Little Masterpieces of Science: Health and Healing
History
Little Masterpieces of Science: Health and Healing
Medicine -- History
during the past summer, and the result up to the present time has been
reported by Manson in the London _Lancet_ of September 29, 1900. Five
healthy individuals have lived in a hut on the Roman Campagna since
early in the month of July. They have been protected against mosquito
bites by mosquito-netting screens in the doors and windows and by
mosquito bars over the beds. They go about freely during the daytime,
but remain in their protected hut from sunset to sunrise. At the time
Manson made his report all these individuals remained in perfect health.
It has long been known that labourers could come from the villages in
the mountainous region near the Roman Campagna and work during the day,
returning to their homes at night, without great danger of contracting
the fever, while those who remained on the Campagna at night ran great
risk of falling sick with fever, as a result of "exposure to the night
air." What has already been said makes it appear extremely probable that
the "night air," by itself, is no more dangerous than the day air, but
that the real danger consists in the presence of infected mosquitoes of
a species which seeks its food at night. As pointed out by King, in his
paper already referred to, it has repeatedly been claimed by travelers
in malarious regions that sleeping under a mosquito bar is an effectual
method of prophylaxis [prevention] against intermittent fevers.
That malarial fevers may be transmitted by mosquitoes of the genus
_Anopheles_ was first demonstrated by the Italian physician Bignami,
whose experiments were made in the Santo Spirito Hospital in Rome. The
subjects of the experiment, with their full consent, were placed in a
suitable room and exposed to the bites of mosquitoes brought from
Maccarese, "a marshy place with an evil but deserved reputation for the
intensity of its fevers." It has been objected to these experiments that
they were made in Rome, at a season of the year when malarial fevers
prevail to a greater or less extent in that city, but Marchiafava and
Bignami say:
"It is well known to all physicians here that, although there are some
centers of malaria in certain portions of the suburbs, the city proper
is entirely free from malaria, as long experience has demonstrated, and
at no season of the year does one acquire the disease in Rome."
In view of the objection made, a crucial experiment has recently been
made in the city of London. The result is reported by Manson, as
follows:
Public-domain text, read in full here on John Shaqi.
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