It spread swiftly through the Roman Empire. In the fourteenth century
the same disease under the name of the Black Death again ravaged
Europe. Again the mortality was enormous. Millions perished little
suspecting that fleas could be connected with their fate. Everywhere
popular tradition reported the plague as the most highly contagious of
all diseases.
In the history of science the plague epidemics in Egypt between 1833
and 1845 are of importance, because the disease was, for the first
time, seriously studied by skilful French physicians. Some of the
French medical school went so far as to deny contagion altogether.
The modern view is that aerial infection may be put aside as almost
impossible except in pneumonic cases; but that plague may be
transmitted by any method which inoculates the blood with _Bacillus
pestis_.
Our modern knowledge dates from the year 1894 when the plague reached
Hong Kong. Its existence as a rat disease was recognised. In the
autumn of 1896, when plague broke out in India, the men of science,
who made careful observations on the spot, were struck by the fact
that infection spread from house to house in a fashion that seemed
inexplicable, unless the bacillus was carried by an animal.
We pass now from rats to fleas. That fleas might be connected with the
spreading of plague was suggested in the year 1897 when Ogata first
found bacilli in fleas. He obtained fleas from plague-sick rats. These
he crushed, and injected the liquid into a couple of mice. One of
these died of plague in three days. The German Plague Commission in
Bombay found plague bacilli in fleas, but, for various reasons, did not
consider that the bite of the flea was the means by which the disease
was transmitted.
The real credit is due to Simond, a Frenchman, who worked during the
Indian epidemics. He took fleas from infected animals and observed in
their stomachs bacilli identical with _B. pestis_. He suggested that
the bacillus was carried from rats to men; and he brought forward some
evidence tending to show that infected fleas could transmit infection
by biting. But Simond was not able to bring forward conclusive
proof. He pointed out a line of research to others which has proved
exceedingly fruitful. In the same year (1898) Hankin suggested that
some biting insect might be the means of transmission from rats to man.
The bacillus of plague has now been identified in ants, bugs, and flies
as well as fleas. It seems likely that any suctorial insect which feeds
on a plague-stricken rat will take numbers of the bacilli into its
stomach.
Public-domain text, read in full here on John Shaqi.
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