"Everything is tuberculous, that can produce tuberculous disease
by inoculation in animals that are susceptible to that disease:
and nothing is tuberculous, that cannot do this."
Then, in 1881, came the welcome news that Koch had discovered the
bacillus of tubercle. In his first published account of it (24th March
1882) he says:--
"Henceforth, in our warfare against this fearful scourge of our
race, we have to reckon not with a nameless something, but with
a definite parasite, whose conditions of life are for the most
part already known, and can be further studied.... Before all
things, we must shut off the sources of the infection, so far as
it is in the power of man to do this."[18]
[18] "In Zukunft wird man es im Kampf gegen diese schreckliche
Plage des Menschengeschlechtes nicht mehr mit einem unbestimmten
Etwas, sondern mit einem fassbaren Parasiten zu thun haben, dessen
Lebensbedingungen zum grössten Theil bekannt sind und noch weiter
erforscht werden. Es müssen vor allen Dingen die Quellen, aus
denen der Infektionsstoff fliesst, so weit es in menschlicher
Macht liegt, verschlossen werden."
In November 1890 he announced, in the _Deutsche Medizinische
Wochenschrift_, the discovery of tuberculin. Its failure was one of
the world's tragedies. The defeat may not be final, and we may live to
see phthisis fought and beaten with its own weapons: but, for the
present, it is more to the purpose to consider what other benefits
have been gained, from the discovery of the tubercle-bacillus in 1881,
in every civilised country in the world.
1. It has given to everybody a more reasonable and hopeful view of
phthisis and the diseases allied to it. The older doctrine of
heredity, that the child inherits the disease itself, has given way to
the doctrine that the inheritance, in the vast majority of cases, is
not that of the disease itself, but that of a tendency or increased
susceptibility to the disease.
2. It has brought about an immense improvement in the early and
accurate diagnosis of all cases. The bacillus found in the sputa, or
in the discharges, or in a particle of tissue, is evidence that the
case is tuberculous.
3. It has given evidence, which till 1901 was hardly called in
question,[19] that _tabes mesenterica_, a tuberculous disease which
kills thousands of children every year, is due in many cases to
infection from the milk of tuberculous cows. In England alone, in
1895, the number of children who died of this disease was 7389, of
whom 3855 were under one year old.
[19] At the British Congress on Tuberculosis, London, 1901, Koch
stated that bovine tuberculosis and human tuberculosis are not one
and the same disease, and that the risk of milk-infection is so
small that burdensome restrictions ought not to be enforced. In
the general judgment of men well qualified to study the subject,
he failed to prove his point.
Public-domain text, read in full here on John Shaqi.
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