Transcriber’s Keys:
A Proportion of those taken ill or wounded in the Course of the Month.
B Proportion of those that died in relation to the Numbers of Sick or wounded.

DISEASES. A B
ONE IN
Fevers 26 29
Fluxes 18 63
Scurvy 57 34
Wounds 627 60
Other Complaints 44 127
General Proportion, including wounded 46
General Proportion, exclusive of Wounds 8 48

The whole number of sick on board on the first of this month, in thirty-six ships of the line and two frigates, upon which the preceding calculation is formed, was one thousand four hundred and eighteen. The whole number taken ill in the course of the month was two thousand eight hundred and twenty-eight; the number sent to the hospital was one hundred and seventy-three; and there died on board ninety-four.

The proportion of those who died this month, in relation to the whole number on board, was one in two hundred and eighty-seven.

There was a considerable increase of sickness and mortality this month in all the common diseases, and chiefly in that part of the squadron which was in port. There was less increase in the number of fevers than either of the other two epidemics; but such was their increased malignancy, that more died of them than of both the others. The number of fluxes was more than double of what it was the preceding month, and the mortality from them was also in a much greater proportion, as may be seen from the Tables.

The fevers prevailed chiefly in port, and the fluxes at sea. A good many of the latter, indeed, arose in the Alcide, though constantly in port; but this seemed to be owing to contagion conveyed by some British soldiers, who were sent on board of this ship after being retaken in one of the French men of war, several of whom were ill of this disease. But there were few fluxes in those ships at Jamaica in which the most malignant fevers appeared. There were a few in those in which the fevers arose from the air of the marshes on the watering duty; but there were none on board of the French prizes, nor in those ships in which that sort of fever was which proceeded from a similar cause, that is, filth and animal effluvia. Upon the whole, in those ships in which the fever was most malignant, there the fewest fluxes were found.

Several circumstances contributed to the increase of sickness and mortality this month.

1st. The infection, or rather the foul air, of the French prizes, in most of which a very bad fever broke out among the officers and men that were sent from the ships of our fleet to take charge of them.

The discipline and internal œconomy of the French ships of war are greatly inferior to those of the British. Their decks are never washed, and there is a great defect in every point of cleanliness and order. The free course of the air is obstructed by lumber of every kind, and by bulkheads, which are not taken down even in the time of battle; and the gratings are covered night and day with tarpaulins, even in a hot climate. There are not even scuppers opened on the lower deck as outlets to the water and filth, which necessarily accumulate there, and for which the only vent is a pipe contrived on purpose, passing from that deck along the ship’s side into the hold, which becomes thereby a common sink, inconceivably putrid and offensive. And in addition to the ordinary causes of corruption, there was one peculiar to the occasion; for the blood, the mangled limbs, and even whole bodies of men, were cast into the orlop, or hold, and lay there putrifying for some time. The common sailors among the French have a superstitious aversion to the throwing of bodies overboard immediately after they are killed, the friends of the deceased wishing to reserve their remains, in order to perform a religious ceremony over them when the hurry and danger of the day shall be over. When, therefore, the ballast, or other contents of the holds of these ships, came to be stirred, and the putrid effluvia thereby let loose, there was then a visible increase of sickness. For the first three weeks after the capture, the stench proceeding from the numbers of wounded men contributed also to taint the air.

The Ville de Paris was much more sickly than the other prizes, not only from her being larger, and thereby containing a greater mass of foul air, but by receiving the surviving part of the crew of the Santa Monica, one of our frigates, which had been cast away on the Virgin Islands, and whose men were so reduced by hardship and intemperance, that most of them were taken ill as soon as they came to breathe the unwholesome air of the French prize. To whatever cause it was owing, the fever was much more violent here than in the other prizes, and it generally carried men off on the third or fourth day; and what is remarkable, the officers were affected by it in a greater proportion than the common men. One lieutenant, and every warrant officer, except the boatswain, died of it. This was a proof that the sickliness was owing to the bad air, and not to the intemperance and irregularity so usual on board of prizes, which only the common men give into; and the probable cause of the officers being most affected is, that they were accustomed in common to a purer air, by living in the most clean and airy parts of the ship.

