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
=Natural Immunity= varies in different animals. Thus enteric fever,
scarlet fever, and measles are not known to occur except in man.
Tuberculosis, anthrax, hydrophobia (called rabies in the dog), glanders
and tetanus are common to man and certain other animals. Man, cattle
and pigs frequently suffer from tuberculosis; goats, sheep, horses, and
dogs are practically immune to it.
=Epidemic and Endemic Diseases.=—Infective diseases may occur
_sporadically_, in _epidemics_, or in _pandemics_, _i.e._ epidemics
spread over a number of countries. The word =epidemic= is used here to
mean specially prevalent, and not to apply only to infective diseases.
Thus there may be an epidemic of arsenical poisoning from contaminated
beer.
Certain infective diseases are =endemic= or topical, _i.e._ they have
special homes or centres, from which they occasionally spread as
epidemics. Yellow fever, cholera, and malaria belong to this group. In
a minor degree enteric fever, epidemic diarrhœa, and tuberculosis may
be described as endemic.
Each infective disease has a special =seasonal incidence=. Of these the
most important are the _autumnal_ group, viz.
Epidemic Diarrhœa, maximum prevalence in July and August.
Enteric Fever „ „ „ November, but excessive,
Aug. to Dec.
Erysipelas „ „ „ Nov. to Dec.
Diphtheria „ „ „ Nov. and Dec., excessive,
Sept. to Dec.
Scarlet Fever „ „ „ Oct., excessive in Aug.
to Dec.
Of other infective diseases
Small-pox has its maximum prevalence in May, but is excessive Jan.
to June.
Whooping Cough „ „ „ Dec. to May.
Measles commonly has two seasonal maxima, in June and December with
intervening minima.
=Causes of Epidemics.=—Measles recurs in the large towns of England
every alternate year. Other infective diseases occur at less regular
intervals. The recurrence of epidemics is not solely due to personal
infection and the accumulation of a population at susceptible ages.
There are longer =cycles= of the causes of which but little is known.
Thus scarlet fever has been shown by Longstaff and Gresswell to become
epidemic chiefly in dry years; and I have shown that diphtheria and
rheumatic fever become widely epidemic under the same conditions,
diphtheria becoming so only when a series of dry years occur in
immediate succession.
CHAPTER XLIV.
ACUTE INFECTIVE DISEASES.
Acute Infectious Diseases are characterised by certain definite
characters.
1.—_They are usually infectious or contagious._ It is preferable to use
these two terms as interchangeable. The modes in which infection is
received vary greatly with different fevers.
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