discovered peculiar pigmented cells, which afterwards turned out to be
the parasites of aestivo-autumnal malaria in an early stage of
development, within the stomach-wall of mosquitoes which had been fed on
malarial blood. He further found that only mosquitoes of the genus
_Anopheles_ had these cells, and that they did not get them when fed on
healthy blood. Then, turning his attention to the malaria of birds, he
worked out the life-history of these cells within the body of the
mosquito. "He saw that they increased in size, divided, and became full
of filiform spores, then ruptured and poured out their multitudinous
progeny into the body-cavity of their insect host. Finally, he saw the
spores accumulate within the cells of the salivary glands, and
discovered that they actually passed down the salivary ducts and along
the grooved hypopharynx into the seat of puncture, thus causing
infection in a fresh vertebrate host" (Sambon). To apply these
discoveries to the malaria of man was an obvious step. In working out
the details the Italian school have again taken a prominent part.
Experiment.
Thus we get a complete scientific demonstration of the causation of
malaria in three stages: (1) the discovery of the parasite by Laveran;
(2) its life-history in the human host and connexion with the fever
demonstrated by the Italian observers; (3) its life-history in the
alternate host, and the identification of the latter with a particular
species of mosquito by Ross and Manson. The conclusions derived from the
microscopical laboratory were confirmed by actual experiment. In 1898 it
was conclusively shown in Italy that if a mosquito of the _Anopheles_
variety bites a person suffering from malaria, and is kept long enough
for the parasite to develop in the salivary gland, and is then allowed
to bite a healthy person, the latter will in due time develop malaria.
The converse proposition, that persons efficiently protected from
mosquito bites escape malaria, has been made the subject of several
remarkable experiments. One of the most interesting was carried out in
1900 for the London School of Tropical Medicine by Dr Sambon and Dr Low,
who went to reside in one of the most malarious districts in the Roman
Campagna during the most dangerous season. Together with Signor Terzi
and two Italian servants, they lived from the beginning of July until
the 19th of October in a specially protected hut, erected near Ostia.
The sole precaution taken was to confine themselves between sunset and
sunrise to their mosquito-proof dwelling. All escaped malaria, which was
rife in the immediate neighbourhood. Mosquitoes caught by the
experimenters, and sent to London, produced malaria in persons who
submitted themselves to the bites of these insects at the London School
of Tropical Medicine. Experiments in protection on a larger scale, and
under more ordinary conditions, have been carried out with equal success
by Professor Celli and other Italian authorities.
Public-domain text, read in full here on John Shaqi.
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