"I have no hesitation in saying that, taking full account of its
imperfection, tuberculin is the most valuable means of diagnosis
in tuberculosis that we possess.... I have most implicit faith
in it, when it is used on animals standing in their own premises
and undisturbed. It is not reliable when used on animals in a
market or slaughter-house. A considerable number of errors at
first were found when I examined animals in slaughter-houses
after they had been conveyed there by rail, etc. Since that,
using it on animals in their own premises, I have found that it
is practically infallible. I have notes of one particular case,
where twenty-five animals in one dairy were tested, and
afterwards all were killed. There was only one animal which did
not react, and it was the only animal not found to be
tuberculous when killed."
Two instances of the validity of this test will suffice. In 1899, it
was applied to 270 cows on some farms in Lancashire. Of these cows,
180 reacted to the test, 85 did not react, and 5 were doubtful.
Tuberculous disease was actually found, when they were killed, in 175
out of the 180 = 97.2 per cent. (_Lancet_, 5th August 1899.) In 1901,
Arloing and Courmont published a critical account of the whole
subject, and gave the following facts. In 80 calves, which on
examination after death were found not tuberculous, the test was
negative: in 70 older cattle, which were tuberculous, the test was
positive in every case but one, though the dilution of the serum was
1 in 10.[20] It would be easy to add instances of the value of this
test, for it is practised far and wide over the world.
[20] For references to this paper, and to evidence put forward
against the validity of the test, and for criticism of such
evidence, see Gould's _Year-Book of Medicine and Surgery_, 1902
(Philadelphia, W. B. Saunders & Company).
7. More recently, the discovery of the "opsonic index," and its use by
Sir Almroth Wright and others, has given a great advance to the
observation and treatment of cases of tuberculosis. The administration
of the "new tuberculin" is now timed and measured with an accuracy
which was absolutely impossible a few years ago.
It is a far cry, from the present method of counting how many
tubercle-bacilli are taken up by a single blood-cell, back to
Villemin's rabbits. Every inch of the way, from 1881 onward, the
pathological study of every form of tuberculosis, medical or surgical,
human or bovine, has been dependent on bacteriology; that is to say,
on experiments on animals.
IV
DIPHTHERIA
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