From an Easy ChairLankester, E. Ray (Edwin Ray), Sir
History
From an Easy Chair
Lankester, E. Ray (Edwin Ray), Sir
Natural history; Science
The War Office, Admiralty, and Colonial Office applied in 1904 to
the Royal Society of London to undertake a further investigation of
this disease. The society sent out a small commission, which has
been at work for three years, and has published seven volumes of
reports. The problem before the commission was to discover the mode of
infection by the Malta-fever germ (the Micrococcus melitensis), and
thus, if possible, to arrive at a means of arresting the infection.
Various hypotheses, guesses as to probable and possible methods of
dissemination, were entertained and examined. As the germ occurs in the
blood, it was naturally considered possible that gnats or other insects
were the carrying agent. But negative results followed all experiments
in this direction. Then it was found that the “germ” passes out of the
body in large quantities by the renal secretion, and it was thought
that it might be conveyed in a dried form with dust in the air. This
also proved to be an incorrect supposition.
Next a very important discovery was made. The germ was found in the
blood and the excretions of 10 per cent. of the goats which are kept in
Malta as the sole source of milk, and are driven through the streets to
supply customers, whilst 50 per cent. of the goats were found to have
been infected at some time. Then the germ was found in the milk itself,
and it only remained to prove by experiment that it was from the goats’
milk that human beings acquire the infection. A monkey fed with the
milk of an infected goat acquired the fever.
The next step was to stop the consumption of goats’ milk by the
soldiers and sailors in the hospital and barrack. Actually we were
carefully feeding our invalid soldiers and sailors in the great
hospital at Valetta with a highly poisonous infected fluid--the milk
of the Maltese goat! The preventive measure--the stoppage of goats’
milk--only came into operation in July, 1906. In the first six months
of that year there were thirty-one cases of Malta fever in every
thousand of the garrison (numbering about 8,000 men). In the preceding
six months there had been forty-seven cases per thousand. Now when the
goats’ milk was stopped after July, 1906, what was the result? From
July to December, 1906, there were only ten cases per thousand of the
garrison. In actual numbers there were in July, August, and September
in 1905 as many as 258 cases, whilst in the same months in 1906, after
removal of goats’ milk from the dietary of the troops, there were
only twenty-six cases, and these were probably due to the independent
purchase of goats’ milk by soldiers outside the barracks. In the naval
hospital until 1906 almost every patient who remained in the hospital
a few weeks took the disease. Since the exclusion of goats’ milk not a
single case has occurred.
Public-domain text, read in full here on John Shaqi.
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