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 relation between the words “infectious” and “contagious” requires
explanation. A disease like measles or small-pox, which can be
transmitted from person to person, without immediate contact between
the two, is termed =infectious=. In these cases the infection is
conveyed by mucus expectorated or by dust blown about, or carried in
apparel, etc., from the first patient. Such diseases may also, of
course, be communicated by direct contact. If direct contact between
the sick and well is indispensable for the transmission of a disease
it is called =contagious=. There is no such hard line in nature,
although some diseases can be more easily communicated than others.
The term contagious is usually applied to parasitic diseases like
ringworm and scabies, but even these can be communicated by means of
infected articles as well as persons. The word contagious should be
abandoned for all the acute febrile diseases. The word =infective= is
used to include all specific febrile diseases, however spread. This
word, therefore, includes not only infectious and contagious diseases,
but also diseases spread by =inoculation=, _i.e._ injection of the
infection under the skin. Thus malaria is not infectious from patient
to patient; but can be inoculated by the mosquito.
=Infective Diseases= are either acute or chronic. Of _acute_ infective
diseases small-pox and enteric fever are typical examples; of
_chronic_, tuberculosis and syphilis.
It was formerly supposed that in certain diseases the contagium or
infective agent grew in external noxious matter, a _miasm_ being
produced; while in other diseases _contagion_ was only produced
direct from patient to patient; and others originated in either way.
Hence the classification of infective diseases into (_a_) miasmatic,
(_b_) contagious, and (_c_) miasmatico-contagious diseases. This
classification has now been abandoned. Thus influenza and ague were
formerly thought to be miasmatic; but the former is spread by personal
infection; the latter by inoculation of the contagium by an infected
mosquito.
=Bacteriology= has thrown an immense light on the causation of
infective diseases. A large number of these have been proved to be
caused by bacteria, and by analogy we infer the same thing for many
others. =Koch= has laid down the following =postulates= as necessary
before it can be stated that a particular disease is directly caused by
a given microbe:—
(1) The microbe shall be demonstrated in the diseased tissues or blood
of man or an animal suffering or dead from the disease.
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