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
(_c_) Alsberg has shown that in recent years new methods of
harvesting corn have become common in the Southern States of the
United States. Instead of topping the corn it is cut and shocked
with the result that conditions are more favorable for the spoiling
of the corn. He also notes that varieties of corn are now planted
which have a greater oil content, which means a larger embryo, and
that it is this embryo which most easily spoils. Again he notes
that much corn is now raised in Northern States where the season
is shorter, so that there is a greater probability of immature
corn being marketed. All of these facts might explain the recent
appearance of pellagra in the U. S. and its previous nonexistence.
Thomas has shown that where 30 grams of a _superior protein_, such
as that of meat, would suffice, it would require 102 grams of corn
protein, an _inferior protein_. This inferiority is due to a lack
of assimilability of the amino-acids of corn protein. Protein
deficiency is the outstanding feature of a pellagra-producing diet
and in the corn protein we have one of inferior value.
_The Antizeistic Views._—As a rule the advocates of nonimportance
of maize in the production of pellagra hold that we are dealing with
an infectious disease and that it can only come into existence by
transmission from some other case.
1. The Thompson-McFadden Commission, while holding a very
conservative attitude, feel that certain faecal bacteria may be the
etiological factors.
2. Alessandrini believes that the causative factor may be present
in certain waters.
These views are that colloidal silica in water is responsible
for the disease. Voegtlin noted the great amount of aluminium
in certain vegetables and suggested this as the toxic causative
substance. A mixture of colloidal alumina and silica in water is
supposed to be operative as well as silica alone. Against the
colloidal silica hypothesis is the statement of Sandwith that the
water of the Nile, the drinking water of Egypt, is low in colloidal
silica content.
3. Long has suggested that amoebae may be the cause.
4. Tizzoni has incriminated a streptobacillus which he stated he
found in the blood and organs of pellagrins as well as growing on
maize.
=Epidemiology.=—As the result of very careful epidemiological
studies the Thompson-McFadden Pellagra Commission came to the
conclusion that there was evidence against the transmission of
pellagra by ticks, lice, bedbugs, cockroaches, fleas, mosquitoes and
buffalo gnats (_Simulium_).
They were rather disposed to consider that the disease showed a
greater prevalence where the disposal of faeces was unhygienic, as
in unsanitary privies, and that the existence of an efficient water
sewerage system prevented pellagra. If faecal bacteria should act
as infectious agents then the house fly would possibly be worthy of
suspicion.
Public-domain text, read in full here on John Shaqi.
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