
| * Prince William | 19 | 2 | 0 | 147 | 40 | 0 | 16 | 7 | 0 |
| * Panther | 2 | 0 | 0 | 4 | 3 | 0 | 9 | 1 | 0 |
| Triton | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 2 | 0 | 0 |
| Cyclops | 2 | 0 | 0 | 2 | 0 | 0 | 0 | 0 | 0 |
| Total | 115 | 5 | 9 | 317 | 49 | 9 | 428 | 115 | 26 |
| SHIPS’ NAMES. N. B. Those marked *, arrived with Lord Hood. |
MAY. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Scurvy. | |||||||
| B | H | D | B | H | D | B | H | D | |
| Sandwich | 2 | 2 | 1 | 10 | 5 | 0 | 5 | 18 | 0 |
| * Barfleur | 12 | 3 | 1 | 16 | 1 | 0 | 54 | 10 | 0 |
| * Gibraltar | 4 | 0 | 0 | 0 | 0 | 0 | 30 | 22 | 4 |
| Triumph | 0 | 1 | 1 | 0 | 0 | 0 | 13 | 8 | 1 |
| Centaur | 0 | 0 | 0 | 2 | 0 | 2 | 15 | 4 | 0 |
| Torbay | 6 | 0 | 0 | 13 | 7 | 0 | 44 | 31 | 0 |
| Monarch | 5 | 2 | 2 | 3 | 0 | 0 | 57 | 11 | 0 |
| Terrible | 0 | 0 | 1 | 10 | 4 | 0 | 5 | 20 | 0 |
| Montagu | § | § | § | § | § | § | § | § | § |
| Alfred | 15 | 10 | 1 | 11 | 3 | 0 | 130 | 25 | 2 |
| Russel | 0 | 1 | 0 | 8 | 0 | 0 | 132 | 102 | 4 |
| Alcide | 0 | 0 | 1 | 1 | 0 | 0 | 40 | 35 | 0 |
| * Invincible | 7 | 0 | 1 | 6 | 8 | 4 | 31 | 54 | 4 |
| Resolution | 5 | 2 | 0 | 9 | 0 | 0 | 15 | 45 | 2 |
| Shrewsbury | 3 | 1 | 0 | 5 | 2 | 0 | 22 | 6 | 2 |
| Ajax | 4 | 1 | 1 | 3 | 0 | 0 | 8 | 0 | 1 |
| * Princessa | 2 | 0 | 0 | 2 | 0 | 1 | 30 | 40 | 2 |
| Intrepid | § | § | § | § | § | § | § | § | § |
| * Belliqueux | 0 | 0 | 0 | 2 | 0 | 0 | 2 | 0 | 0 |
| * Prince William | 5 | 5 | 2 | 53 | 5 | 0 | 7 | 4 | 0 |
| * Panther | 3 | 2 | 0 | 8 | 4 | 0 | 1 | 0 | 0 |
| Triton | 2 | 0 | 0 | 4 | 0 | 0 | 0 | 1 | 0 |
| Hyena | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Cyclops | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total | 76 | 30 | 12 | 166 | 39 | 7 | 641 | 436 | 22 |
| SHIPS’ NAMES. N. B. Those marked *, arrived with Lord Hood. |
JUNE. | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Fever. | Flux. | Scurvy. | |||||||
| B | H | D | B | H | D | B | H | D | |
| Sandwich | 2 | 0 | 0 | 3 | 0 | 0 | 10 | 0 | 1 |
| * Barfleur | 20 | 0 | 0 | 13 | 0 | 0 | 58 | 0 | 0 |
| * Gibraltar | 3 | 1 | 0 | 4 | 0 | 0 | 48 | 17 | 0 |
| Triumph | 1 | 0 | 0 | 0 | 0 | 0 | 6 | 5 | 0 |
| Centaur | 4 | 0 | 0 | 9 | 0 | 1 | 15 | 0 | 0 |
| Torbay | 16 | 0 | 0 | 6 | 0 | 0 | 9 | 0 | 1 |
| Monarch | 4 | 3 | 1 | 4 | 0 | 0 | 36 | 5 | 0 |
| Terrible | 3 | 1 | 0 | 12 | 0 | 0 | 20 | 1 | 0 |
| Montagu | § | 0 | 0 | § | 0 | 2 | § | 0 | 0 |
| Alfred | 14 | § | § | 10 | 0 | 0 | 26 | 0 | 0 |
| Russel | 0 | 1 | 0 | 19 | 1 | 0 | 14 | 1 | 0 |
| Alcide | 4 | 2 | 0 | 5 | 0 | 0 | 26 | 5 | 0 |
| * Invincible | 8 | 0 | 0 | 22 | 0 | 0 | 10 | 1 | 0 |
| Resolution | 1 | 0 | 0 | 3 | 12 | 0 | 84 | 0 | 2 |
| Shrewsbury | 3 | § | § | 4 | § | § | 20 | § | § |
| Ajax | 2 | 0 | 0 | 2 | 0 | 1 | 6 | 0 | 0 |
| * Princessa | 2 | 0 | 0 | 6 | 40 | 0 | 70 | 154 | 0 |
| Intrepid | § | § | § | § | § | § | § | § | § |
| * Belliqueux | 2 | 0 | 1 | 3 | 0 | 0 | 8 | 0 | 0 |
| * Prince William | 4 | 4 | 2 | 13 | 3 | 1 | 8 | 7 | 0 |
| * Panther | 3 | 0 | 0 | 8 | 1 | 0 | 1 | 1 | 0 |
| Triton | 2 | 0 | 1 | 1 | 0 | 0 | 0 | 1 | 0 |
| Hyena | 3 | 0 | 1 | 2 | 0 | 0 | 5 | 0 | 0 |
| Cyclops | § | § | § | § | § | § | § | § | § |
| Total | 101 | 12 | 6 | 149 | 57 | 5 | 480 | 198 | 4 |
N. B. Where the Spaces are marked thus, §, no Return was made.
The whole fleet was tolerably healthy during this month, the season being dry and cool; there was, however, a small increase of sickness at this time, and it was owing to a descent made on St. Vincent’s in December. The soldiers, (of whom there was still a regiment on board of the fleet) the marines, and some of the seamen, had been on shore for one night only; but many of them having lain on the ground, some having been intoxicated, or having eaten to excess of sugar-cane and fruit, caught fevers and fluxes, which increased the proportion of diseases and deaths the following months, as appears by the Table.
