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
In the other building there was a screen partition dividing the
space into two compartments, one containing 15 contaminated
mosquitoes, the other with the same air but without mosquitoes.
Controls occupying the mosquito free section remained free
from yellow fever, while those exposing themselves in the
mosquito-containing compartment developed yellow fever. One of
these cases was bitten by mosquitoes contaminated thirty-nine days
previously, a second one with fifty-one day insects and a third,
who developed a severe case, was bitten by mosquitoes contaminated
fifty-seven days previously.
As above stated the Commission inoculated men subcutaneously with
blood, taken from yellow fever patients in the first three days of
the disease, with positive results. It was also found that if the
blood was heated to 55°C., for ten minutes the virus was destroyed
and, finally, it was found that the filtrate from a Berkefeld
filter was infectious, thus showing that the virus was so minute
as to pass through the pores of a filter which would hold back the
smallest known bacterium (_filterable virus_).
_Experiments of Guiteras._—During the summer of 1901 Doctor
Guiteras, with a view to immunity production, repeated the
experiments of the Army Commission and infected 8 persons, 3 of
whom died. Gorgas thinks the greater severity of these infections
may be explained by greater virulence of the virus developing
in the mosquito during the hot season. It is known that the
development of this virus requires fifteen to twenty days in winter
as against the twelve days for summer.
_Note._—Doctor Lazear, who had charge of the mosquito work of the
Commission, tried to infect himself with experimental insects prior
to his applying a twelve-day mosquito to Doctor Carroll. About
three weeks later he was bitten by a mosquito which he did not at
the time consider a _Stegomyia_. The attack of yellow fever which
resulted from this bite ended fatally.
_To summarize, the American Commission found:_
1. That _B. icteroides_ had nothing to do with yellow fever.
2. That fomites was a negligible factor.
3. That _Stegomyia calopus_, when fed on the blood of a yellow fever
patient, in the first three days of the disease, became contaminated
and, after a period of twelve days, but not before, was capable of
transmitting the disease to a susceptible person. Once infectious the
mosquito so remained for the rest of life.
[Illustration: FIG. 43.—_Aedes calopus_ (_Stegomyia calopus_),
female. From P. H. Reports.
FIG. 44.—_Aedes calopus_ (_Stegomyia calopus_), male.
From P. H. Reports.]
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