It is also remarkable, that the Ville de Paris was healthy when taken, and had been so ever since leaving France in March, 1781; nor had any other of the captured ships of the line been sickly for some time before, except the Ardent, when she arrived at Martinico four months before, at which time the greater part of the crew were sent to the hospital with fevers. This, as well as other facts of the same kind, tends to prove, that when men come to be much habituated to bad air, their health is not affected by it.

The French ships were purified by washing and scraping, by fumigating daily with gunpowder and vinegar, and by the use of wind sails; but nothing seemed to contribute so much to sweeten the air in them as burning fires in the hold; for this tended both to make the putrid matter exhale, and to carry it off, by producing a perpetual change of air. Captain Curgenven, who at this time commanded the Ville de Paris, had great merit from his very assiduous and successful endeavours in so difficult a duty as the management and equipment of this great ship. In consequence of the judicious measures taken, and the men becoming more used to the bad air, the sickness ceased in the course of a few weeks.

In the accounts given in the tables, the French prizes are not included, for the disorderly state in which they were at this time prevented my receiving regular returns: but having made inquiry concerning the mortality in the Ville de Paris, I found, that of a crew of three hundred and twelve men, there died ten in the month of May, and there were thirty sent to the hospital, whose cases were so unfavourable, that about one half died. The only diseases were fevers. The surgeon of the Ardent told me about the same time, that one third of the crew of that ship was ill of fevers.

The second cause of the prevalence of sickness, while the fleet was at Jamaica, was, the watering duty, which was carried on at Rock-fort, about three leagues from Port Royal. It was the practice of many of the ships to leave the water casks on shore all night, with men to watch them; and as there is a land wind in the night, which blows over some ponds and marshes, there were hardly any of the men employed on that duty who were not seized with a fever of a very bad sort, of which a great many died. The ships that followed a different practice were somewhat longer in watering; but this was much more than compensated by their preserving the health and saving the lives of their men.

The land wind which blows on the shore in the night time, is a circumstance in which Jamaica differs from the small islands to windward, over which the trade wind blows without any interruption: but though this land wind blows upon Port Royal from some marshes at a few miles distance, it does not seem to produce sickness, for it is a very healthy place, and several of the ships enjoyed as good health as in the best situations on the windward station. The bay which forms this harbour is bounded towards the sea by a peninsula of a singular form, being more than ten miles in length, and not a quarter of a mile broad at any part. Great part of it is swampy and overgrown with mangroves, and though of such small extent, we fancied that some of the ships that lay immediately to leeward of this part were more sickly than those that were close to the town of Port Royal, which stands at the very extremity of this long peninsula upon a dry, gravelly soil.

The weather this month was uniformly dry in port; but at sea the air was moist and hazy. Between Jamaica and Hispaniola, where part of the squadron was left to cruise, dead calms prevailed; and this, joined to the moisture of the air, was probably what caused the flux to prevail chiefly in this part of the fleet. At Port Royal, on the contrary, there was a strong dry breeze, which set in every day about nine o’clock in the morning, and blew all day so fresh, that there was frequently danger in passing from one ship to another in boats. This is called, in the language of the country, the fiery sea breeze, an epithet which it seems to have got not from its absolute heat, but from the feverish feeling which it occasions by drying up the perspiration. It was remarked, that this breeze was stronger this season than had ever been remembered; and it sometimes even blew all night, preventing the land breeze from taking its usual course. This year was farther remarkable for the want of the rains that were wont to fall in the months of May and June. We shall have occasion to remark hereafter, that this was a very uncommon season also in Europe and America. The heat, by the thermometer, this month, on board of a ship at Port Royal, was, in general, when lowest in the night, at 77°, and when highest in the day, in the shade, at 83°.

There was a considerable increase of scurvy in this month, compared with the former months of this campaign; but very inconsiderable, compared with what had occurred in cruises of the same length in former years. The last division of the fleet had been at sea seven weeks, all but one day, when it arrived at Port Royal; and though the scurvy had appeared in several of the ships, it did not prevail in any of them to a great degree, except in the Nonsuch. Out of fourteen deaths which happened in the whole fleet from this disease, in May, seven of them were in this ship, and several were sent from her to the hospital in the last and most desperate stage of it. But, upon the whole, the cases of the true sea scurvy in the fleet, in general, were few and slight, and a great many of those given in the reports under the head of scurvy, were cutaneous eruptions or ulcers, not properly to be classed with it.

