To Schäffer we owe the discovery that leprosy bacilli may be
disseminated in immense numbers by the coughing of leprosy patients,
whilst it has been estimated that a tuberculous invalid may discharge
a billion tubercle bacilli in the space of twenty-four hours, whilst
the dried sputum of consumptive persons has actually engendered
tuberculous symptoms in the lungs of animals which were made to inhale
it. Plague bacilli have been found in masses in the mouths of plague
patients, and were found, moreover, before any symptoms of the disease
had declared themselves; and the sputum of infected persons is
regarded by some authorities as one of the most important vehicles by
which plague is spread. The culpability of air in the dissemination of
tuberculosis amongst animals has been made the subject of some very
exhaustive and valuable investigations by Kasselmann. In as many as 71
per cent of bovine tuberculosis cases the respiratory organs,
Kasselmann found, were the seat of the disease. The undoubted
contamination of the air which takes place in the surroundings of
tuberculous animals is not, however, due to the bacilli being exhaled
by such cattle in the mere process of respiration, for it has been
repeatedly found by various investigators that the air expired by
infected animals is free from the dreaded tubercle bacteria. As in
man, so in animals--it is by the act of coughing that tuberculous
secretions are discharged through the mouth and nasal passages, some
of which in the form of spray may enable the bacilli to remain
suspended in the air for periods of five hours or more, whilst other
portions of such secretions fall on the ground or in the feeding
troughs, and later on, as dust, may again relentlessly claim their
toll of victims.
In other cases of tuberculosis the excrementitious matter becomes, of
course, a fertile source of infection to the surroundings. The dire
results which may follow the introduction of a single tuberculous
animal into a healthy stall of cows may be realised from the fact that
in one instance a whole herd of twenty-eight animals became in the
course of one year infected in consequence of the admission of one
diseased cow, the cow-house having previously had a perfectly clean
bill of health in this respect.
On the Continent the risk of wholesale infection by such means is
greater than in this country; for abroad the animals are to a much
greater extent stall-fed, and kept shut up both winter and summer. A
case is mentioned by the well-known veterinary authority, M. Nocard,
of a whole stall of animals becoming infected through the cow-man who
tended them being consumptive. He slept in a loft over the cows, and
his tuberculous sputum in the form of dust was conveyed to the stalls
beneath and so spread the infection.
Public-domain text, read in full here on John Shaqi.
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