_Toxin production._--The problem of the production of toxin by the
bacteria of this group and the possible relation of the toxin to food
poisoning has been much discussed. Broth cultures in which the living
bacilli have been destroyed by heat or from which they have been removed
by filtration contain a soluble poison. When this germ-free broth is
injected into mice, guinea-pigs, or rabbits, the animals die from the
effects. Practically nothing is known about the nature of the poisonous
substances concerned, except that they are heat-resistant. They are
probably not to be classed with the so-called true toxins generated by
the diphtheria and tetanus bacilli, since there is no evidence that they
give rise to antibodies when injected into susceptible animals. In the
opinion of some investigators the formation of these toxic bodies by the
_paratyphoid-enteritidis_ bacilli in meat and other protein foodstuffs
is responsible for certain outbreaks and also for some of the phenomena
of food poisoning, the rapid development of symptoms being regarded as
due to the ingested poisons, whereas the later manifestations are
considered those of a true infection. Opposed to this view is the fact
that well-cooked food has proved distinctly less liable to cause food
poisoning than raw or imperfectly cooked food.
A large proportion of the recorded meat poisoning outbreaks are
significantly due to sausages made from raw meat and to meat pies,
puddings, and jellies. This is most likely because the heat used in
cooking such foods is insufficient to produce germicidal results. In
milk-borne epidemics also it is noteworthy that the users of raw milk
are the ones affected. For example, respecting an extensive _B.
enteritidis_ outbreak in and about Newcastle, England, it is stated:
In no instance was a person who had used only boiled milk known to
have been affected. Thus in one family, consisting of husband,
wife, and wife's mother, the two women drank a small quantity of raw
milk from the farm, at the most a tumblerful, and both were taken
ill about twelve hours later. The husband, on the other hand,
habitually drank a pint a day, but always boiled. He followed his
usual custom on this occasion, and was unaffected.[76]
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