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
"Assimilating the disease to small-pox and to vaccination, it occurred
to me that in order to inoculate yellow fever it would be necessary to
pick out the inoculable material from within the blood vessels of a
yellow fever patient and to carry it likewise into the interior of a
blood vessel of a person who was to be inoculated. All of which
conditions the mosquito satisfies most admirably through its bite."
In the course of his study of the problem, Finlay made detailed studies
of the life history and habits of the common mosquitoes at Havana, and
arrived at the conclusion that the carrier of the yellow fever was the
_Culex mosquito_ or _Aëdes calopus_, as it is now known. With this
species he undertook direct experimental tests, and believed that he
succeeded in transmitting the disease by the bite of infected mosquitoes
in three cases. Unfortunately, possibility of other exposure was not
absolutely excluded, and the experiments attracted little attention.
Throughout the next twenty years Finlay continued his work on yellow
fever, modifying his original theory somewhat as time went on. Among his
later suggestions was that in the light of Smith's work on Texas fever,
his theory must be "somewhat modified so as to include the important
circumstance that the faculty of transmitting the yellow fever germ need
not be limited to the parent insect, directly contaminated by stinging a
yellow fever patient (or perhaps by contact with or feeding from his
discharges), but may be likewise inherited by the next generation of
mosquitoes issued from the contaminated parent." He believed that the
bite of a single mosquito produced a light attack of the disease and was
thus effective in immunizing the patient. Throughout the period, many
apparently successful attempts to transmit the disease by mosquitoes
were made. In the light of present day knowledge we must regard these as
defective not only because possibility of other infection was not
absolutely excluded but because no account was taken of the incubation
period within the body of the mosquito.
In 1900, while the American army was stationed in Cuba there occurred an
epidemic of yellow fever and an army medical board was appointed for
"the purpose of pursuing scientific investigations with reference to the
acute infectious diseases prevalent on the island." This was headed by
Walter Reed and associated with him were James Carroll, Jesse W. Lazear
and Aristides Agramonte, the latter a Cuban immune. For a detailed
summary of this work the lay reader cannot do better than read Dr.
Kelly's fascinating biography "Walter Reed and Yellow Fever."
Public-domain text, read in full here on John Shaqi.
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