"Time will not permit--what to you is probably quite
unnecessary--the recapitulation of the story of the labours of
Reed and his coadjutors. I cannot pass on, however, to what I
have to say in connection with this work without a word of
admiration for the insight, the energy, the skill, the courage,
and withal the modesty and simplicity of the leader of that
remarkable band of workers. If any man deserved a monument to
his memory, it was Reed. If any band of men deserve recognition
at the hands of their countrymen, it is Reed's colleagues.
"The principal outcome of the labours of these men has been the
demonstration, first, that the ultra-microscopic germ of yellow
fever is present in the blood of the patient during the first
three days of the disease. Second, that the first step in the
passage of the germ from the sick to the sound is made, under
natural conditions, in the stegomyia mosquito. And third, that
after about twelve days and upwards in stegomyia, the yellow
fever germ, when implanted by the said mosquito into another
human host, is capable of reproduction, so that at the end of a
further period of about three days it has established itself
throughout the blood, is causing the violent reaction, the
clinical manifestations of which we call yellow fever, and is
once more in a condition to re-enter the mosquito.
"These are great etiological facts. They are of supreme
practical and scientific value. Acting on them, the United
States sanitary authorities expelled yellow fever from Havana.
Acting on them, they should be able in the future to protect the
United States themselves from such terrible visitations as in
the past have swept through some of your cities."
3. FILARIASIS
These same lectures contain an admirable account of the life-history
of _Filaria_. It is not necessary here to describe the loathsome
deformities which occur in the later stages of filariasis. These
deformities (_elephantiasis_, Barbadoes leg), which may attain
colossal size, are due to the blocking of the lymphatic vessels with
filarial worms. Cases of the disease are hardly ever seen in this
country; but it is very frequent in some parts of the tropics. _In the
endemic areas_, says Manson, _10 per cent. is not an uncommon
proportion of the population to be found affected with filariasis.
Thirty and even 50 per cent. may be affected. In many of the Pacific
Islands--the Samoa group for instance--I believe that even this
proportion is exceeded._
Public-domain text, read in full here on John Shaqi.
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