Plague: Its Cause and the Manner of its Extension, Its Menace, Its Control and Suppression, Its Diagnosis and TreatmentJackson, Thomas Wright
History
Plague: Its Cause and the Manner of its Extension, Its Menace, Its Control and Suppression, Its Diagnosis and Treatment
Jackson, Thomas Wright
Plague; Rats as carriers of disease
TYPES OF PLAGUE.--Plague in man may be of several types and these are
designated by names descriptive of the symptoms or of the regions of
the body most affected. Thus we have bubonic, septicæmic and pneumonic
types. As both mild and virulent cases occur, we also use terms
descriptive of the severity and course of the cases. Thus we describe
certain cases as ambulant, abortive, larval and fulminant. In the rat
the evidences of plague are less striking in life than they are at the
post-mortem table. Indeed plague-stricken rats, either naturally or
artificially (experimentally) infected, often show very slight
evidences of disease before death. Chronic plague in rats and a
relative immunity to inoculation in certain wild rats are fairly well
recognized phenomena.
FLEA CONVEYANCE OF PLAGUE BACILLI.--Both male and female fleas convey
plague, but the exact method of carrying the plague bacilli from
diseased rats to man, while fairly well determined, is of such recent
decision as to leave room for further experimentation. At present it is
believed that the flea deposits plague bacilli, at the time of biting,
upon the skin, by ejecting the contents of its rectum and by
regurgitation of its stomach contents. At least the flea is known to
perform these acts at the time of biting, and the rubbing or scratching
of the flea bite with the hand may easily introduce the bacilli into
the skin at this spot.[1]
[1] Acknowledgment is hereby made to the Contributors to "The Rat and
Its Relation to Public Health" by various authors, prepared by
direction of the Surgeon-General, P. H. and M. H. S., for numerous
facts utilized in the preparation of this article. The particular
contributors whose valuable chapters have been drawn upon for
information are D. E. Lantz, C. W. McCoy, D. H. Currie, Carrol Fox,
Rupert Blue, W. C. Rucker, R. H. Creel, M. J. Rosenau, V. C. Heiser,
W. C. Hobdy, and J. W. Kerr.
The possibility that the flea introduces the plague bacilli upon his
mandibles, or the skin-piercing armament with which he is provided, is
also to be considered. However, the following facts support the first
proposition. It has been experimentally shown that the average capacity
of a flea's stomach is about one-half of a cubic millimetre and that
thousands of plague bacilli may be ingested by the flea during the
biting of a plague-diseased rat; that the plague bacilli multiply
enormously and for many days in the flea's stomach and that the bacilli
are found only in the insect's digestive tract; that plague bacilli are
regurgitated from the stomach and are voided from the rectum with the
digested blood.
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