I have exhibited, in another Table, a view of the sickness and mortality of this fleet for the five succeeding months. (Table IV.) This account, as well as most of those that are to follow, is confined to three diseases, that may be called the sea epidemics. These are, fever, flux, and scurvy.
The whole fleet met at Barbadoes on the 13th of January, and no service was undertaken till the accounts of the Dutch war arrived on the 30th of that month. In consequence of this intelligence, the greater part of the ships of war went against St. Eustatius, which was taken on the 3d of February.
Ten days after this a squadron of seventeen ships of the line was sent to cruise to windward of Martinico, with a view to intercept a French squadron which was then said to be on its passage from Europe. The cruise was there continued for six weeks; after which small divisions of the ships were sent to water and refit, by turns, at St. Lucia, and were relieved by the ships left for the protection of that island.
Soon after this, the whole squadron came to leeward of Martinico; and though the former intelligence had proved false, the greater part of our fleet still kept the sea, in order to block up the enemy in Fort-Royal Bay. This they continued to do till the 29th of April, when a French fleet of twenty-two ships of the line, from Europe, joined by four from Martinico, forced their way into their own port, pushing to leeward our fleet, consisting only of eighteen ships of the line; so that the greater part of them did not get into port till they came to an anchor at Barbadoes on the 23d of May.
It was in this season of cruising, and keeping the sea, that the fleet contracted such a degree of scurvy as had never before been known in the West Indies. This disease is not so apt to arise in a hot climate as in a cold one; and the prevalence of it on this occasion was owing to the men having been for a great length of time upon sea victualling; for one part of the fleet had not had a fresh meal from the time of leaving America, that is, for six months; and that part of it which came last from England had been in the same circumstances for seven months; nor had any of them been in a place capable of supplying vegetable refreshments from the time they left Barbadoes in the end of January. But though no fresh meat or vegetables could be procured at St. Lucia or St. Eustatius, yet the scurvy did not make such progress in the ships that lay at anchor there, as in those that were at sea; and it appears that the time in which it prevailed most was, while the greatest number of ships was at sea, that is, in the month of March. It appears, indeed, by the Table, that there was a greater number ill of this complaint on the 1st of May than on the 1st of April; but it appears also, that more were sent to the hospital in March than in April, and very near half of the May list must have been taken ill in March4. The difference of being in port and at sea consists chiefly, 1st, In there being plenty of water while in port, so that it can be used freely, not only to drink, but to wash the clothes; and we know that cleanliness tends greatly to ward off the scurvy. 2dly, Though no fresh meat nor vegetables could be procured at those ports, sugar, which may be considered as a very antiscorbutic article of diet, could always be procured at a very cheap rate, and the seamen, when in port, used to exchange their salt provisions for it. 3dly, There is at sea a dismal uniformity of life, favourable to indolence and sadness, and therefore tending to hasten the progress and aggravate the symptoms of the scurvy; whereas the change of scene and variety of objects, when in port, tend to cheer and recreate the mind, and thereby to avert this disease.
