Handbook of Medical EntomologyRiley, William A. (William Albert)
Science
Handbook of Medical Entomology
Riley, William A. (William Albert)
Insect pests; Insects as carriers of disease; Medical parasitology
On the whole, the evidence is conclusive that typhoid germs not only may
be accidentally carried on the bodies of house-flies but may pass
through their bodies and be scattered in a viable condition in the feces
of the fly for at least two days after feeding. Similar, results have
been reached in experiments with cholera, tuberculosis and yaws, the
last-mentioned being a spirochæte disease. Darling (1913) has shown that
murrina, a trypanosome disease of horses and mules in the Canal zone is
transmitted by house-flies which feed upon excoriated patches of
diseased animals and then pass to cuts and galls of healthy animals.
Since it is clear that flies are abundantly able to disseminate viable
pathogenic bacteria, it is important to consider whether they have
access to such organisms in nature. A consideration of the method of
spread of typhoid will serve to illustrate the way in which flies may
play an important rôle.
Typhoid fever is a specific disease caused by _Bacillus typhosus_, and
by it alone. The causative organism is to be found in the excrement and
urine of patients suffering from the disease. More than that, it is
often present in the dejecta for days, weeks, or even months and years,
after the individual has recovered from the disease. Individuals so
infested are known as "typhoid carriers" and they, together with those
suffering from mild cases, or "walking typhoid," are a constant menace
to the health of the community in which they are found.
Human excrement is greedily visited by flies, both for feeding and for
ovipositing. The discharges of typhoid patients, or of chronic
"carriers," when passed in the open, in box privies, or camp latrines,
or the like, serve to contaminate myriads of the insects which may then
spread the germ to human food and drink. Other intestinal diseases may
be similarly spread. There is abundant epidæmiological evidence that
infantile diarrhœa, dysentery, and cholera may be so spread.
Stiles and Keister (1913) have shown that spores of _Lamblia
intestinalis_, a flagellate protozoan living in the human intestine, may
be carried by house-flies. Though this species is not normally
pathogenic, one or more species of _Entamœba_ are the cause of a type
of a highly fatal tropical dysentery. Concerning it, and another
protozoan parasite of man, they say, "If flies can carry _Lamblia_
spores measuring 10 to 7µ, and bacteria that are much smaller, and
particles of lime that are much larger, there is no ground to assume
that flies may not carry _Entamœba_ and _Trichomonas_ spores."
Tuberculosis is one of the diseases which it is quite conceivable may be
carried occasionally. The sputum of tubercular patients is very
attractive to flies, and various workers, notably Graham-Smith, have
found that _Musca domestica_ may distribute the bacillus for several
days after feeding on infected material.
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