The conquest of cancerWright, H. W. S. (Henry Wardel Snarey)
Science
The conquest of cancer
Wright, H. W. S. (Henry Wardel Snarey)
Cancer
When we speak about “the” cause of a “disease”, in a generalised or
conceptual sense, as when we say that Koch’s bacillus is “the cause
of tuberculosis”, we are really defining our concept of the disease
in terms of _one_ correlative. We are saying that tuberculosis is a
disease in which Koch’s bacillus is invariably present. A _circulus
in definiendo_ is only just escaped because we happen to know that,
if Koch’s bacillus is injected into certain animals, the “disease”
as we say, develops. Koch’s bacillus is the one constant correlative
found in all cases of the kind that we agree to call tuberculous,
by reason of certain clinical and pathological signs that we find.
Possibly even this statement is not to be taken as absolutely true;
though it represents what we find it convenient to say. But, when we
thus declare Koch’s bacillus to be “the” cause of tuberculosis, we
have by no means exhausted the study of all the correlations that may
be called causal in respect of _particular_ cases. Of ten cases of
tuberculosis, each one exhibiting Koch’s bacillus, we may say that _for
each particular case_ “the” cause of the illness is different.
Thus:
A. is tuberculous because he was gassed in France;
B. is tuberculous because he was infected by his sick
wife;
C. is tuberculous because he drank tuberculous milk;
D. is tuberculous because he worked in an ill-ventilated
factory;
E. because he was exposed to wet and cold; and
F. because he drank and was dirty.
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