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
_B. icteroides_ grows as readily on culture media as does the
typhoid organism.
It was also shown that yellow fever blood, which was negative
for _B. icteroides_, could produce yellow fever when injected
subcutaneously. In 11 autopsies made shortly after death cultures
from various viscera were negative for _B. icteroides_. It was
then decided to abandon, as fruitless, further investigations as
to Sanarelli’s organism, and to take up the mosquito transmission
theory.
=Mosquito Transmission.=—In 1848, Doctor Nott, of Mobile,
strongly advocated the insect transmission of yellow fever but not
specifically incriminating the mosquito.
Riley from a study of Nott’s original paper, thinks that the author
had in mind invisible forms of insect life, which could act as
disease producers, and simply cited the mosquito to illustrate his
views. In 1853, Dr. Beauperthuis, in Guadeloupe, noted that malaria
and yellow fever ceased to exist in regions which from their
altitude fail to nourish “insectes tipulaires.”
He also thought that the virus of these diseases was introduced by
the channel of insect inoculation. Furthermore he stated that the
variety, zancudo bobo (_Stegomyia_), had white stripes on the legs
and was in a way the domestic species. However, there is a question
whether his zancudo bobo was _Stegomyia_ and furthermore if we
translate the expression _inoffensif_ as without result it would
negate the connection between this mosquito and disease production.
From 1881 Doctor Carlos Finlay had been advocating the transmission
of yellow fever by _Culex fasciatus_ (Synonym for _Stegomyia
calopus_).
In 100 experiments made by Finlay 13 cases of yellow fever
developed.
In no instance had these experimental mosquitoes fed on a yellow
fever patient more than six days previous to their biting and,
knowing that a period of at least twelve days must elapse, the
infections in the 13 cases could not have been brought about by
these experimental mosquitoes.
=Extrinsic Incubation.=—An observation by Carter influenced the
Commission in their investigations. Carter, in 1898, noted that a
period of about two weeks generally elapsed between the appearance
of the first case and the group of cases resulting from this first
case. He termed this period the “extrinsic incubation” and we now
know this as synonymous with the twelve-day period of incubation in
the mosquitoes infected by the first case plus the two to five days
of the period of incubation in man.
Public-domain text, read in full here on John Shaqi.
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