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
Under the name of malaria is included a group of morbid symptoms
formerly supposed to be due to a miasm or bad air, but now known to be
caused by protozoan parasites of the genus _Plasmodium_, which attack
the red blood corpuscles. It occurs in paroxysms, each marked by a
chill, followed by high fever and sweating. The fever is either
intermittent or remittent.
There are three principal types of the disease, due to different species
of the parasite. They are:
1. The benign-tertian, caused by _Plasmodium vivax_, which undergoes its
schizogony or asexual cycle in the blood in forty-eight hours or even
less. This type of the disease,--characterized by fever every two days,
is the most wide-spread and common.
2. The quartan fever is due to the presence of _Plasmodium malariæ_,
which has an asexual cycle of seventy-two hours, and therefore the fever
recurs every three days. This type is more prevalent in temperate and
sub-tropical regions, but appears to be rare everywhere.
3. The sub-tertian "æstivo-autumnal," or "pernicious" fever is caused by
_Plasmodium falciparum_. Schizogony usually occurs in the internal
organs, particularly in the spleen, instead of in the peripheral
circulation, as is the case of the tertian and quartan forms. The fever
produced is of an irregular type and the period of schizogony has not
been definitely determined. It is claimed by some that the variations
are due to different species of malignant parasites.
It is one of the most wide-spread of human diseases, occurring in almost
all parts of the world, except in the polar regions and in waterless
deserts. It is most prevalent in marshy regions.
So commonplace is malaria that it causes little of the dread inspired by
most of the epidemic diseases, and yet, as Ross says, it is perhaps the
most important of human diseases. Figures regarding its ravages are
astounding. Celli estimated that in Italy it caused an average annual
mortality of fifteen thousand, representing about two million cases. In
India alone, according to Ross (1910) "it has been officially estimated
to cause a mean annual death-rate of five per thousand; that is, to kill
every year, on the average, one million one hundred and thirty
thousand." In the United States it is widespread and though being
restricted as the country develops, it still causes enormous losses.
During the year 1911, "in Alabama alone there were seventy thousand
cases and seven hundred and seventy deaths." The weakening effects of
the disease, the invasion of other diseases due to the attacks of
malaria, are among the very serious results, but they cannot be
estimated.
Public-domain text, read in full here on John Shaqi.
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