The squadron that came from England under Lord Hood, suffered, upon the whole, much less from acute diseases, during the first months of their service in this climate, than the ships that arrived with Lord Rodney, which was probably owing, in part at least, to the former having arrived at the driest and coolest season of the year. The Barfleur, however, had a large proportion of all the three prevailing diseases; and large ships are in general more subject to them than those of a smaller rate. But of all the ships in the fleet, the Alfred had the greatest proportion of the three sea epidemics. The Prince William suffered more than any other ship in the fleet from the flux, and the Princessa from the scurvy. In some instances, reasons can be assigned for the prevalence of particular diseases in particular ships, such as accidental infection, or the manner in which they have been victualled, manned, or disciplined; but in many cases the cause is so subtile or obscure as to elude our inquiry.
The most healthy of the new squadron, during this campaign, were the Belliqueux and Panther; the former was a new ship, and came from England with a very irregular and ill-disciplined crew. Soon after arriving in the climate, she was threatened with a dysentery, which, though it spread a good deal, did not prove severe nor mortal; but being left at St. Eustatius on this account, while the rest of the fleet was cruising, she soon became very healthy, and remained so. This is the second instance we have had occasion to remark of a new ship being healthy.
The Panther preserved her health by being on small separate cruises, and frequently in port, not being attached to the main squadron. The Sandwich was the only other ship not engaged in the long cruise.
Of the ships lately from England, that were employed in this cruise, the Gibraltar seems to have been the least sickly. This ship left England healthy; but having received a draft of dirty men when upon the eve of sailing, a fever of the infectious kind broke out on the passage, so that she arrived in the West Indies in a sickly state. This fever disappeared very soon after; and it is proved by this, as well as other facts, that a warm climate, so far from tending to generate, or even to foster the infection of fever, tends rather to extinguish it. The Gibraltar had been put under excellent discipline by her former commander, while in the Channel service; and this being afterwards kept up, the men were always clean and regular. This was the Spanish Admiral’s ship, taken by the fleet under the command of Lord Rodney off Cape St. Vincent’s, in January 1780. She was then called the Phœnix, and was of a singular excellence both with respect to materials and construction. Whether the cedar, of which a great part of her timbers consisted, contributed to the healthiness, by its balsamic effluvia, I will not pretend to determine.
The Invincible was also uncommonly healthy during this cruise, which may likewise be ascribed to good discipline, and to her having been more than three years in commission before sailing from England, whereby the men were brought into order, and accustomed to each other and to a sea life. This ship was almost singular in having no acute diseases for several months after arriving from Europe; but at length paid the tribute to the climate in May and June, as may be seen in the Table.
From the account of the three frigates at the bottom of the list in the Table, it appears how much more healthy they are than ships of the line. The total complements of the three is exactly equal to that of one seventy-four-gun ship; but their whole sickness and mortality is less than that of any one ship of the line of that class, although the Triton was uncommonly sickly for a frigate.
There seem to be several causes for the superior degree of health usually enjoyed by this smaller class of ships. There is less chance of mixtures of men in frigates, as their complement is smaller, and it is more easy for the captain and officers to keep an eye over a few men than a great number; for, in a great ship, there are generally men, who, concealing themselves in the most retired parts, no one takes cognizance of them, and they destroy themselves, and infect others, by their laziness and filth. In the next place, there is a greater proportion of volunteers and real seamen in frigates, and more landmen and pressed men in ships of the line, the former being more in request, on account of the greater chance of prize money. Lastly, a small ship is more easily ventilated, and the mass of foul air issuing from the hold, from the victuals, water, and other stores, as well as the effluvia exhaling from the men’s bodies, is less than in a large ship.
