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
Bacteria are either =saprophytes=, _i.e._ they can grow on dead organic
or even inorganic matter; or =parasites=, _i.e._ they are dependent
for their existence on a living plant or animal which they invade.
There are two varieties of each of these, obligate and facultative.
An _obligate parasite_ can develop only within a living host; while a
_facultative parasite_ can, according to circumstances, lead either
a parasitic or saprophytic form of existence. The fact that certain
contagia are completely, and others only partially, parasitic brings
out important differences in their life-history. Thus, so far as we
know, the contagia of scarlet fever, measles, small-pox and hydrophobia
do not multiply outside the body. Hence there is a reasonable prospect
of annihilating them by measures of disinfection and isolation. The
position of diphtheria is doubtful. It may have a saprophytic phase of
life. The contagium of tuberculosis, as well as of erysipelas, may have
a life outside the host, though to what extent is doubtful. Cholera and
enteric fever, although generally communicated by infection, appear
sometimes to be communicated by contagia grown in saprophytic life,
remote from preceding cases.
The infection caused by bacteria may be _local_ or _general_. Thus in
tetanus and in diphtheria the invading bacteria usually remain at their
original point of invasion (under the skin in tetanus, in the throat
in diphtheria). In anthrax always, and often in enteric fever, they
are present in the general circulation. In both instances the symptoms
of disease are due chiefly to the toxic products or =toxins= formed
by the bacteria. These toxins are enzymes, ptomaines, tox-albumins,
etc. The specific toxins of anthrax, diphtheria, and tetanus have been
identified; and by this means the possibility of neutralising them is
created.
The =channels of infection=, _i.e._ of invasion of contagia, are the
skin and the mucous membranes, particularly of the digestive and
respiratory tracts.
The =Incubation Period= of an infectious disease is the interval
elapsing between the receipt of infection and the earliest development
of symptoms. The _period of incubation_ of the chief infectious
diseases is shown in the following table:—
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