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
Arriving at the army barracks near Havana the Commission first took up
the study of _Bacillus icteroides_, the organism which Sanarelli, an
Italian physician, had declared the causative agent in yellow fever.
They were unable to isolate this bacillus either from the blood during
life or from the blood and organs of cadavers and therefore turned their
attention to Finlay's theory of the propagation of yellow fever by means
of the mosquito. In this work they had the unselfish and enthusiastic
support of Dr. Finlay himself, who not only consulted with them and
placed his publications at their disposal, but furnished eggs from which
their experimental mosquitoes were obtained. Inoculations of eleven
non-immunes through the bite of infected mosquitoes were made, and of
these, two gave positive results. The first of the two was Dr. Carroll
who allowed himself to be bitten by a mosquito which had been caused to
feed upon four cases of yellow fever, two of them severe and two mild.
The first patient had been bitten twelve days before.
Three days after being bitten, Dr. Carroll came down with a typical case
of yellow fever. So severe was the attack that for three days his life
hung in the balance. During his convalescence an incident occurred which
showed how the theory of mosquito transmission of the disease was
generally regarded. We quote from Dr. Kelly: "One of his nurses who came
from Tennessee had had considerable experience with yellow fever, having
indeed, lost her husband and several children from it. One day early in
his illness Dr. Carroll mentioned to her that he had contracted the
disease through the bite of a mosquito, and noticed that she looked
surprised. Some time later, when well enough to look over the daily
records of his condition, he found this entry: 'Says he got his illness
through the bite of a mosquito,--delirious'."
The second case was that of an American who was bitten by four
mosquitoes, two of which had bitten severe (fatal) cases of yellow fever
twelve days previously, one of which had bitten a severe case (second
day) sixteen days before and one which had bitten a severe case eight
days before. Five days later, the subject developed a well pronounced
but mild case of the disease.
In the meantime, another member of the Commission, Dr. Lazear, was
accidentally bitten by a mosquito while collecting blood from yellow
fever patients. Five days later he contracted a typical case which
resulted fatally.
So clear was the evidence from these preliminary experiments that the
commission felt warranted in announcing, October 27, 1900, that, "The
mosquito serves as the intermediate host for the parasite of yellow
fever, and it is highly probable that the disease is only propagated
through the bite of this insect."
Public-domain text, read in full here on John Shaqi.
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