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The advice of Dr. Drake is, that "Those who migrate from a colder climate to the southern Mississippi states, should observe the following directions: First--To arrive there in autumn, instead of spring or summer. Second--If practicable, to spend the hottest part of the first two or three years, in a higher lat.i.tude. Third--To select the healthiest situations. Fourth--To live temperately. Fifth--To preserve a regular habit. Lastly--To avoid the heat of the sun from 10 in the morning till 4 in the afternoon, and above all the night air. By a strict attention to these rules, many would escape the diseases of the climate, who annually sink under its baleful influence."
Those states and territories to which this work is intended more immediately as a GUIDE, do not differ very materially in salubrity. The same general features are found in each. There is but little diversity in climate,--their geological and physical structure coincide, and the experience of years shows that there is no great difference. Where autumnal fevers are common they are usually of similar character. The same causes for disease exist in Ohio as in Missouri, in Michigan as in Illinois, in Kentucky and Tennessee as in Indiana. All these states are much more infested with the maladies which depend on variations of temperature, than the states farther south. All have localities where intermittents and agues are found, and all possess extensive districts of country where health is enjoyed by a very large proportion of emigrants. There is some difference between a heavily timbered and a prairie country, in favor of the latter; other circ.u.mstances being equal. Changes favorable to continued health are produced by the settlement and cultivation of any particular portion of country. Of one fact I have long since satisfied my mind, that ordinary fevers are not caused by the use of the water of the West.
Exceptions may be made in some few cases, where a vein of water is impregnated with some deleterious mineral substance. The use of a well, dug in the vicinity of a coal bed in Illinois, was supposed to have caused sickness in a family for two seasons. Any offensive property in water is readily detected by the taste. Cool, refreshing water is a great preservative of health. It is common for families, (who are too indifferent to their comfort to dig a well,) to use the tepid, muddy water of the small streams in the frontier states, during the summer, or to dig a shallow well and wall it with timber, which soon imparts an offensive taste to the water. Water of excellent quality may be found in springs, or by digging from 20 to 30 feet, throughout the western states. Most of the water thus obtained is hard water, from its limestone qualities, but it is most unquestionably healthy. Those persons who emigrate from a region of sandstone, or primitive rock, where water is soft, will find our limestone water to produce a slight affection of the bowels, which will prove more advantageous to health than otherwise, and which will last but a few weeks. Whenever disease prevails in the western states, it may generally be attributed to one or more of the following causes.
1st. _Variations of the temperature._ This cause, we have already shown, exists to as great extent in the same lat.i.tude east of the mountains.
2nd. _The rapid decomposition of vegetable matter._ In all our rich lands, there are vast quant.i.ties of vegetable matter mixed with the soil, or spread over the surface. Extreme hot weather, following especially a season of much rain, before the middle of July, will produce sickness. If the early part of summer be tolerably dry, although a hot season follows, sickness does not generally prevail. The year 1820 was an exception to this rule. It was throughout, a very dry, hot, sickly year through the West; indeed, throughout the world. A wet season, with a moderately cool atmosphere, has proved healthy.
3d. _Marsh exhalations._ These, combined with heat, will always generate fevers. Indeed, there is probably very little difference in the miasm thrown off from decomposed vegetable matter, and that produced from sluggish streams, standing waters and marshes. These, in the great Valley, abound with decayed vegetable matter. Hence, along the streams which have alluvial _bottoms_ (as low lands upon streams are called in the West,) some of which are annually overflowed, and where the timber and luxuriant vegetable growth are but partially subdued, the inhabitants are liable to fevers, dysenteries and agues. Situations directly under the bluffs adjacent to the bottom lands, that lie upon our large rivers, especially when the vegetation is unsubdued, have proved unhealthy. So have situations at the heads or in the slope of the ravines that put down from the bluffs towards the rivers.
