From The Famine Ships: The Irish Exodus to America, by Edward Laxton (St. Martins, 2024), Kindle pp. 41-44:
The potato crop had failed again, so it was not surprising that the direct shipping trade picked up dramatically, and 1847 lives in the memory as the worst year of the Famine, the year of the coffin ships. Thousands of passengers who suffered in these few months were not willing emigrants, they had not voluntarily given up their homes to seek a better life. They were the evicted tenants of wealthy landlords, sent out of Ireland aboard ageing ships on cheaper fares, the victims of landlord clearance.
This was really a phenomenon particular to the Canadian sailings and various estimates of the number of deaths have been voiced over the years. They can only be estimates, as so many died unreported on board ship and by no means all the burials on land could be recorded. In 1847 the emigration to Canada swelled enormously for several reasons. Considerably more than 100,000 set out for the Canadian ports, as compared with 43,000 in 1846, and began arriving as early in the spring as the melting ice would allow. The death toll was similarly out of all proportion: the most conservative estimates show that around 30,000 were struck down with typhus. One third of passengers managed to survive but there were at least 20,000 deaths, over 5,000 at sea, and 8,000 in Quebec and 7,000 in Montreal.
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Typhus is a fever, one of the most contagious diseases in existence, and the conditions endured in almost every facet of the emigrants’ lives, in the weeks and days leading up to departure, on the ocean, detained on board awaiting inspection and then in the quarantine centres, were ideal for its survival and propagation. Workhouses, lodging houses, ship’s holds without any form of sanitation, hospital wards and tents were perfect, and the typhus spread like wildfire. In 1847 it was called ship fever but before then it was known as hospital fever, gaol fever or camp fever. The microorganism is carried in the faeces of body lice and fleas which dries into a fine dust. The dust can be absorbed through the eyes or by being inhaled, and even people who were fit, healthy and clean, and not living in overcrowded conditions, went down with typhus.
Avoiding typhus was difficult indeed, and some emigrants contracted the disease at home before they travelled. In the first half of the year 300,000 Irish were crammed on to tiny vessels to reach Liverpool, where they slept as many as 20 to a room in boarding houses while awaiting passage, and there is no doubt that the fever started to spread in that environment. Residents of Liverpool suffered too, and in May alone, 1,500 cases were reported; the local landlords were as much to blame as the recently arrived Irish who then had to spend weeks at sea, jammed together in a ship’s hold, on their way to Canada.
The body lice which spread the fever are easily dealt with today by fumigation but the disease was a killer 150 years ago, with the surrounding problems. Doctors, nurses and priests in Canada, working in the quarantine hospitals and immigration sheds, died trying to save the lives of their new patients.
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