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
The same worker undertook to determine whether flies are able to
transmit leprosy. He experimented with five species found in
Honolulu,--_Musca domestica_, _Sarcophaga pallinervis_, _Sarcophaga
barbata_, _Volucella obesa_ and an undetermined species of _Lucilia_.
The experiments with _Musca domestica_ were the most detailed. From
these experiments he concluded, first, that all of the above-named
flies, when given an opportunity to feed upon leprous fluids, will
contain the bacilli in their intestinal tracts and feces for several
days after such feeding. Second, that considering the habits of these
flies, and especially those of _Musca domestica_, it is certain that,
given an exposed leprous ulcer, these insects will frequently convey
immense numbers of lepra bacilli, directly or indirectly, to the skins,
nasal mucosa, and digestive tracts of healthy persons. Additional
evidence along this line has recently been brought forward by Honeij and
Parker (1914), who incriminate both _Musca domestica_ and _Stomoxys
calcitrans_. Whether or not such insect-borne bacilli are capable of
infecting persons whose skin and mucosa are thus contaminated, Currie
was unwilling to maintain, but he concludes that until we have more
accurate knowledge on this point, we are justified in regarding these
insects with grave suspicion of being one of the means of disseminating
leprous infection.
Various students of the subject have suggested that bed-bugs may be the
carriers of leprosy and have determined the presence of acid-fast
bacilli in the intestines of bed-bugs which had fed on leprous patients.
Opposed to this, the careful experiments of Thompson (1913) and of
Skelton and Parkham (1913) have been wholly negative.
Borrel has recently suggested that _Demodex_, may play a rôle in
spreading the infection in families. Many other insects and acariens
have been suggested as possible vectors, but the experimental data are
few and in no wise conclusive. The most that can be said is that it is
quite possible that under favorable conditions the infection might be
spread by any of the several blood-sucking forms or by house-flies.
Verruga peruviana
VERRUGA PERUVIANA is defined by Castellani and Chalmers as "a chronic,
endemic, specific, general disorder of unknown origin, not contagious,
but apparently inoculable, and characterized by an irregular fever
associated with rheumatoid pains, anemia, followed by granulomatous
swellings in the skin, mucous membranes, and organs of the body." It has
been generally believed by medical men interested that the comparatively
benign eruptive verruga is identical with the so-called Oroya, or
Carrion's fever, a malignant type. This view is not supported by the
work of Strong, Tyzzer and Brues, (1913).
The disease is confined to South America and to definitely limited areas
of those countries in which it does occur. It is especially prevalent in
some parts of Peru.
Public-domain text, read in full here on John Shaqi.
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