The cruise in the preceding year to windward of Martinico, may be compared with that in May of this year; for the fleet in both cases had been at sea about the same length of time. But the comparison is very greatly in favour of the latter, which is most probably to be imputed to the plentiful supply of melasses, wine, sour krout, and essence of malt. But no adequate reason that I could discover can be assigned for the prevalence of it in the Nonsuch to a degree so much more violent than in the other ships; and it was here farther remarkable, that it attacked every description of men indiscriminately; for I was assured by the officers and by the surgeon, that not only the helpless and dispirited landsman was affected, but old seamen, who had never before suffered from it on the longest cruises. I have been led by this, and some other facts, to suspect that there may be something contagious in this disease.

JUNE.

The greater part of the fleet remained at Jamaica during this month, refitting and watering. Twelve ships of the line were sent to sea on the 17th, under the command of Rear-admiral Drake, but not being able to get to windward on account of the fresh breezes that prevailed, they returned to Port Royal on the 28th. Such of these ships as were sickly, became more healthy while at sea; but some bad fevers arose, particularly in the Princessa; and it is a curious circumstance, that these fevers attacked only those men who had been on shore on the watering duty; from which it would appear, that something caught or imbibed, which is the cause of the fever, lies inactive for some time in the constitution, some of the men not having been affected for more than a week after they had been at sea.

The weather continued dry and windy, as in the former month; but the heat was in general about two degrees higher, the thermometer varying from 79° to 84½°.

Table, shewing the proportional Sickness and Mortality in June.

Transcriber’s Keys:
A Proportion of those taken ill in the Course of this Month.
B Proportion of those who died, in relation to the Numbers of the Sick.

DISEASES. A B
ONE IN
Fevers 11 19
Fluxes 20 83
Scurvy 47 231
Other Complaints 37 97
General Proportion 6 39

The proportion of deaths in relation to the whole numbers on board, was one in one hundred and thirty-eight.

There was only one in thirty of the sick sent to the hospital in the course of this month.

There was an increase both in the numbers and fatality of fevers. This increase was chiefly in that sort of fever which depends on the air and climate, the greater part of which was caught on the watering duty. There was a diminution of those fevers depending on infection, and the foul air of ships, which arose in the French prizes. The care that was taken in purifying these ships was very effectual; for only four died this month in the Ville de Paris, and fewer also were sent to the hospital than in May. The increase of the other kind of fever was chiefly owing to there being a greater number of ships in port, the crews of which were employed in watering, and partly, no doubt, to the increase of heat in the weather. The ships in which the fevers were most fatal were the Monarch, the Duke, the Torbay, and the Resolution. The sickness in the Duke was still in a great measure owing to the same infection that had hitherto prevailed; for this ship had never been cleared of the infectious fever, for want of room at the hospital. That which broke out in the Torbay was also of the low infectious kind, few of them having the symptoms of that which is peculiar to the climate, which prevailed in the other ships. This ship, though formerly very subject to infectious complaints, had been remarkably healthy for some time past; but it would appear that there was a large stock of latent infection, which shewed itself from time to time.

Some ships, particularly the Montague and Royal Oak, had no increase of fevers or other complaints, though the one lay in port for seven, and the other for eleven weeks, and were more or less exposed to the causes of sickness which affected the rest of the fleet. This is a proof, among many others, that a particular combination of causes is necessary to produce a disease: no single one, however powerful, being sufficient, without the concurrence of others. What seemed to be wanting here was the predisposition requisite for the admission of disease into the constitution; for the ships that enjoyed this happy exemption were such as had long-established and well-regulated crews, accustomed to the service and climate.

There had been this month a diminution both of the numbers and mortality of fluxes, which is agreeable to what was before remarked, that fevers were more apt than fluxes to prevail in the bad air of a harbour16. It was also before remarked, that there were few or no fluxes in those ships in which the fever was most malignant; and now that the fever began to grow more mild in the French prizes, the flux began to appear. In the Barfleur, Duke, and Namur, both diseases seemed to prevail equally; but the fevers, though numerous, were more of the low nervous kind than bilious or malignant; and the fluxes chiefly attacked those who were recovering from fevers. We may farther remark, that these three men of war were three-decked ships, of 90 guns, the crews of which being more numerous, and composed of a more mixed set of men, were consequently subject to a greater chance of infection, and a greater variety of complaints. The Formidable still remained healthy to an extraordinary degree. Some fevers were indeed imported from the Ville de Paris by men that had been lent to that ship, and who were taken ill after their return. Of these, a few of the worst cases were sent to the hospital, and two died on board, who, with one that died the preceding month, make the whole mortality of this ship, since leaving England, amount only to the loss of three men.

