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
=Epidemiology.=—Practically the only method of transmission of the
disease is by the bite of infected tsetse flies. The female gives
birth to a single, yellowish brown, motile larva, which is almost as
large as the mother and which, upon reaching the ground, bores its
way into a coarse, sandy soil for a depth of about two inches and
then becomes a pupa. The larval stage in the mother lasts about two
weeks and the pupal stage about a month.
The tsetse fly is much like _Stomoxys_, but has a branching of
the feathering of the arista, long palps, a bulb to the proboscis
and a characteristic upbending of the fourth longitudinal vein
to meet the mid-cross vein. The female deposits her larva near a
shady place upon loose, dry, sandy soil. Moisture and sunlight are
not favorable for pupal development, the sun being particularly
injurious, so that pupae, buried only an inch deep and away from
shade, are killed. This fact has been utilized in prophylaxis by
cutting down the trees. The trouble is that the bush growth which
soon follows is favorable as providing shade for the pupae.
Male and female flies bite and transmit the disease. They bite in
the daytime, usually from 9 A.M., to 4 P.M., and will bite in the
sunlight.
It has been stated that tsetse flies are attracted by persons
wearing khaki clothing.
With a view to eradication of the disease certain areas have been
depopulated, but upon examining the flies caught in the district a
year or more later, infected flies have been obtained. This would
indicate some other reservoir than man. It is now generally conceded
that the trypanosome strain in the antelope is the same as _T.
rhodesiense_, both being transmitted by _G. morsitans_.
Taute, however, believes them different as he not only injected
blood containing such trypanosomes into himself, with negative
result, but also allowed flies which had fed on antelopes, which
were infective for laboratory animals, to feed on himself, likewise
with negative result. It is a well-known fact that men in good
condition are refractory to trypanosome infection so that this
courageous experiment does not prove the antelope strain to be
different from the human one.
One measure that has been proposed is to kill off the big game from
a certain area with a view to depriving the flies of their main
source of infection.
The probabilities of an animal reservoir for _T. gambiense_ however
is not so well settled. Many think that we may have trypanosome
carriers and that such persons in the enjoyment of health may act
as reservoirs of the virus. Koch suggested that crocodiles were
important factors in the life of the tsetse flies and recommended
the destruction of the crocodile eggs.
Public-domain text, read in full here on John Shaqi.
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