Many other and more minute remarks might be made on different ships in this season of hard service; but to do this would be tedious, and the inspection of the Tables may suggest observations to the reader. There is a striking and instructive fact, however, with regard to two ships, which I cannot help relating. The Alcide and Invincible, both of seventy-four guns, in working to windward, after the action with the French fleet, on the 29th of April, anchored at Montserrat on the 11th of May, in order to water. They remained there only part of two days, and they procured no refreshment, except a few bushels of limes. The scurvy then prevailed to a great degree in both ships; but between this time and the 23d of May, when they came to an anchor at Barbadoes, sixty men, who had been confined with this disease, were discharged, as fit for duty, from the sick list of the Invincible, and a hundred and fourteen from that of the Alcide. These were the only two ships that had the advantage of the limes; and during these twelve remaining days of the voyage the scurvy continued to increase in all the other ships. Dr. Lind is the first author who gives a decided preference to lemons, limes, and oranges, over every other antiscorbutic; and the above-mentioned fact proves as demonstrably as possible the infinite advantage of this species of acid in scurvy.
The fleet was supplied with essence of malt during all this campaign; and though it was, no doubt, of service, it was far from having that powerful and manifest effect that the acid fruits had, and certainly did by no means prevent the scurvy in all cases. I have strong testimonies, however, of its beneficial effects from the surgeons of several of the ships, particularly of the Gibraltar, Centaur, Torbay, and Alcide, in all of which it was found either to cure the scurvy in its first beginning, to retard its progress, or to mend the appearance of scorbutic ulcers, and dispose them to heal.
I had conceived that melasses, being a vegetable sweet, must have been a very powerful antiscorbutic; but the greatest part of the last reinforcement of seven ships came from England furnished with this as an article of victualling, as a substitute for a certain proportion of oatmeal, which was withheld agreeably to a late very judicious order of the Admiralty. But though I am persuaded that this article of diet mitigated the disease, it was very far from preventing it; and the Princessa in particular, which suffered most from the scurvy, was well supplied with it.
There is reason to think that it is not in the vegetable sweet alone that the antiscorbutic principle resides, but in this in conjunction with the natural mucilage, such as exists in the malt. I suspect likewise that the change which the essence undergoes in its preparation tends also to rob it of some of its original virtue. But the melasses are still farther altered by being deprived of the natural mucilage by means of quick lime, with which all sugar is clarified in the boilers. Dr. Hendy, of Barbadoes, to whom I have been obliged for several remarks, informed me, that the liquor, before it undergoes this operation, has been found by him to produce the most salutary effects in the scurvy; but as this cannot be had at sea, we had no opportunity of comparing it with other antiscorbutics. It is certain also that the medical effects of the native sweet juices are, in other respects, very different from what they are in their refined state; for manna, wort, and the native juice of the sugar cane, are purgative; whereas sugar itself is not at all so5. This affords a presumption, that they may be also different in their antiscorbutic quality; and there is reason to think, from experience, that the more natural the state in which any vegetable is, the greater is its antiscorbutic quality. Vegetables, in the form of sallads, are more powerful than when prepared by fire; and I know, for certain, that the rob of lemons and oranges is not to be compared to the fresh fruit. Raw potatoes have been used with advantage in the fleet, particularly by Mr. Smith, of the Triton, who made the scorbutic men eat them, sliced with vinegar, with great benefit. This accords also with what Dr. Mertans, of Vienna, has lately communicated to the Royal Society of London.
When the fleet arrived at Barbadoes on the 23d of May, it was found that the number of sick on board amounted to sixteen hundred, and that there was not accommodation for more than two hundred at the hospital. As there was hardly any complaint but scurvy, the Admiral, at my representation, issued an order for serving the sick on board of their own ships with fruit and other vegetables and refreshments, such as milk and soft bread. This course of diet commenced in the beginning of June; and as the greater part of the fleet was near four weeks thereafter in port, they enjoyed the advantages of it during that time; and the very great diminution of sickness and mortality, which appears by the Tables in that month, sufficiently evinces the benefit derived from it. In less than four weeks the fleet, from being very sickly, became extremely healthy.
