Hygiene: a manual of personal and public health (New Edition)Newsholme, Arthur, Sir
Science
Hygiene: a manual of personal and public health (New Edition)
Newsholme, Arthur, Sir
Hygiene; Public health -- Great Britain; Sanitation
The family of =Nematoda= possesses numerous parasitic members. The
common thread worm (_Oxyuris Vermicularis_) is one of the most common
of these. The female is 1∕3 to 1∕2 inch in length, and inhabits chiefly
the lower bowel. The ova, which are from 1∕490 to 1∕1100 inch in
diameter, often gain access to drinking water, or are carried by flies,
or received on salads, etc. The injection of salt and water into the
bowel, and treatment tending to improve the general health, are the
proper remedies.
The round worm (_Ascaris Lumbricoides_) inhabits chiefly the small
intestine; hence medicines for its removal require to be given by the
mouth. The female is from 10 to 14 inches long; the ova, of which each
female discharges on an average 160,000 daily, are from 1∕340 to 1∕440
inch in diameter.
The whip-worm (_Trichocephalus Dispar_) is a smaller nematode, which
is rarely met with in this country. The _Dochmius Duodenalis_ is met
with chiefly in Italy and Egypt. It sucks the blood in the intestine,
causing dangerous anæmia. The =Strongylus Gigas= is chiefly found in
the kidneys of the ox, dog, etc., and is very rare in man. It resembles
a very large round worm. In the kidney it produces severe disorders.
How it gets there is not known.
The _Trichina Spiralis_ has been already described (page 23).
The _Filaria Dracunculus_ (Guinea Worm) seems to gain access into the
stomach along with water, or possibly in some cases, by perforating the
skin. It burrows among the tissues, especially of the legs, and attains
a length of several feet. It causes large boils and sores, and through
these the eggs escape and pass into water. Here the embryo which has
escaped from the egg meets with a fresh water crustacean (_cyclops_),
enters its body, undergoes larval growth, and is swallowed with its
host by a man, in whom it burrows and undergoes its next stage of life.
The embryos of three species of =Filaria= infest the blood of man,
chiefly in the tropics. One embryonic species is found in the blood
of infested patients by day, one by night, and one during both day
and night. The length of the embryos varies from 1∕75 to 1∕125 inch,
and its width from 1∕3000 to 1∕3500 inch. The night embryo, which is
the most common, is produced by the _Filaria Bancrofti_. This adult
worm infests the lymphatic system of man, sometimes reaching a length
of three to four inches. Its embryos may obstruct lymphatic vessels,
causing obstruction of the flow of chyle (hence originates _chyluria_),
and _elephantiasis_, in which enormous swelling of the legs and other
parts ensues.
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