The princ.i.p.al diseases that prevail may be stated as follows. In the winter, and early in the spring, severe colds, inflammation of the lungs and pleurisies are most common. The genuine hereditary consumption of New-England is rare, and families and individuals predisposed to that disease might often be preserved by migration to this Valley. Acute inflammation of the brain, and inflammatory rheumatism are not unusual at that season.
During the summer and autumn, cholera infantum with children in large towns, diarrhoea, cholera morbus, dysentery, intermittent and remittent bilious fevers prevail. The intermittent a.s.sumes various forms, and has acquired several names amongst the country people, where it prevails more generally than in large towns. It is called the "chill and fever,"--"ague,"--"dumb ague," &c., according to its form of attack.
The remittent fever is the most formidable of our autumnal diseases, especially when of a highly bilious type. In most seasons, these diseases are easily managed, and yield to a dose or two of medicine.
Sore eyes, especially in autumn, is a common complaint in the frontier settlements, and when neglected or improperly managed, have terminated in total blindness.
The "milk sickness," as it is called, occasionally prevails in some localities, some particulars of which will be found in another place.
There is a disease that afflicts many frontier people, called by some "sick stomach," by others, "water brash," from its symptoms of sudden nausea, with vomiting, especially after meals.
In 1832, the cholera made its appearance in the West. In many places, its first approach was attended with great mortality, but its second visit to a place has been in a milder and more manageable form. It has visited various parts of the West on each returning season since, especially along the great rivers and about the steamboats. It appears to have changed somewhat the characteristics of our western diseases, and will probably become a modified and manageable disease. Since its visit, our fevers are more congestive, less bile is secreted, and the stomach more affected. The subject will doubtless be noticed by our physicians, and observations made, how far this new disease will become a.s.similated to the ordinary diseases of the country.
We are satisfied, after a long course of observations, much travelling, and conversing with many hundreds of families with the view of arriving at correct conclusions on these subjects, _that there is no such operation as that of emigrants undergoing a seasoning, or becoming acclimated_, in the states of Ohio, Indiana, Illinois, Missouri, Kentucky, Tennessee, Michigan, or the Wisconsin Territory. _Nor does it make the least difference from what part of the United States, or Europe, they come, nor whether they arrive here in the spring or autumn._ There is an erroneous notion prevailing in some of the Atlantic states on this subject, that should be corrected. When sickness prevails, there is just as much, and it is equally severe, amongst the old settlers, those born in the country, or who migrate from the Carolinas or Georgia, as those who come from the northern states.
Families are just as liable to sickness, and are as often attacked for the first time, after residing several years in the country, as at any other time. A large proportion of the families and individuals, who remove from New England to the various parts of the Valley, north of the 37th degree of lat.i.tude have no sickness the first year.
The impression has formerly existed abroad, that Illinois is less healthy than other western states. This is entirely erroneous. As in all countries, there are some localities, where the causes that produce sickness exist more than in others. This is not the fact with Illinois in general.
That this state is as healthy as any other western state, can be abundantly supported by facts. Let a candid observer compare the health of the early settlers of New England, with that of the early settlers of the West, and he will find the scale to preponderate in favor of the latter. Unless there is some strange fatality attending Illinois, its population must be more healthy than the early settlers of a timbered region. But in no period of its history have sickness and death triumphed, in any respect equal to what they did two or three years since, in the lake country of New York.
The year 1811, is recorded in the memoirs of the early settlers, as a season of unusual sickness near the banks of the Mississippi and Missouri rivers. The latter river rose to an unusual height in June, the waters of the small creeks were backed up, and a large surface of luxuriant vegetation was covered and deadened. This was succeeded by hot and dry weather. Bilious and intermittent fevers prevailed extensively.