There has been little or no increase of scurvy this month; for though the numbers put on the list appear to be greater, the mortality is much less. It may indeed appear a matter of surprise that there should have been any scurvy at all, considering that the greater part of the fleet was at anchor all this month. But as this was the greatest fleet that had ever visited Jamaica, it was impossible to find fresh provisions for the whole; and the small supply they had did not amount to one fresh meal in a week. Port Royal is also remote from the cultivated part of the island, so that fruit and vegetables were both scarce and high priced, particularly this year, on account of the usual rains in May and June having failed. There was, however, an allowance of fresh provisions and vegetables made to the sick by public bounty; for as the hospital could contain but a small proportion of the sick and wounded, an order was given for the supply of fresh meat, fruit, and vegetables, to the sick, and five hundred pounds of Peruvian bark were also distributed as a public gratuity, besides sugar, coffee, and wine.

With these aids, and the various good articles of victualling from England, the fleet was preserved uncommonly healthy for a West-India campaign: for though the mortality had increased considerably during our stay at Jamaica, yet the loss of men, upon the whole, was small, compared with that of other great fleets in this climate on former occasions. The greatest squadron, next to this, that had ever been on this station was that under Admiral Vernon in the year 1741, at the same season. From this fleet upwards of eleven thousand men were sent to the hospital in the course of that and the preceding year, of whom there died one in seven, besides what died on board of their own ships and in two hospital ships17. The disproportion of sickness in the two fleets will appear still greater, when it is considered that Admiral Vernon’s contained only fifteen thousand seamen and marines18; whereas that under Lord Rodney contained twenty-two thousand. What added to the sickness of the former was the unfortunate expedition to Carthagena in April, 1741; to which probably it was owing that a much greater proportion of yellow fevers were landed from the fleet at that time than from ours, as appears by the papers left by Mr. Hume, who was then surgeon of the hospital. The hospital was then at a place called Greenwich, on the side of the bay opposite to Port Royal, and was very large; but it was found to be in a situation so extremely unhealthy, that it was soon after abandoned and demolished, and the hospital has since been at Port Royal.

It appears by the tables, that a greater number was put on the list under the head of other complaints in this month than the last. This was owing to the great number of ulcers which I have remarked to keep pace with feverish as well as scorbutic complaints; for when the constitution of the air is favourable to disease, or the habit of body prone to it, wounds and sores are found then to be more difficult of cure. There were twelve deaths besides those occasioned by what have been called the three epidemics. Of these, five perished by drowning and other accidents, three died of ulcers, one of wounds received in action, one of cholera morbus, and one of an abscess.

It has appeared that very few ships of this numerous fleet preserved their health while lying at anchor; and it would seem that short and frequent cruises are very conducive to health. It was eleven weeks from the time that the first of our fleet came to anchor at Jamaica till the main body of it sailed for America on the 17th of July. Great fleets are in time of war under the necessity of being at one time longer at sea, and at another time longer in port, than is consistent with the health of the men, the ships being obliged to act in concert and to co-operate with each other. This is one reason, among others, for ships of the line being more sickly than frigates. As ships of war must be guided by the unavoidable exigencies of service, it would be absurd to consider health only; but if this were to be the sole object of attention, a certain salutary medium could be pointed out in dividing the time between cruising and being in harbour; and it is proper that this should be known, that regard may be had to it, as far as may be consistent with the service. I would say, then, that in a cold climate men ought not to be more than six weeks at sea at one time, and need not be less than five weeks, and that a fourth part of their time spent in port would be sufficient to replenish their bodies with wholesome juices. In a warm climate men may be at sea a considerable time longer, without contracting scurvy, provided they have been under a course of fresh and vegetable diet when in port.

