A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
History
A system of practical medicine. By American authors. Vol. 1 : $b Pathology and general diseases
Medicine -- Practice
Reference has been made already to the difference between periodical
malarial fevers (intermittent, etc.) and yellow fever, in that an
attack of the latter does, and one of the former does not, protect the
individual, usually, from liability to the disease on exposure to its
cause. Does this protection extend to offspring of parents who have
been "acclimatized" to yellow fever? Facts on this point are not easy
to obtain. While, however, there appears to be no proof that a single
generation can ever suffice to outgrow (so to speak) liability to this
disease, it is well known that creoles in Louisiana and the West
Indies are less susceptible to it than recent white residents, and
that the negroes are much less so, as a race, than the whites.
Furthermore, negroes whose ancestors have long been domesticated in
our Southern States appear to re-acquire susceptibility to yellow
fever in a degree more nearly like that of white people than is
observed in natives of Western Africa imported within one or two
generations.
As to autumnal malarial fevers (remittent, intermittent), the black
race exhibits a sort of race-acclimatization, giving negroes, both in
Africa and in America, a much less degree of liability than is common
to all races of European descent.
How far any similar modification may occur in the course of
generations in regard to susceptibility to small-pox and allied
diseases remains at present a matter of speculation. Some authors
insist that there must be at least a kind of natural selection,
according to which a great epidemic of variola, destroying the lives
of many of those most predisposed to suffer from it, will leave the
remaining population less likely to be attacked by it. The endeavor
has even been made to explain away in this manner much of the
diminution of mortality from small-pox commonly credited to
vaccination. But the statistics of the ravages of variola in different
countries before and after the introduction of vaccination show that,
while we cannot deny that some alternation (of generations
respectively more and less susceptible) may occur, no such law can
compare in influence with that of vaccination in the protection of
individuals subjected to it. Indeed, the argument may be inverted;
thus: if in the days before Jenner small-pox itself weeded out the
persons most liable to it, or in some way prepared a partial family-
or race-protection, such a protection ought to be gradually conferred
upon a whole population through universal and persistent vaccination
carried on for several generations.
Public-domain text, read in full here on John Shaqi.
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