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
The American Commission obtained ova from Doctor Finlay and from
these ova mosquitoes were hatched for the experimental work. Of 11
susceptible persons, bitten by contaminated mosquitoes, the first 9
remained uninfected while the two volunteers, bitten subsequently
(Aug. 27 and 31), developed the disease. One of these cases was
that of Doctor Carroll, whose infection was brought about by one
of these laboratory reared mosquitoes which had fed on 4 cases
of yellow fever, two of which were severe cases and two mild.
This mosquito had fed on one of the severe cases just twelve days
previously. The other case was bitten by 4 contaminated mosquitoes,
one of which was the one that had infected Doctor Carroll.
Of the 9 negative cases 6 were bitten by mosquitoes which had fed
on yellow fever patients from the fifth to the seventh day of
the disease and the remaining 3 failures were where the interval
between contamination and biting the volunteer was from two to six
days only.
At this time the medical mind was obsessed with the idea that
yellow fever was transmitted by fomites.
It had been forgotten that Cathrall, in 1800, had failed to infect
himself with black vomit and that Ffirth, in 1804, in order to
obtain material for a graduation thesis, swallowed black vomit
and smeared it, as well as blood, upon wounds he had made on
his skin with negative result. (It will be remembered that the
fourth proposition of the French Commission was that application
of infectious serum to the abraded skin would not produce the
disease—the hypodermic injection being required.)
=Fomites.=—To settle the question of the relative importance of
fomites and infected mosquitoes the Commission caused two houses,
14 × 20 feet, to be erected, one well ventilated for the infected
mosquitoes and the other poorly lighted and ill ventilated for the
black vomit contaminated clothes, sheets and blankets (fomites).
A medical officer and two privates of the Hospital Corps slept in
this room for twenty days in most intimate contact with the infected
material. No infections resulted.
There were other experiments with similar results.
One of the occupants of the fomites building was afterward
inoculated subcutaneously with 2 cc. of blood taken from a patient
in the first day of the disease and developed yellow fever after
four days of incubation. This proved that he was susceptible to
yellow fever.
Blood from this patient, taken in the first three days of his
attack, was injected into a third man who also developed yellow
fever. This experiment was to prove that the production of the
disease was due to a virus capable of multiplying rather than to a
toxin. Of course, it would be impossible to conceive of a toxin so
potent that it could produce symptoms in a third man when diluted
in the circulation of the second man.
Public-domain text, read in full here on John Shaqi.
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