Though contagion is not so apt either to arise or to spread in this climate as in colder ones, there were several circumstances about this time tending to prove that it may exist in a hot climate. Those ships which had their men returned to them from the French prizes, in all of which fevers prevailed, had an increase of sickness not only in the men that were returned, but in the rest of the crew. There was another presumption of contagion, from the proportion of mortality among the surgeons and their mates, who were by their duty more exposed to the breath, effluvia, and contact of the sick. There died, during our stay at Jamaica, three of the former, and four of the latter, which is a greater proportion than what died of any other class of officers or men.

It has been the opinion of some, that fevers do not arise from any putrid effluvia, except those of the living human body, or some specific infection generated by it while under the influence of disease. It has been alledged in proof of this, that the putrid air in some great cities is breathed without any bad effects; and a celebrated professor of anatomy19 used to observe, that those employed in dissecting dead bodies did not catch acute diseases more readily than other people. I believe this may be true, in a climate like Europe, where cold invigorates the body, and enables it to resist the effects of foul air; but I am persuaded it is otherwise in tropical climates. The external heat of the air induces great languor and relaxation, and we cannot breathe the same portion of air for the same length of time in a hot as in a cold climate, without great uneasiness. The want of coolness must, therefore, be compensated by a more frequent change of air, and by its greater purity: any foulness of the air is accordingly more felt in a hot climate; and, according to the modern theory, air, already loaded with putrid phlogistic vapour, will be less qualified to absorb the same sort of vapour from the blood in the lungs, in which, according to this theory, the use of respiration consists. Be this as it will, there is something in purity of air which invigorates the circulation, and refreshes the body; and the contrary state of it depresses and debilitates, particularly in a hot climate; and in this way foul air may induce disease, like any other debilitating cause, independent of infection, or any specific quality. There was no reason to suspect any such infection in the Ville de Paris; for there was no sickness on board of this ship when in possession of the enemy, and the sickness that prevailed after her being captured seemed to proceed from what may be called simple putrefaction. There was an instance of the same kind in one of our own ships of the line, in which a bad fever broke out in the beginning of July, which seemed to be owing to the foul air of a neglected hold; for there was a putrid stench proceeding from the pumps, which pervaded the whole ship. I perceived this very sensibly one day, when visiting some officers who were ill of fevers; and before I left the ship an alarm was given of two men being suffocated in what is called the well, which is the lowest accessible part of the hold. This fever was of a very malignant kind, and fell upon the officers more than the men; for six of them were seized with it, of whom three died on the third day after being taken ill.

The fevers, which were of the greatest malignity at this time, affected the officers more than the common men. Only one captain died at Jamaica while the fleet was there, and it was of this fever. We lost five lieutenants, of whom four died of it; and this was the disease which carried off the three surgeons. But foul air was not the only cause that produced this fever among the officers, several of whom brought it on by hard drinking, or fatiguing themselves by riding or walking in the heat of the sun. It cannot be too much inculcated to those who visit tropical countries, that exercise in the sun, and intemperance, are most pernicious and fatal practices, and that it is in general by the one or the other that the better sort of people, particularly those newly arrived from Europe, shorten their lives.

Before leaving Jamaica, I sent to England a Supplement to the Memorial given in, last year20.

CHAP. V.

Account of the Health of the Fleet, from its leaving Jamaica on the 17th of July, till its Departure from New York on the 25th of October.——What Diseases most prevalent on the Passage to America—Rapid Increase of the Scurvy during the last Week of the Passage—Method of supplying the Sick at New York—The Fleet uncommonly healthy in October—State of the Weather and of Health in America in Summer and Autumn, 1782.

The season of the hurricanes approaching, and all the convoys destined for England this year being dispatched, the main body of the fleet, consisting of twenty-four ships of the line, left Port Royal on the 17th of July, under the command of Admiral Pigot, in order to proceed to the coast of America. A great convoy for England had been sent off a few days before, protected by the Ville de Paris and six other ships of the line, which we overtook and passed at the west end of the island. When we arrived off the Havannah, a large squadron of the enemy was seen there in readiness to sail, which induced the Admiral to wait in sight of it for the convoy, which did not come up till ten days after. Owing to this delay, and our meeting with baffling winds on the rest of the passage, we did not arrive at New York till the 7th of September. We found there the Invincible and Warrior, which sailed after us, but arrived before us, by having taken the windward passage.

