The diagnostics and treatment of tropical diseasesStitt, E. R. (Edward Rhodes)
Science
The diagnostics and treatment of tropical diseases
Stitt, E. R. (Edward Rhodes)
Tropical medicine
On the other hand in 35 experiments, when fleas had access to
the spaces, plague infections were the rule. Again, guinea pigs
in cages which were suspended only two inches above a plague
flea infected floor, became infected, but other animals, which
were suspended so high that the fleas could not jump up to them,
remained well. Two cages, each containing a monkey, were placed in
a plague flea infected room. One was surrounded with a protecting
zone of 6 inches of “tanglefoot” fly paper, this being the limit
of the distance a flea can jump, while the other cage was not
so protected. The monkey in the cage without the sticky paper
contracted plague while the second monkey remained well. It is
only when there is a great incidence of plague among rats that
we have outbreaks of bubonic plague in man, and it has been noted
that the greater the epizootic, the more heavily infected was the
blood of the sick rats with the plague bacilli. A flea with a
stomach capacity of about ½ c.mm. could take in several thousand
plague bacilli in a feeding on a rat whose blood was teeming with
bacilli. The blood of a rat dying with plague may contain as many
as fifty million bacilli to the cc. Human blood rarely contains
more than a million to the cc. There is a multiplication of the
organisms in the flea, so that when it defecates, thousands of
plague bacilli are deposited near the puncture wound made by the
flea when subsequently feeding on a man. The infected faeces are
rubbed into the wound by the man in scratching the site of the
bite, so that we have here an instance of a contaminative method of
infection as contrasted with the inoculative method by the mosquito
in malaria.
[Illustration: FIG. 66.—1, _Ctenocephalus felis_. 2, _Ceratophyllus
fasciatus_. 3, _Hoplopsyllus anomalus_. 4, _Ctenopsylla musculi_.
5, _Xenopsylla cheopis_. 6, _Pulex irritans_. 7, Internal anatomy
of flea. (After Fox.) (_a_) Maxillary palpus; (_a_-1) epipharynx;
(_a_-2) mandible; (_a_-3) labial palpi; (_a_-4) maxillae; (_a_-5)
basal elements of rostrum and mandibles; (_b_) salivary pump;
(_c_) hypopharynx; (_d_) aspiratory pharynx; (_e_) muscles of the
aspiratory pharynx; (_f_) eye; (_g_) oesophageal ganglia (brain);
(_h_) thoracic ganglia; (_i_) oesophagus; (_j_) salivary duct;
(_k_) gizzard; (_l_) salivary gland; (_m_) stomach; (_n_) aorta;
(_o_) ovaries; (_p_) malpighian tubules; (_q_) pygidium; (_r_)
rectum showing rectal glands; (_s_) anus; (_t_) intestines; (_u_)
bursa copulatrix; (_u_-1) ductus obturatorius (blind duct); (_v_)
receptaculi seminis or spermatheca; (_w_) ducts of spermatheca; (_x_)
vagina; (_y_) uterus; (_z_) abdominal ganglia.]
Bacot and Martin have shown that while infection may take place as
the result of the faeces being rubbed into the wound made at the time
of feeding yet the ordinary way is probably by regurgitation from the
oesophagus of the flea at the time of feeding.
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