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
In 1902 Dutton described a trypanosome, _T. gambiense_, which he and
Forde had found the year before in the blood of a patient suffering from
a peculiar type of fever in Gambia. In 1902-1903 Castellani found the
same parasite in the cerebro-spinal fluid of sleeping-sickness patients
and definitely reported it as the causative organism of the disease. His
work soon found abundant confirmation, and it was discovered that the
sleeping sickness was but the ultimate phase of the fever discovered by
Dutton and Forde.
When Castellani made known his discovery of the trypanosome of sleeping
sickness, Brumpt, in France, and Sambon, in England, independently
advanced the theory that the disease was transmitted by the tsetse-fly,
_Glossina palpalis_. This theory was based upon the geographical
distribution and epidemiology of the disease. Since then it has been
abundantly verified by experimental evidence.
Fortunately for the elucidation of problems relating to the methods of
transfer of sleeping sickness, _Trypanosoma gambiense_ is pathogenic for
many species of animals. In monkeys it produces symptoms very similar to
those caused in man. Bruce early showed that _Glossina palpalis_ "fed on
healthy monkeys eight, twelve, twenty-four and forty-eight hours after
having fed on a native suffering from trypanosomiasis, invariably
transmitted the disease. After three days the flies failed to transmit
it." In his summary in Osler's Modern Medicine, he continues "But this
is not the only proof that these flies can carry the infective agent. On
the lake shore there was a large native population among whom we had
found about one-third to be harboring trypanosomes in their blood. The
tsetse-flies caught on this lake shore, brought to the laboratory in
cages, and placed straightway on healthy monkeys, gave them the disease
in every instance, and furnished a startling proof of the danger of
loitering along the lake shore among those infected flies."
As in the case of nagana, Bruce and most of the earlier investigators
supposed the transmission of the sleeping sickness trypanosome by
_Glossina palpalis_ to be purely mechanical. The work of Kleine (1909)
clearly showed that for _Trypanosoma gambiense_ as well as for
_Trypanosoma brucei_ the fly served as an essential host. Indeed, Kleine
and many subsequent investigators are inclined to think that there is
practically no mechanical transmission of trypanosomes from animal to
animal by _Glossina_ in nature, and that the many successful experiments
of the earlier investigators were due to the fact that they used wild
flies which already harbored the transformed parasite rather than
directly inoculated it from the blood of the diseased experimental
animals. While the criticism is applicable to some of the work, this
extreme view is not fully justified by the evidence at hand.
Public-domain text, read in full here on John Shaqi.
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