Table, shewing the proportional Prevalence of different Diseases, and their Mortality, in July, 1782.

Transcriber’s Keys:
A Proportion of those taken ill in the Course of the Month.
B Proportion of Deaths, in relation to the Numbers of the Sick.

DISEASES. A B
ONE IN
Fevers 13½ 16
Fluxes 24 49
Scurvy 91 0
Other Complaints 20 134
General Proportion 33

The mortality this month, in relation to the whole numbers on board, was one in a hundred and thirty.

There were only one in thirty-eight of the sick sent to the hospitals.

The fevers arose chiefly during the first two weeks after leaving Jamaica, which renders it probable that the seeds of them were brought from thence. Had they been owing to the heat simply, they would have been as apt to arise in some subsequent part of the passage; for the tropical heats at this season of the year extend to the 30th degree of latitude, which we did not cross till the 22d of August, that is, near five weeks after leaving Jamaica. The only ships in which the fever could be imputed to infection or foul air were the Barfleur, Alcide, and the Aimable frigate. The first had received, as recruits, at Jamaica, men who had been confined for some time before in a French jail, and a fever of a bad kind spread on board of her soon after. The Aimable was a prize from the French; and the sickness was here so evidently owing to foul air, that, whenever the contents of the hold were stirred, so as to let loose the putrid effluvia, there was then an evident increase of sickness. The fever in the Alcide was of a peculiar slow kind, to be described hereafter, and seemed to be a continuation of the same infection which had so long existed in that ship.

The Duke, which had hitherto been by far the most subject to fevers of any ship in the fleet, became more and more free from them even in the most early part of this passage, and might be said to be entirely so at the time she arrived in America. The fever had been so very prevalent in this ship since leaving England, that there was hardly a man who had escaped it. Could this have any effect in making them less liable to catch it a second time?

In the course of this passage the dysenteries came to prevail over the fevers, as we have found to be commonly the case at sea. It appears by the former table, compared with the next, that the mortality in fevers was much the same, and that in the dysentery it was greater than while the fleet was at Jamaica. This does not argue, however, that the diseases were equally malignant, but was owing to the want of an hospital, and of those comforts of diet which the sick enjoyed on board while in harbour. This last was particularly felt in the dysenteries, in the cure of which more depends upon diet than in most other diseases. In all the calculations of mortality on board of ships, if any have been sent to the hospital, they are to be deducted from the number; and these make a greater difference in the mortality on board than their numbers simply would indicate; for only the worst cases, and those therefore who were most likely to die, used to be sent to the hospital. But as the fleet was at sea during the whole of this month, no allowance of this kind is to be made.

Table, shewing the proportional Sickness and Mortality in August.

Transcriber’s Keys:
A Proportion of those taken ill in the Course of the Month.
B Proportion of Deaths, in relation to the Numbers of the Sick.

DISEASES. A B
ONE IN
Fevers 31 17
Fluxes 46 35
Scurvy 25 66
Other Complaints 27 43
General Proportion 31

The mortality this month, in relation to the whole numbers on board, was one in one hundred and sixty-nine.

The scurvy began to appear very soon upon this passage; for by the end of August, at which time the fleet had only been six weeks at sea, and that in a warm climate, and in dry weather, it had made considerable progress. It first appeared and prevailed most in the Prince George and Royal Oak, though they had been ten weeks at Jamaica. This was the first sickness with which the latter had been affected since arriving in the West Indies; and there was no perceivable peculiarity in either of them to account for their being subject to it more early, or more violently, than the rest of the fleet. If the disease is contagious, as has been suspected, there might be a few men on board of them, who, being uncommonly prone to the disease, would be soon affected, and communicate it, or at least hasten the symptoms in those who might be less predisposed to it. But this is only conjecture. Before the end of the voyage, the whole fleet was more or less afflicted with it, though it had been only seven weeks and three days at sea; but the men had received so few refreshments while in port, that their constitutions were prepared to fall into this disease. The Barfleur, Alfred, and Princessa, were most affected with it next to the two ships mentioned above.

The seventeen ships which arrived from England in February and March were much less affected with it than the rest of the fleet, which was, no doubt, owing to the wine, melasses, and sour krout, with which they were so amply supplied. Though these articles were all expended before leaving Jamaica, yet the good effects of them on the constitutions of the men were visible in the course of this passage.

