More Science from an Easy ChairLankester, E. Ray (Edwin Ray), Sir
History
More Science from an Easy Chair
Lankester, E. Ray (Edwin Ray), Sir
Natural history; Science
fits in with the carriage of the infection in the same way from man to
man, and not with the notion of an aerial dispersion of the infection.
The fact that typhus only exists in very dirty and crowded
populations, and that it has disappeared where even a moderate amount
of cleanliness as to person and clothing has become general, coincides
with the possibility of the body louse as carrier. This little
parasite is known to be a wanderer, and is gifted with a very acute
sense of smell. An individual placed in the centre of a glass table
invariably walked, guided by the scent, towards the observer, at
whatever position he placed himself. Sulphurous acid is a violent
repellant of these creatures. Not only will it kill them if they are
exposed to its fumes, but traces of it drive them away. Hence doctors
and nurses who have to handle typhus patients or their clothes have
only to wear a small muslin bag of sulphur under their garments, or to
rub themselves with a little sulphur ointment in order to be perfectly
guarded against infection; the louse will not approach them, nor
remain upon them should it accidentally effect a lodgment.
It is not always obvious at once in what way a knowledge of the mode
of carriage of a deadly disease can be of service to humanity. But in
this case it is strikingly and triumphantly clear. In the vast
poverty-stricken population of Russia typhus is still common. Public
medical officials attend these cases, and the Russian Government keeps
a record of the annual deaths of its medical staff, and of the causes
of their deaths. In the first six months of last year 530 Russian
medical officers died, and twenty-four of these deaths were caused by
typhus fever acquired by these devoted public servants in attendance
upon cases of that fever. Henceforth they will make use of sulphur or
sulphurous ointment to keep the little infection-carriers at a
distance, and not one medical man or nurse will catch the disease,
still less be killed by it.
A remarkable fact in this history is that the actual parasitic germ
which causes typhus, whether a bacterium (Schizophyte) or a protozoon,
has not been detected, although the louse has been shown to be its
"carrier." The same is true of yellow-fever: we have not seen with the
microscope the microbe which produces it. But we know with certainty
that the gnat, _Stegomya fasciata_, and no other, is the carrier of
the unseen germ, and that we can obliterate that fever by obliterating
the gnat. So, too, although we know how the infection of rabies acts,
and how it is carried, yet no one has yet isolated and recognised the
terrible infective particle itself. There is a very high probability
that in these cases, and also in cancer (where as yet no specific
infective germ or parasitic microbe has been detected), such an
infective microbe is nevertheless present, and has hitherto escaped
observation with the microscope on account of its excessive minuteness
and transparency.
CHAPTER XXI
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