Bacteria: Especially as they are related to the economy of nature, to industrial processes, and to the public healthNewman, George, Sir
Science
Bacteria: Especially as they are related to the economy of nature, to industrial processes, and to the public health
Newman, George, Sir
Bacteria; Bacteriology
5. _Tuberculosis is not increasing._ During the last thirty
years it has shown, with few exceptions, a steady decline
in all parts of England. "Consumption" is most fatal in
comparatively young people (fifteen to forty-five years),
whilst "tabes" and other forms of tubercle are fatal chiefly
to young children. These forms have not declined so much as
the lung form. The mortality in consumption of males has since
1866 been in excess of that of females. The age of maximum
fatality from consumption is _later_ than in the past, which
is probably due to improved hygiene and treatment.
6. _This decline has been due_, not to any special repressive
measures--for few or none have been carried out--but to a
general and extensive social improvement in the life of the
people, to an increase of knowledge respecting tuberculosis
and hygiene, to an enormous advance in sanitation, and to more
efficient land drainage.
7. _Not all persons are equally liable to consumption_, some
being much more susceptible than others. We have mentioned
the predisposing influence of certain trades. There is also
heredity, which acts, as we have said, in transmitting a
tubercular _tendency_, not commonly the actual virus of
the disease; there is, thirdly, the debilitating effect of
previous illness or chronic alcoholism; there is, fourthly,
the habitual breathing of rebreathed air; and, fifthly, there
are the conditions of the environment, like dampness and
darkness of the dwelling. Such influences as these weaken the
resisting power of the tissues, and thus afford a suitable
nidus for the bacillus conveyed in milk or by the inspiration
of infected dust.
8. _Consumption is curable_ if taken in time. In cases where
the lungs are half gone, and consist of large cavities, it is
obvious that curability is out of the question. But if the
disease can be properly treated in its earliest stages, there
is considerable likelihood of recovery.
9. _The breath is not dangerous_, as far as we know, but there
is danger from discharges of any kind from any infected part,
whether lungs or bowels; for such discharges, when dry, may
readily pollute the air, and either the bacilli or spores be
inhaled into the lungs.
10. _The chief channels of personal infection or the spread
of the disease amongst a community_ are two: (_a_) dried
tubercular sputum (or other tubercular discharges); (_b_)
infected milk or meat. So long as the former remains wet or
moist, infection cannot take place. It is, of course, better
to destroy it completely. As for milk and meat, boiling the
former and thoroughly cooking the latter will remove all
danger.
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