The America was the most free from it of all the ships of the old squadron; and this was owing to the great humanity and attention of the captain21, who, as soon as any of the men were taken ill, allowed them wine and other refreshments from his private store. There was another proof in the Conqueror of the great importance of attending to this disease in its earliest stage. Mr. Lucas, the surgeon of this ship, by watching the first beginnings of it, by a proper regulation of diet, and the administration of the essence of malt and juice of limes, not only prevented the progress of the disease, but proved, that, with great attention, it may even be cured at sea. It is of the utmost consequence in this disease to put the men on the sick list on the very first appearance of the symptoms, so that they may early have the advantage of proper treatment and regimen. It is only at this period of it that the effects of essence of malt are sensible; but we have seen that the juice of certain fruits will cure it in more advanced stages.

There is a very important remark suggested by comparing the two preceding tables with that which follows. It appears that in the month of September a much greater number was taken ill of scurvy, and also that there died of this disease a greater proportion than in the two preceding months. All the mischief from it in that month happened in the first week of it, during which as many died as in the whole month of August; for the fleet came to an anchor on the 7th of September at New York, where the worst cases were immediately sent to the hospital, and those that remained on board were supplied with every necessary refreshment. Had the fleet remained longer at sea, the mortality would probably have increased in the same progression; and this circumstance ought to be well considered in undertaking cruises.

Table, shewing the proportional Prevalence of Sickness and Mortality in September.

Transcriber’s Keys:
A Proportion of those taken ill in the Course of the Month.
B Proportion of Deaths, in relation to the Numbers of the Sick.

DISEASES. A B
ONE IN
Fevers 49 31
Fluxes 46 68
Scurvy 15½ 39
Ulcers 68 0
Other Complaints 62 226
General Proportion, 7 58

The proportion of deaths, in relation to the whole numbers on board, was one in three hundred and ninety-eight.

About one third of all the sick were sent to the hospital.

As the proportion of ulcers was uncommonly great, I thought it worth while to make a calculation of it. The Barfleur had the greatest number; and this ship, for causes I cannot assign, was more afflicted with bad ulcers than any other in the fleet, for several months together.

The fleet having arrived at New York in this unhealthy state, the first care was to make provision for the sick. There were somewhat more than fifteen hundred on the sick lists of all the ships, and the hospital could accommodate little more than six hundred. In order that it might not be overcrowded, and that each ship might have a just share of relief, I went round the fleet to ascertain the due proportion of those cases that were the most proper objects for being sent on shore. All the infectious and acute Complaints, and some of the worst scorbutics, were accordingly sent to the hospital. Those who were kept on board being chiefly such as were affected with the scurvy, were supplied with various refreshments in their respective ships, and seemed to recover as soon as if they had been sent on shore. They had indeed almost every advantage enjoyed by those at the hospital; for, besides fresh meat thrice a week, and spruce beer daily in common with the other seamen, each man on the sick list was supplied every week at the public expence with four pounds of apples and half a pound of sope. There were also thirty casks of limes taken in a prize, which were distributed among the scorbutic men, and proved of infinite use. Admiral Pigot’s great zeal for the good of the service, as well as his natural humanity, induced him to listen to whatever was proposed for the benefit of the men.

The supply of sope was a thing entirely new in the service; but the good effect of all the other articles would most probably have been defeated, unless the men had been furnished with the means of cleanliness, which is the most essential requisite of health. The advantage of this method will appear by the returns of next month to have been very conspicuous; and it was on this occasion more than any other that I saw realised in every particular the plan proposed in the memorial to the Admiralty. It may be added, that the sick that were left on board were not even without the recreation of the shore enjoyed by those at the hospital; for most of the captains had the attention to send daily on shore, for amusement and exercise, such as were able to walk. Thus there were all the advantages of an hospital obtained at much less expence to Government, and without the risque of intemperance, desertion, or infection, which are the inconveniencies connected with an hospital. What farther contributed to health at this time was, a large quantity of excellent wine with which the fleet was supplied.

Table, shewing the proportional Sickness and Mortality in October.

Transcriber’s Keys:
A Proportion of those taken ill in the Course of the Month.
B Proportion of Deaths, in relation to the Numbers of the Sick.

