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
It has been shown in certain diseases that the cells and the fluids of
the body have a protective effect against infection. This protective
action varies in different persons, and in the same person at different
times. The cells of the body (_phagocytes_) swallow up and destroy a
certain number of bacteria. This action is called =phagocytosis=. It is
overcome when the dose of contagium is excessive, or when the vitality
of the individual is lowered, especially the local vitality at the part
attacked. Thus children with “weak throats” are particularly prone to
scarlet fever and diphtheria.
The =protection= afforded by =one attack= of an infective disease
against its recurrence varies greatly. A second attack of small-pox is
very rare, of scarlet fever less uncommon, of diphtheria common. In
erysipelas, influenza, pneumonia, and rheumatic fever, second or even
more numerous attacks are common.
=Immunity= against an infective disease may be _natural_, but is more
often _acquired_ by an attack of the disease in question. This latter
_immunity_ is _active_, and is due to the formation in the tissues of
the immunised person or animal of substances produced by the reaction
of these tissues to the stimulus of the contagium. Thus a pig when
it has recovered from an attack of swine-plague has produced what
are called in German _antikörpers_, and its tissues are now a medium
unfavourable to the growth of the bacillus of swine-plague. If the
serum of the protected pig is injected under the skin of another pig,
the latter acquires _passive immunity_ against swine-plague, which is
not so persistent as active immunity.
=Active Immunity= can be produced (1) by an attack of an infective
disease, or (2) by artificial inoculation (under the skin) of the
contagium of the disease, producing a milder attack of the disease.
This may be done (_a_) by inoculating _small doses of a virulent
contagium_, as in the inoculation of small-pox from a previous patient;
or (_b_) by inoculating an _attenuated virus_, as in vaccination.
Inoculation of small-pox virus usually produced a milder attack than
infection by ordinary means; but patients thus inoculated were a
great source of danger to other persons. In vaccination the virus
of small-pox is employed, which has become attenuated by passing
through the calf. In its passage, it has lost the power of producing
anything beyond a vesicle at the point of inoculation. The principle
of protecting by attenuated virus was extended by Pasteur, who was
able to render animals resistant against anthrax, swine-fever, and
quarter-evil, and hens against fowl-cholera, by inoculating them with
attenuated cultures of the contagia of these diseases. Haffkine has
applied the same method on a large scale for cholera.
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