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
Seasonal conditions may affect the course of an epidemic in various
ways. (a) By effect upon flea prevalence, cold weather greatly
lessening the number of insects. (b) By effect upon rats, cold weather
and rains either driving them from overground to underground, or vice
versa, or from their principal avenues of travel in cities (the
sewers), into houses and buildings. (c) By effect upon the plague germ,
_Bacillus pestis_. The resistance of this organism is very variable,
sunlight and drying being its greatest enemies, while darkness and
dampness are its chief allies. So far as temperature is concerned, the
plague bacillus is not likely to be seriously affected by natural
temperatures, as it is not destroyed by heat below 150 degrees
Fahrenheit, nor by cold measured by zero Fahrenheit, which means that
it survives freezing, generally speaking.
It is probable that the periods of greatest seasonal prevalence of
plague will be found to correspond generally with increased prevalence
of rat fleas. During the periods when rat fleas are absent or least
prevalent, the disease is perpetuated in the form of chronic (subacute)
rat plague in a small number of the rodents. The India Plague
Commission made and verified this observation.
Cholera epidemics often abate spontaneously and this is believed to be
due in part to attenuations of virulence and changes in the cholera
organism which may be demonstrated in the laboratory. We can hardly
hope for such spontaneous abatements in plague epidemics, as it has
been found difficult to attenuate or to intensify cultures of plague
bacilli permanently in laboratory experiments with animals. If it is
true that plague epidemics are often marked by a preponderance of mild
cases in the early days and a gradual subsidence of intensity of the
cases as the epidemics wane, we probably will have to look to the
susceptibility of our patients for our explanation of this phenomenon,
rather than to variations in the virulence of the plague bacilli. If
plague bacilli continue to be distributed to susceptible people the
disease should continue with a general stability of virulence.
Public-domain text, read in full here on John Shaqi.
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