The seasons of 1819, '20, and '21 were usually sickly in Illinois and Missouri. Emigrants, in shoals, had spread over a wide range of country within a year or two preceding. Mult.i.tudes were placed under circ.u.mstances the most unfavorable to the preservation of health, in new and open cabins of green timber, often using the stagnant water of creeks and ponds, with a luxuriant vegetation around them undergoing decomposition, and all the other evils attendant on the settlement of a new and unbroken country. Under such circ.u.mstances, can it be surprising that many were sick, and that many died? The summer of 1820 was the hottest and driest ever known in this country. For weeks in succession, the thermometer, in the shade at St. Louis, was up to 96 for hours in the day. Not a cloud came over the sun, to afford a partial relief from its burning influence. The fevers of that season were unusually rapid, malignant, and unmanageable. Almost every mark of the yellow fever, as laid down in the books, was exhibited in many cases, both in town and country. The bilious fever put on its most malignant type. Black, foetid matter was discharged from the stomach, and by stools. The writer and all his family suffered severely that season. He lived seventeen miles from St. Louis, on the road to St. Charles in Missouri, on a farm. The settlement had been called healthy. The Missouri bottom was one mile distant. Three miles west southwest, was the Creve-coeur lake, a body of water several miles in length and half a mile in width, connected by an outlet with the Missouri river. The water of this lake was entirely stagnant, covered with a thick sc.u.m, and sent forth a noisome smell. Fish in it died. My oldest son, a robust youth of ten years of age, and my brother-in-law, a hale and stout young man, sickened and died the first week in October. I was attacked the 5th day of July, came as near dying as a person could and recover. All my children were sick. While convalescent, in September, I took a long journey to Cape Girardeau country, 120 miles south, and back through the lead mine country to the Missouri river, 60 miles west of St. Louis, and in all the route found that sickness had prevailed to the same extent.
At Vincennes and other parts of Indiana, disease triumphed. The country around Vincennes, on the east side of the Wabash, is a sandy plain. A gentleman who escaped the ravages of fever in that place, and who was much engaged in nursing the sick and consoling the dying, stated to me that nothing was so disheartening as the cloudless sky and burning sun that continued unchanged for weeks in succession. Mortality prevailed to a great extent along the banks of the Wabash. Hindostan, a town on the east fork of White river, 38 miles from Vincennes on the road to Louisville, was begun the preceding year. Seventy or eighty families had crowded in at the commencement of the year 1820. The heavy timber of poplar, (whitewood) oak and beech, had been cut down, the brush burned, and the logs left on the ground. By June the bark was loosened, an intolerable stench proceeded from the timber,--sickness followed, and about two thirds of the population died! And yet, to look about the place, there is no local cause that would indicate sickness. In the summer of 1821, sickness prevailed very extensively, but in a much milder form. Its type was intermittent, and usually yielded to ordinary remedies. During that year the number of deaths in St. Louis was 136--the population 5000. At least one third of that number were strangers and transient persons, who either arrived sick, or were taken sick within two or three days after arrival. St. Louis had then no _police_ regulations--the streets were filthy in the extreme--and the population were crowded into every hole and corner. This was the most sickly and dying season St. Louis ever knew, except when the cholera prevailed in October, 1832.
The same years (1820-21) were noted for unusual sickness throughout the United States, and indeed the whole world. The bilious fever prevailed in the hilly and mountainous districts of Virginia and Pennsylvania, and even among the Green Mountains of Vermont.
Very little general sickness (except cholera in 1832-'33) prevailed in 1830, '31, '32, or '33. In 1834, congestive fever, and dysentery, with some of the symptoms of cholera, existed in many places in the West, though not extensively fatal. In the month of June, were frequent sudden showers in Illinois and Missouri, with intervals of extreme heat. July and August very hot and dry. The disease began early in July and continued till September.
The year 1835, was the most sickly year, for common intermittents, _which prevailed more amongst the old settlers, than the newly arrived emigrants_. In Illinois, and generally throughout the West, below the fortieth degree of lat.i.tude, it was sickly, though not fatal. Early in the spring, till the month of May, it was unusually dry, and vegetation was two weeks later than usual. May and a part of June were very wet, followed by a few days of extremely hot weather. Vegetation grew with great luxuriance. Newly ploughed ground sent forth a noxious effluvium, with a most offensive odour, and after a few days would be covered with a greenish coat, like the sc.u.m on stagnant water. Town situations, even along the banks of river, were comparatively healthy.