It was remarked, that the men recovered faster on board than on shore; and it would appear that land air, merely as such, has no share in the cure of the scurvy, and that the benefit arises from the concomitant diet, cleanliness, and recreation. The expedient of curing men on board of their ships was here suggested by necessity; but it succeeded so well, that it was adopted afterwards in preference to an hospital, which is indeed a useful relief to a fleet where there are contagious, acute disorders; but with regard to scurvy, I am convinced, that on foreign stations, at least, where the accommodations of the sick are more indifferent than in England, many advantages would arise from supplying men with refreshments on board of their ships. It appears that only four men died of this disease in the whole fleet in the month of June, though there were so many ill of it; whereas it appears by the books of hospitals, that scorbutic men die there in a much greater proportion, and chiefly in consequence of other diseases, particularly the flux, which they catch by infection, or bring on by intemperance. It is farther in favour of this scheme, that great numbers of those sent on shore are lost by desertion. It is also a great saving to Government, the expence not being a fourth part of what it would cost at an hospital.
The fleet left Barbadoes on the 10th and 12th of July, and continued healthy till the greater part of it sailed for North America in the beginning of August.
Continuation of the Medical History of the Fleet, from August, 1781, till the Conclusion of the War in April, 1783.
Some Account of the Interval between the Campaign of 1781 and the Junction of the Reinforcement from England in April, 1782.——The main Body of the Fleet goes to North America—Lord Rodney goes to England, and returns to the West Indies with twelve Ships of the Line—Health of the Fleet in England—Sickness most prevalent in the Beginning of a War—A natural Tendency to Recovery in Ships and Individuals—Advantages of this Squadron in point of Victualling.
When the main body of the fleet went to America in August, Lord Rodney went to England for the recovery of his health.—Wishing to lay before the public boards several reforms that suggested themselves to me in the course of the late service, I accompanied the Admiral, purposing to return when the season for hostile operations should have brought back the fleet from the coast of America.
Soon after arriving in England, I presented a memorial6 to the Board of Admiralty, proposing such means for the preservation of the health of the fleet as had occurred to me during my past service.
The Board of Admiralty considered this memorial with all the attention that could be expected in the general hurry of service, inseparable from a great and extensive war; and I am happy in being able to say, that, in consequence of my application, most of the particulars recommended have since been so far carried into effect as to produce a practical conviction of their utility.
Lord Rodney having recovered his health, hurried out to his station with all the force that could then be equipped, as the enemy were expected at the Caribbee Islands, with a superior force, after their successes against us in the autumn campaign in America.
I had again the honour to accompany the Admiral. He first sailed from Portsmouth, with four ships of the line, on the 14th of December, and was to have been joined by two more that lay ready at Plymouth; but by the time we arrived off this harbour the wind became contrary, whereby we were detained there till the 14th of January, 1782. During this time more ships were got ready, and six were added to the squadron; for the public anxiety at that time called forth every exertion to strengthen this reinforcement, upon which the fate of the whole West Indies was supposed to depend.
This fleet cleared the Channel in the midst of a storm, and with the wind at the same time so scanty, that we barely weathered Ushant; but Lord Rodney’s perseverance and resolution, stimulated by the exigency of the occasion, banished all hesitation and timidity. The rough weather, and contrary winds, continued through the variable latitudes; but having met with fresh blowing trade winds, common at that season, we had the good fortune to get safe to Barbadoes with the whole squadron on the 19th of February.
All the twelve ships7 of this reinforcement had been on service for a considerable length of time since they had been last commissioned, except the Anson, a new ship, which had never before been at sea, and the Fame and Yarmouth, which had lately undergone a thorough repair, since which time they had been only for a few weeks at sea in the Channel before they were ordered on this expedition.
The only ship that was sickly when we left England was the Fame, on board of which some pressed men, with the infection about them, had been received from the Conquestadore guardship; and the fever which broke out in Plymouth Sound, where I was first sent for to visit that ship, was probably owing to the infection which these men brought with them. The other ships were, upon the whole, healthy; for it appeared by the weekly accounts delivered to the Admiral, that the mortality, including even that of the Fame, for the four weeks before we sailed, had been only one in thirteen hundred, and that there had been about one in twenty-nine on the sick list.
An opportunity offered on this occasion of comparing the health of ships of war in England with that in the West Indies. The health of the fleet in general at home was at this time about the proportion above mentioned; but it is to be remarked, that it was healthier then than in the former part of the war.
Plymouth hospital, which is calculated for twelve hundred men, was not half full; and there were not at this time more than six hundred men at that of Haslar, which is calculated to contain two thousand; but the latter was generally full during the first two or three years of the war, from the great fleets that put into Portsmouth. At one time part of the sick were even obliged to be accommodated with tents in the neighbourhood of the hospital, for want of room. But towards the end of the year 1781 the infectious fever, which constitutes a great part of the sickness in the European seas, was almost extirpated, and in a cruise of five weeks in the north part of the Bay of Biscay, under Admiral Darby, in September and October of this year, only six men were buried in that time from twenty-eight ships of the line.
