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
Observance of these instructions may save the lives of
yourselves, your families and your tenants. It is your duty
to do your part in this matter, a part which neither the
Bureau of Health nor the Government can do for you.
Through very great effort the Bureau of Health has controlled
plague in Manila and the Philippine Islands during the last
two years.
Residents must now do their part, and owners of property must
permanently make their buildings safe for tenants, both for
business and residential purposes.
BACTERIOLOGIC OBSERVATIONS MADE BY DR. OTTO SCHÖBL.--The following
observations upon the bacteriologic aspect of the Manila epidemic which
we are considering were made by Dr. Otto Schöbl of the Biological
Laboratory of the Bureau of Science, Manila, and pertain to the cases
of the first year of the epidemic. They were printed in the December
number of the _Philippine Journal of Science_ in 1913, but as they
belong so definitely to the epidemic I am describing and as Dr. Schöbl
has expressed his willingness for me to quote them in full, I gladly
accept his permission. Dr. Schöbl advanced the possibilities of
blood-culture diagnosis to such a point of reliability that it became
practically possible for us to expect positive culture in nearly every
case of true plague and the whole matter of bacteriologic diagnosis was
perfected to a high degree of efficiency under his administration of
the laboratory work.
He relates his observations as follows:
During the recent outbreak of plague in Manila, I had the
opportunity to make certain observations which are of
interest. These observations were made in the examination of:
(1) Specimens taken from patients and from dead bodies at
autopsies, (2) samples of blood-sucking insects collected in
houses where plague patients had lived, (3) rodents caught by
trap or poisoned in the parts of the city where plague cases
occurred from time to time, and (4) domestic animals suspected
of plague infection.
I. BACTERIOLOGICAL EXAMINATION OF PLAGUE PATIENTS
In order to secure as early diagnosis as possible, the
following procedure of investigation was adopted:
1. The bubo was aspirated by means of a sterile hypodermic
syringe. The material thus obtained was placed in the water
of condensation of an agar-slant culture tube.
2. At least 7 centimetres of blood were withdrawn from the
_cubital_ vein by means of another sterile syringe, and 5
centimetres of it were placed in an Erlenmeyer's flask,
containing 200 centimetres of neutral meat broth. The rest of
the blood was emptied into a sterile tube, and used for
agglutination tests.
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