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its need far outran the reservoir of trained seamen. Of all the branches of naval administration, it was recruiting
which bore with deadliest effect on strategy.1
The manning shortage made the sickness rate calamitous. Every year thousands retired to the hospitals or were lost
to the service for ever by death. The navy's medical record from 1778 was a bad one; and the most sickly
command was the Channel fleet, which received a large proportion of the new entry. The effect on fleet operations
was crippling. Admiral Keppel reckoned that no large fleet should stay at sea for more than six or seven weeks; and
old Hawke, who had kept a fleet at sea for months in the Seven Years War, surprisingly supported him. 'Six weeks
is long enough in all conscience', he wrote in 1780 to Geary. 'I wish the Admiralty would see what was done in
former times.'2
How far must the Admiralty be blamed for the sickness? The figures make it clear that in this war, and in the
succeeding one against the French Revolution, the sick rate followed the navy's rate of expansion. The worst year,
1780, was the year of the greatest increase of seamen; and the sudden influxes of verminous recruits from 1778
onwards evidently swamped the machinery. Scurvy remained proportionately steady; but the fever-rate soared.
Towards the end of the war, however, the figures improved as the machine got into its stride; and the influence of
the great naval physician James Lind helped to reduce the spread of typhus and typhoid. It was Lind who observed
the dissemination of typhus from ship to ship, and from his hospital at Haslar to the surrounding countryside. Of
the agents of that transmission, the flea and the louse, he never had the smallest suspicion; but observation taught
him that infection could cling to clothing, tents and furniture. He ordered the scouring of cots and quarters, and the
airing of bedding on the decks of ships; and he recommended that doctors and nurses should change their clothes
on leaving the hospital. At his suggestion Receiving Ships were established in 1781, where recruits were examined,
issued with new clothes, and quarantined. His influence may have had much to do with the remarkable dropping
off of the hospital rate in the last two years of the war.3
Yet the greatest killer raged unchecked. Scurvy is a deficiency disease, and the therapeutic value of lemon juice
had been known since the reign of James I. Thirty years before the American War, Lind had proved the superiority
of lemon juice as an anti-scorbutic, and had described a method
1 Usher, 15574, 221 ff; Lloyd and Coulter, Medicine and the Navy, III, 137; Williams, 490501.
2 Lloyd and Coulter, 126.
3Ibid., 137, and tables on pp. 3712; Roddis, James Lind, 68, 134, 1525.
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