A variety of suggestions have been made, several of which can be
shortly dismissed. It was thought, at one time, that infection might
be conveyed by the animal eating the infected fleas. But it is very
improbable that this means of infection is of any real importance, even
if it may sometimes occur. Experiments in feeding have shown that an
animal is unlikely to become infected by swallowing material containing
plague bacilli, unless the amount is considerable. Moreover we know
that infected fleas confined in test-tubes readily convey the disease
when allowed to bite an animal. In such cases the situation of the
primary bubo corresponds with the area of skin upon which the fleas are
placed. That the transmission of plague is due to the _bite_ of the
flea seems abundantly clear.
It has also been suggested that the proboscis of the flea acts as a
mechanical instrument for the transference of the bacilli. No doubt
the outside surface of the flea’s proboscis must become contaminated,
when it sucks the blood of a plague-stricken rat; but it is difficult
to suppose that contamination of the proboscis can explain cases of
continued infectivity during which the flea has been feeding regularly
upon healthy animals.
Next, there is a hypothesis that the salivary glands of the flea become
infected and that the bacilli are inoculated along with the saliva.
The reader will remember that when a flea sucks, a stream of saliva is
pumped down the mandibles into the puncture. But this hypothesis is
shattered by the fact that plague bacilli are apparently confined to
the alimentary canal of the flea, and that they have never been found
in the salivary glands.
An apparently more probable explanation, that the contents of the
stomach (in which as we know the bacilli may multiply) are regurgitated
and transferred to the wound by the mouth-parts, is rendered less
credible when we remember that there is a valvular arrangement at
the opening of the flea’s stomach which seems to make such a thing
impossible.
Public-domain text, read in full here on John Shaqi.
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