In case of sickness, physicians are to be found in almost every county, and every season adds to their number. Charges are somewhat higher than in the northern states. Many families keep a few simple articles of medicine, and administer for themselves. Calomel is a specific; and is taken by mult.i.tudes without hesitation, or fear of danger. From fifteen to twenty grains are an ordinary dose for a cathartic. Whenever nausea of the stomach, pains in the limbs, and yawning, or a chill, indicate the approach of disease, a dose of calomel is taken at night, in a little apple honey, or other suitable substance, and followed up in the morning with a dose of castor oil, or salts, to produce a brisk purge.
Sometimes an emetic is preferred. Either a cathartic or an emetic will leave the system under some debility. The mistake frequently made is, in not following up the evacuating medicine with tonics. This should be done invariably, unless the paroxysm of fever has commenced. A few doses of sulphate of quinine or Peruvian bark in its crude state, will restore the system to its natural tone. To prevent an attack of fever, medicine should be taken on the very first symptoms of a diseased stomach; it should not be tampered with, but taken in sufficient doses to relieve the system from morbid effects, and then followed up by tonics, to restore its vigor and prevent relapse.
New comers will find it advantageous for protecting themselves from the damp atmosphere at night, to provide close dwellings; yet when the air is clear, to leave open doors and windows at night for free circulation, but not to sleep directly in the current of air; and invariably to wear thin clothing in the heat of the day, and put on thicker garments at night, and in wet and cloudy weather.
I have observed that those families are seldom sick who live in comfortable houses, with tight floors, and well ventilated rooms; and who, upon change of weather, and especially in time of rains, make a little fire in the chimney, although the thermometer might not indicate the necessity.
In fine, I am prepared to give my opinion, decidedly, in favor of the general health of this country and climate. I would not certainly be answerable for all the bad locations, the imprudences, and whims of all cla.s.ses of emigrants, which may operate unfavorably to health. I only speak for myself and family. I decidedly prefer this climate, with all its miasm, to New-England, with its northeast winds, and damp, "raw" and pulmonary atmosphere. We very seldom have fogs in Illinois and Missouri.
My memoranda, kept with considerable accuracy, for twelve years, give not more than half a dozen foggy mornings in a year.
The following comparisons between St. Louis and several eastern cities, will afford some evidence of the opinions expressed above. I have remarked already, that 1821, was more sickly in St. Louis, than any preceding year, and deaths were more numerous in proportion to the population. Some cases of fever were more malignant in 1820, in that place, but deaths were more frequent the following season. I solemnized the marriage of a young lady of my acquaintance, who was under the age of fourteen years. In eight days she was a widow. At the funeral of a gentleman the same season, who left a widow under twenty years, there were present thirteen widows, all under twenty-four years of age, and all had lost their companions that season. Young men were victims more than any other age or condition. And yet I am prepared to show, that St.
Louis, that summer, was not more sickly than several eastern cities were in 1820 and 1823.
The population of St. Louis in 1821, varied but little from 5,000; the number of deaths during that year was one hundred and thirty-six. This account was taken by the Rev. Salmon Giddings, who was particular in collecting the facts. The proportion of the deaths to the population was one to thirty-five.
In 1820, Boston contained a population of 43,893,--number of deaths 1,103; proportion one to thirty-nine and three fourths.
New-York the same year contained a population of 123,000,--deaths 3,515; being a proportion of one to a fraction less than thirty-five.
In Philadelphia, the population then was 108,000,--deaths 3,374; being a proportion of one to thirty-two.
Baltimore had a population of 62,000,--deaths 1,625; being a proportion of one to thirty-eight.
The aggregate population of these four cities in 1820, was 336,893; the aggregate number of deaths, 9,617; the proportion of one to thirty-five, the same as that of St. Louis.
