Anthrax, which is due to a spore-bearing organism, can certainly be
conveyed to animals browsing on grass soiled by the dung or blood of
infected animals. The bacilli seem to die in the carcase of a dead
animal within three days after death; and as, for spore formation, the
free access of air and a temperature of 70° F. are necessary, it is not
likely that this goes on in the earth. Pasteur's assertion that anthrax
spores may be brought to the surface by earthworms is discredited by
Koch and others. Man, I believe, has never been infected with anthrax
except by direct inoculation or, as in the wool-sorter, by inhaling
spores from infected wool or hides. Clearly, animals should not be
allowed to browse in an infected field, and such fields should, where
possible, be ploughed up and converted from pasture into arable land.
The danger of burying animals dead of anthrax is considered unworthy
of credence by those eminent veterinary authorities, Professor Brown
and Professor McFadyean, and the latter has shown that the process
of putrefaction is fatal to the virulence of the tissues of the dead
animal when these are inoculated into other animals or administered by
the mouth.
Enteric fever and cholera bear a close resemblance to each other in
their mode of spread, and they are both recognised in this country
as mainly, if not entirely, water-borne diseases. Whether this be
absolutely the case in the tropics I will not pause to discuss, because
I am ignorant of the conditions of tropical life; but it is known that
at present the water-borne theory, as against the air-borne theory,
is receiving more and more support in India. That these diseases are
produced in most cases by the direct infection of water by the excreta
of infected patients is in Europe very generally acknowledged. The
cholera epidemics of 1848, 1854, and 1866, and the more recent epidemic
at Hamburg, strongly support the water-borne theory of cholera, and
the enteric fever epidemics which afford similar evidence in this
country have been so numerous that it is unnecessary to particularise.
The spread of both these diseases seems to be favoured by conditions
of filth and overcrowding, and the existence of a filthy and sodden
condition of the soil has been often spoken of in connection with them.
Nevertheless, there have been very few outbreaks of enteric fever in
which the fact that cesspools, sewers, or underground middens have
been in direct communication with the sources of water has not been
detected. If, as seems highly probable, typhoid fever may be conveyed
by sewer air, there is nothing improbable in the suggestion that it can
be conveyed by the air of privies or middens in which fæces are allowed
to putrefy. That typhoid fever poison can lurk in properly-tilled
ground seems very unlikely, and I am not aware that such a thing
has ever been suggested. Pettenkofer's statement, that epidemics of
typhoid fever and cholera follow depressions of the ground water may
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