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
LEPROSY is a specific, infectious disease due to _Bacillus lepræ_, and
characterized by the formation of tubercular nodules, ulcerations, and
disturbances of sensation. In spite of the long time that the disease
has been known and the dread with which it is regarded, little is known
concerning the method of transfer of the causative organism or the means
by which it gains access to the human body.
It is known that the bacilli are to be found in the tubercles, the scurf
of the skin, nasal secretions, the sputum and, in fact in practically
all the discharges of the leper. Under such conditions it is quite
conceivable that they may be transferred in some instances from diseased
to healthy individuals through the agency of insects and other
arthropods. Many attempts have been made to demonstrate this method of
spread of the disease, but with little success.
Of the suggested insect carriers none seem to meet the conditions better
than mosquitoes, and there are many suggestions in literature that these
insects play an important rôle in the transmission of leprosy. The
literature has been reviewed and important experimental evidence
presented by Currie (1910). He found that mosquitoes feeding, under
natural conditions, upon cases of nodular leprosy so rarely, if ever,
imbibe the lepra bacillus that they cannot be regarded as one of the
ordinary means of transference of this bacillus from lepers to the skin
of healthy persons. He believes that the reason that mosquitoes that
have fed on lepers do not contain the lepra bacillus is that when these
insects feed they insert their proboscis directly into a blood vessel
and thus obtain bacilli-free blood, unmixed with lymph.
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