IN 1823.
_Boston._ Population estimated at 45,000; number of deaths by official returns, 1,154; the proportion of one to thirty-nine.
_New-York._ Population about 130,000,--deaths 3,444; proportion of one to thirty-seven and two thirds.
_Philadelphia._ Population about 120,000,--deaths 4,600, proportion of one to twenty-six. [This was an uncommonly sickly season in Philadelphia.]
_Baltimore._ Population estimated at 65,000; deaths were 2,108; proportion of one to thirty and two thirds.
I have thus selected the mortality of St. Louis during the most sickly season since my residence in this country, and compared it with the bills of mortality of four eastern cities for two years, those of 1820 and 1823, and the result is favorable to the health of St. Louis, and by consequence, to the adjoining States. For ten years past, there has been no general sickness in St. Louis, during the summer and autumnal months, excepting the cholera in 1832.
Some parts of Indiana and Ohio are unquestionably more subject to bilious attacks than Illinois. The reason is obvious. Much of that region is heavily timbered, and, upon cutting it away in spots, and letting in the rays of the sun upon vegetable matter undergoing decomposition, miasmata are generated. These regions will become comparatively healthy, when put under general cultivation.
The story is told, that the late emperor of France lay encamped with one of his armies near a place reputed unhealthy, when one of his officers requested a furlough. The reason being asked, and given, that the place was unhealthy, and the applicant feared to die an inglorious death from fever: Napoleon replied, in his accustomed laconic style, "Go to your post; men die everywhere."
If a family emigrate to a new and distant country, and any of the number sicken and die, we are apt to indulge in unavailing regret at the removal; whereas had the same afflictive event happened before removal, it would have been regarded in quite a different light. Let then, none come to Illinois who do not expect to be sick and to die, whenever Divine Providence shall see fit so to order events.
The _milk sickness_ is a disease of a singular character, which prevails in certain places. It first affects animals, especially cows, and from them is communicated to the human system by eating the milk, or flesh.
The symptoms of the disease indicate poison; and the patient is affected nearly in the same way, as when poisonous ingredients have been received into the system. Cattle, when attacked by it, usually die. In many instances it proves mortal in the human system; in others, if yields to the skill of the physician. Much speculation has been had upon its cause, which is still unknown. The prevailing idea is, that it is caused by some poisonous substance eaten by the cattle, but whether vegetable or mineral, remains undetermined. Physicians and others have attempted to ascertain the cause of this disease, but hitherto without success.
It infests only particular spots, or small districts, and these are soon found out. There are places in Ohio, Indiana, and the southern states, where it exists. Its effects are more frequent in autumn than any other season; and to guard against it, the people either keep their cows in a pasture, or refuse to use their milk. Some have supposed this disease to be produced by the cattle feeding on the _cicuta virosa_, or water hemlock; as a similar disease once infested the cattle in the north of Europe, the cause of which was traced out by the great naturalist Linnaeus; but it is not known that this species of plant exists amongst the botanical productions of Missouri and Illinois.
Anxious to furnish all the information, on this very important subject, to persons desirous of emigrating to the West, I will prolong this chapter by inserting the following:
"ADVICE TO EMIGRANTS, RECENT SETTLERS, AND TO THOSE VISITING THE SOUTHERN COUNTRY.
"The outlines which have already been given will afford some information to emigrants from other sections of the Union, or from Europe. We will now offer a few cautionary remarks, particularly intended for such as are about to settle, or have recently settled in this section of the United States.
"Of new comers, there are two tolerably distinct cla.s.ses: the one comprising farmers, mechanics, and indeed all those who calculate on obtaining a subsistence by manual industry; the other is composed of professional men, tradesmen, and adventurers of every description.
Towards the first cla.s.s our attention is now directed, premising that throughout a great portion of the western country, except in large towns, almost every mechanic is almost necessarily a farmer; the population being in but few places sufficiently dense to support that designation of mechanical employments which is common in the eastern and middle states.