Leprosy : $b in its clinical & pathological aspects — John Shaqi
Leprosy : $b in its clinical & pathological aspectsHansen, G. Armauer (Gerhard Armauer)
Science
Leprosy : $b in its clinical & pathological aspects
Hansen, G. Armauer (Gerhard Armauer)
Leprosy
sink; where there was none, or it was insufficient, the numbers either
rose or remained almost stationary. We will once more compare Nordmoere
with Soendfjord. In Nordmoere, in 1856-60, 81 new cases, 14 sent to the
asylum; 1861-65, 88 new cases. In Soendfjord, 1856-60, 214 new cases,
211 sent into asylums; 1861-65, 146 new cases.
We consider it superfluous to point out further how the isolation
of the patients has caused the decrease of Leprosy in Norway. It is
not possible to explain the action of isolation by the elimination
of heredity; the time is too short for that. The only one possible
solution is that which we have given, and therefore we regard this
decrease of Leprosy in Norway following on isolation as the best proof
of the contagiousness of Leprosy. Leprosy is, then, according to our
view, a contagious disease, and only contagious, not hereditary.
How Leprosy is “caught,” we do not know, but we think it is probably
by inoculation; and the nodular form must be more dangerous than the
maculo-anæsthetic. This last statement seems to be confirmed by the
fact, that in Sogn, where 56.6 per cent. of the cases are nodular and
43.4 per cent. maculo-anæsthetic, the increase varies between 8. and
10.8 per cent., while in Soendfjord, with 72.6 per cent. nodular, and
27.4 per cent. maculo-anæsthetic, it is between 14.4 per cent. and
19.5 per cent. In the nodular form there are incomparably more bacilli
than in the maculo-anæsthetic, and in the latter there is no discharge
containing bacilli, which in the former is almost always present. It
is not improbable that Leprosy may be conveyed by the clothes. We know
of one case in which a young man became affected one year after he
had worn a pair of old drawers given him by a leper. The same thing
happened to another young man who wore several pairs of his leprous
father’s stockings.
Although we are not acquainted with the spores of the Lepra bacillus,
it is quite conceivable that the bacilli are spore bearing.
Unfortunately, we know of no method of determining whether the bacilli
are alive or dead, and therefore Arning’s observation of the bacilli in
the fæces does not decide the question as to whether the bacilli can
live for any time outside the body, even admitting that the bacilli
which Arning found were actually Lepra bacilli.
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