DISEASES. A B
ONE IN
Fevers 45 250
Fluxes 61 69
Scurvy 34 197
Ulcers 181 0
Other Complaints 127 0
General Proportion 12½ 196

The proportion of deaths in this month, in relation to the whole number on board, was only one in fourteen hundred and seventy-eight.

About one in twenty-nine of the sick was sent to the hospital.

There was, upon the whole, less sickness and mortality in this month than in any other during which I kept records of the fleet. This was, no doubt, owing in part to the climate, but was chiefly the effect of the extraordinary attention paid to the refreshments of the men. The fleet was here exactly in the same situation, and at the same season, two years before, but was not near so healthy.

Nor were the advantages derived from the great plenty of refreshments, procured at this time at New York, merely temporary; for the men’s constitutions were so much improved by them, that the part of the fleet which remained under the command of Lord Hood was at sea for twelve weeks without being affected by the scurvy. This was chiefly to be ascribed to the previous refreshments; for we have seen, that, in a passage of seven weeks from Jamaica to New York, the fleet was greatly affected with the scurvy, in consequence of not having had the advantages of fresh meat and vegetables when last in port. The climate had, no doubt, also a share in keeping off the scurvy; for the greater part of the twelve weeks was taken up in a cruise off St. Domingo; and, I believe, it never was known that a fleet was so long at sea, in a cold climate, without being greatly affected with this disease.

It appears, that though the proportion of fevers had increased somewhat this month over that of fluxes, yet the former were less fatal; and, I think, the true dysentery is more frequent in this climate, and more apt to prove fatal in its acute state, than in the West Indies. I have indeed preferred the term flux to that of dysentery, for this reason, that the symptoms in many cases did not rise so high as properly to constitute dysentery; and the disease proves fatal in the West Indies more frequently in the chronic than in the acute state. The fluxes were daily gaining ground when we left New York, and continued to prevail to a great degree in the Magnificent, which remained in that climate several weeks after us.

The climate and situation of the fleet had a greater effect in diminishing ulcers than any other complaints; for the proportion of them in this month is little more than one third of what it was in the last.

The calculation for October was made upon thirteen ships of the line, which sailed from New York on the 25th of that month.

The weather had then begun to grow cold; but few or none of the diseases peculiar to a cold climate had appeared. There occurred, while we were at New York, several cases of inflammation of the liver among the officers and men who came from the West Indies. It was remarked formerly, that this complaint hardly ever occurred in the West Indies; but it would appear that the residing there disposes to an inflammation of this organ upon changing to a colder climate.

The preceding summer had been uncommonly cold, not only in North America, but in the whole temperate part of the northern hemisphere, so far as I could learn by inquiry. In consequence of this, the crops failed in Europe, America, and the northern parts of Asia. The same circumstance had a remarkable effect on the reigning diseases of the season at New York; for, instead of the bilious complaints common in the end of summer and in autumn, a slight fever of the inflammatory kind had prevailed. An epidemic catarrh had spread all over Europe, and some part of Asia, in the earlier part of the year; and perhaps this was connected with the peculiar state of the atmosphere about this time. It was before observed, that there was something unusual in the state of the weather at Jamaica while the fleet lay there; and it is possible that this might be owing to the same general cause.

CHAP. VI.

Account of the Health of the Fleet from its Departure from New York till the Conclusion of the War.——Passage to the West Indies—Account of the Ships there during our Absence—Arrival of a Squadron from England—Of these, two Ships only were healthy—Causes of this—Inflammatory Complaints in the Union—Probable Cause of these—Comparison of the two Squadrons—Increase of Sickness from Recruits brought from England—from French prisoners.

Thirteen ships of the line sailed from America for the West Indies on the 25th of October, under the command of Admiral Pigot, and the other half of the fleet was left under Lord Hood, to watch the motions of the French squadron, which was then at Boston.

The day on which we left the coast of America a storm came on, which lasted two days; but the rest of the passage being fair and moderate, we arrived at Barbadoes on the 20th of November, where the fleet continued for the remainder of the month.

All the above-mentioned squadron, except two ships, is comprehended in the calculation of the following table, and also the Magnificent, Prudent, and Nonsuch. The two last had continued in the West Indies, during our absence.

Table, shewing the Prevalence of Sickness and Mortality in November.