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
4. The blood of a yellow fever patient in the first three days, which
was sterile for _B. icteroides_, was capable of producing the disease
when injected subcutaneously. If heated to 55°C. for ten minutes
the virus was destroyed however. Furthermore, infectious blood when
passed through a Berkefeld filter remained infectious, thus showing
that the virus is a filterable virus.
The French Commission verified these findings and in addition
brought out the following points.
1. Cutaneous vaccination with infective serum is without result.
2. Infectious serum loses its yellow fever-producing power in
forty-eight hours unless preserved under liquid petrolatum when it
remains virulent for five days.
3. Infectious serum if heated for five minutes at 55°C. loses its
virulence but has prophylactic and curative power.
4. Besides the method of hypodermic inoculation yellow fever can
only be transmitted by the bite of a mosquito in which the virus
has remained for at least twelve days.
5. In one instance it was thought that the progeny of infected
mosquitoes transmitted the disease. Rosenau and Goldberger, in 38
experiments, failed to obtain such result.
_Paraplasma flavigenum._—In 1909, Seidelin reported certain minute
protozoa as existing in the red cells of yellow fever patients.
He considered them as related to the piroplasms and gave the name
_Paraplasma flavigenum_. It is stated that the parasite has been
found as late as the fourteenth day from the onset of the attack.
The idea is advanced that there may be carriers of yellow fever.
These claims are generally denied.
=Epidemiology.=—There are numerous records which attest the almost
universal susceptibility to yellow fever. In the Orwood epidemic,
Carter has reported that of 46 persons entering an infected house,
“Gray Mansion,” 45 contracted yellow fever.
On the “Lombardia,” with a complement of 249, there were 242 cases
and 134 deaths. The 7, who escaped, were immunes.
The idea that the colored race possesses immunity is now thought
to be connected with the contraction of the disease in infancy
or childhood, attacks at this period of life being very mild and
difficult of diagnosis.
_Immunity._—As proof that such immunity is not racial we may note
that in Ecuador the natives of the endemic area about Guayaquil
possess an immunity due to mild attacks in childhood, but the natives
of Quito, 300 miles distant, where there is no yellow fever, do not
possess it, and many residents of Quito have contracted the disease
when passing through Guayaquil to take steamer to Europe.
Public-domain text, read in full here on John Shaqi.
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