This was chiefly owing, as I apprehend, to the length of time which the war had continued, in consequence of which the men of the respective ship’s companies had been accustomed to each other, and habituated to the mode of life peculiar to a man of war, regulating themselves according to certain rules of good order and cleanliness. The causes of the fever above mentioned, as shall be more fully illustrated hereafter, are chiefly connected with the circumstances occurring in the beginning of a war, when men of all descriptions are mixed, without proper precautions being taken to guard against the infection imported from jails or guardships. The sickness in the French fleet was still greater in the beginning of the war than in the British; and this has been the case in all the wars of this century. In the fleet commanded by the Comte d’Orvilliers, in 1779, the sickness was so great as to disable many of the ships from service, and great numbers of men were landed at Brest, with a fever so malignant as to infect the inhabitants of the town and country adjacent. I believe, besides, that the general health prevailing at this time in the fleet in England, was, in part, owing to the sour crout and melasses, which were now supplied more amply than had ever been done before. The entire exemption from scurvy in particular is to be ascribed to these improvements in diet.
There is a tendency in acute diseases to wear themselves out, both in individuals that labour under them, and when the infection is introduced into a community. Unless there was such a vis medicatrix, there could be no end to the fatality of these distempers; for the infectious matter would go on multiplying itself without end, and would necessarily destroy every person who might be actually attacked, and would infect every person who might be exposed to it. But animal nature is so constituted, that this poison, after exciting a certain set of motions in the body, loses its effect, and recovery takes place; and those who happen not to be infected at first, become in some measure callous to its impression, by being habitually exposed to it. There is, therefore, a natural proneness to recovery, as well with regard to that indisposition which takes place among a set of men living together, as with regard to a single individual who actually labours under the disease. Thus the most prevailing period of sickness is when men are new to their situation and to each other, so that time of itself may prove the means of prevention as well as of cure.
This consideration, however, ought not to supersede any part of our attention with regard to the scurvy, which does not become spontaneously extinct like acute diseases.
During the three first weeks of this passage from England to the West Indies, there was wet and boisterous weather, but it had very little effect in augmenting sickness; and though it not only subjected the men to fatigue, cold, and damp, but prevented the ships from opening their lower-deck ports till the 2d of February, between the 31st and 32d degree of latitude, thereby producing close air and moisture where the men sleep, yet, in the whole squadron, from its leaving England till this time, there were only seven deaths, four of which were in the Fame.
The only sea epidemic that made its appearance was the infectious ship fever, which, in many cases, was attended with pleuritic, rheumatic, and other inflammatory symptoms, owing to the cold and wet, to which the men were exposed in the variable latitudes. The warm, dry, fresh breezes which we had during the remainder of the passage, were probably what prevented any bad consequences from the former hardships, for there died only four men from the above-mentioned date till we arrived at Barbadoes; and it appeared by the Admiral’s weekly account, that the proportion of the sick neither increased nor diminished from the time we got into a warm climate and fine weather till our arrival on the 19th of February.
This squadron left England with several advantages in point of victualling, which no ships had before enjoyed. They were amply supplied with sour crout and melasses; they had all more or less wine, of an excellent quality; and the Formidable had an entire supply of it, in place of spirits, of which none was put on board. This slip had hitherto, and did for some months afterwards, enjoy an extraordinary, perhaps an unparallelled, degree of health. What farther contributed to the health of this ship was, that she had been long in commission, and most of the recruits with which the crew had been completed were men turned over from other ships. There was also extraordinary medical attention paid, particularly in watching the first beginnings of complaints.
Upon the arrival of the squadron at Barbadoes, it was found, that, the two hostile fleets having returned from North America in the beginning of December, the campaign had opened with the siege of St. Christopher’s, which had been invested by twenty-eight ships of the line, and a considerable army. Our fleet, under Lord Hood, having attempted, with great enterprise and skill, but without success, to relieve it, Lord Rodney made haste to join them with the reinforcement he had brought from England. He remained at anchor at Barbadoes only one night, and in a few days came off Antigua, where he was informed of the surrender of St. Christopher’s; and here, on the 25th of February, he was joined by the rest of the fleet in their return to windward.