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 above are methods of bacterial vaccination. Salmon and Smith
have shown that artificial active immunity can be produced also by
(3) _toxin-injection_. They artificially cultivated the hog-cholera
bacillus in broth. This broth was then sterilized, the bacilli being
killed, but their products remaining. By injecting pigeons with this
sterilized broth they made them resistant to subsequent infection by
the bacillus itself, thus proving that immunity can be produced by
chemical as well as by biological means. The immunity was proportional
to the dose of the toxin absorbed. By gradually increasing the dose,
it was found practicable to confer immunity, not only against doses of
toxin that would otherwise have been fatal, but also against bacterial
infection by the particular bacillus used in manufacturing the toxin.
=Passive Immunity.=—Behring and Kitasato found that if the toxin (free
from the bacilli) of tetanus be injected into an animal in increasing
doses until it becomes immune against infection by the bacilli of
tetanus, the blood serum of the animal in question injected into white
mice confers the same immunity on them. The protection thus conferred
is only temporary. Exactly the same procedure has been adopted for
diphtheria, and it is now found that by injecting _anti-diphtheritic
serum_ into children who are exposed to the infection of diphtheria,
they can for several weeks be prevented from developing the disease.
This is of great practical importance, as meanwhile the source of
infection can have been removed. Furthermore, the _protective serum is
also curative_, and by its means diphtheria, if early treated, can be
reduced from a dangerous to an insignificant disease.
Various =theories= have been propounded =to explain immunity=. Pasteur
supposed that the special pabulum or food of the bacillus of the given
disease became exhausted; but this does not fit in with the immunity
that can be produced by toxins and anti-toxins. Chauveau supposed
that certain bacterial products are retained in the body, rendering
it unsuitable for further growth of the particular bacillus; just as
more than 14 per cent. of alcohol in a saccharine solution prevents
further fermentation. This does not explain all the facts. Metschnikoff
concluded that the fight of the leucocytes and phagocytes of the body
against weaker bacilli, gave the power of fighting and overcoming a
more virulent bacilli, and that these properties of the cells were
transmitted to later generations of body cells. This theory fails
to explain the acquired immunity against toxins as well as against
bacteria which occurs. The discovery that the blood and other normal
tissue fluids possess some power of destroying bacilli has relegated
the phagocytal theory to a secondary position.
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