History of the Plague in London. Defoe Daniel
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This direction of the physicians was done by a consultation of the whole college; and as it was particularly calculated for the use of the poor, and for cheap medicines, it was made public, so that everybody might see it, and copies were given gratis to all that desired it. But as it is public and to be seen on all occasions, I need not give the reader of this the trouble of it.
It remains to be mentioned now what public measures were taken by the magistrates for the general safety and to prevent the spreading of the distemper when it broke out. I shall have frequent occasion to speak of the prudence of the magistrates, their charity, their vigilance for the poor and for preserving good order, furnishing provisions, and the like, when the plague was increased as it afterwards was. But I am now upon the order and regulations which they published for the government of infected families.
I mentioned above shutting of houses up, and it is needful to say something particularly to that; for this part of the history of the plague is very melancholy. But the most grievous story must be told.
About June, the lord mayor of London, and the court of aldermen, as I have said, began more particularly to concern themselves for the regulation of the city.
The justices of the peace for Middlesex,77 by direction of the secretary of state, had begun to shut up houses in the parishes of St. Giles-in-the-Fields, St. Martin's, St. Clement's-Danes, etc., and it was with good success; for in several streets where the plague broke out, upon strict guarding the houses that were infected, and taking care to bury those that died as soon as they were known to be dead, the plague ceased in those streets. It was also observed that the plague decreased sooner in those parishes after they had been visited to the full than it did in the parishes of Bishopsgate, Shoreditch, Aldgate, Whitechapel, Stepney, and others; the early care taken in that manner being a great means to the putting a check to it.
This shutting up of the houses was a method first taken, as I understand, in the plague which happened in 1603, at the coming of King James I. to the crown; and the power of shutting people up in their own houses was granted by act of Parliament, entitled "An Act for the Charitable Relief and Ordering of Persons Infected with Plague." On which act of Parliament the lord mayor and aldermen of the city of London founded the order they made at this time, and which took place the 1st of July, 1665, when the numbers of infected within the city were but few; the last bill for the ninety-two parishes being but four, and some houses having been shut up in the city, and some people being removed to the pesthouse beyond Bunhill Fields, in the way to Islington. I say by these means, when there died near one thousand a week in the whole, the number in the city was but twenty-eight; and the city was preserved more healthy, in proportion, than any other place all the time of the infection.
These orders of my lord mayor's were published, as I have said, the latter end of June, and took place from the 1st of July, and were as follow: viz., —
Whereas in the reign of our late sovereign King James, of happy memory, an act was made for the charitable relief and ordering of persons infected with the plague; whereby authority was given to justices of the peace, mayors, bailiffs, and other head officers, to appoint within their several limits examiners, searchers, watchmen, keepers, and buriers, for the persons and places infected, and to minister unto them oaths for the performance of their offices; and the same statute did also authorize the giving of their directions as unto them for other present necessity should seem good in their discretions: it is now, upon special consideration, thought very expedient, for preventing and avoiding of infection of sickness (if it shall please Almighty God), that these officers following be appointed, and these orders hereafter duly observed.
First, it is thought requisite, and so ordered, that in every parish there be one, two, or more persons of good sort and credit chosen by the alderman, his deputy, and common council of every ward, by the name of examiners, to continue in that office for the space of two months at least: and if any fit person so appointed shall refuse to undertake the same, the said parties so refusing to be committed to prison until they shall conform themselves accordingly.
That these examiners be sworn by the aldermen to inquire and learn from time to time what houses in every parish be visited, and what persons be sick, and of what diseases, as near as they can inform themselves, and, upon doubt in that case, to command restraint of access until it appear what the disease shall prove; and if they find any person sick of the infection, to give order to the constable that the house be shut up; and, if the constable shall be found remiss and negligent, to give notice thereof to the alderman of the ward.
That to every infected house there be appointed two watchmen, – one for every day, and the other for the night; and that these watchmen have a special care that no person go in or out of such infected houses whereof they have the charge, upon pain of severe punishment. And the said watchmen to do such further offices as the sick house shall need and require; and if the watchman be sent upon any business, to lock up the house and take the key with him; and the watchman by day to attend until ten o'clock at night, and the watchman by night until six in the morning.
That there be a special care to appoint women searchers in every parish, such as are of honest reputation and of the best sort as can be got in this kind; and these to be sworn to make due search and true report, to the utmost of their knowledge, whether the persons whose bodies they are appointed to search do die of the infection, or of what other diseases, as near as they can. And that the physicians who shall be appointed for the cure and prevention of the infection do call before them the said searchers, who are or shall be appointed for the several parishes under their respective cares, to the end they may consider whether they be fitly qualified for that employment, and charge them from time to time, as they shall see cause, if they appear defective in their duties.
That no searcher during this time of visitation be permitted to use any public work or employment, or keep a shop or stall, or be employed as a laundress, or in any other common employment whatsoever.
For better assistance of the searchers, forasmuch as there has been heretofore great abuse in misreporting the disease, to the further spreading of the infection, it is therefore ordered that there be chosen and appointed able and discreet chirurgeons besides those that do already belong to the pesthouse, amongst whom the city and liberties to be quartered as they lie most apt and convenient; and every of these to have one quarter for his limit. And the said chirurgeons in every of their limits to join with the searchers for the view of the body, to the end there may be a true report made of the disease.
And further: that the said chirurgeons shall visit and search such like persons as shall either send for them, or be named and directed unto them by the examiners of every parish, and inform themselves of the disease of the said parties.
And forasmuch as the said chirurgeons are to be sequestered from all other cures,79 and kept only to this disease of the infection, it is ordered that every of the said chirurgeons shall have twelvepence a body searched by
76
The Royal College of Physicians was founded by Thomas Linacre, physician to Henry VIII. Nearly every London physician of prominence is a member.
77
The city of London proper lies entirely in the county of Middlesex.
78
Literally, "hand workers;" now contracted into "surgeons."
79
Cares, duties.