The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
The fact that such individuals are _known to have had the disease_ is a
guide for control. The methods to be used are essentially the same as
for the sick, (_a_), though obviously such human carriers are much more
difficult to deal with since they are well.
(_c_) Another class of carriers is those who have never had the
disease. Such individuals are common and are very dangerous sources
of infection. Many of them have _associated with the sick or with
convalescents_ and these should always be suspected of harboring the
organisms. Their control differs in no way from that of class (_b_).
Unfortunately a history of such association is too often not available.
Modern transportation and modern social habits are largely responsible
for the nearly universal distribution of this type of carrier. Their
detection is probably the largest single problem in the prevention
of infectious diseases. A partial solution would be universal
bacteriological examination. In our present stage of progress this is
impossible and would not detect carriers of diseases of unknown cause.
The various classes of carriers just discussed are in a large part
responsible for the continued presence of the commoner diseases
throughout the country. The difficulties in control have been
mentioned. A complete solution of the problem is not yet obtained. The
army experience of the past few years in the control of infectious
diseases shows what may be done.
There is another class of carriers which might be called the “universal
carrier,” _i.e._, there are certain organisms which seem to be
constantly or almost constantly present in or on the human body. These
are _micrococci_, _streptococci_ and _pneumococci_, all _Gram positive_
organisms. They are ordinarily harmless parasites, but on occasion may
give rise to serious, even fatal, infection. Infected wounds, pimples,
boils, “common colds,” most “sore throats,” bronchitis, pneumonia are
pathological conditions that come in this class. Such infections are
usually autogenous. There is a constant interchange of these organisms
among individuals closely associated, so that all of a group usually
harbor the same type though no one individual can be called _the_
carrier. Whenever, for any reason, the resistance of an individual (see
Chaps. XXV et seq.) is lowered either locally or generally some of
these organisms are liable to gain a foothold and cause infection. It
sometimes happens that a strain of dangerous organisms may be developed
in an individual in this way which is passed around to others with its
virulence increased and thus cause an epidemic. Or, since all of the
group are living under the same conditions the resistance of all or
many of them may be lowered from the same general cause and an epidemic
result from the organism common to all (pneumonia after measles,
scarlet fever and influenza in camps). Protection of the individual is
chiefly a personal question, _i.e._, by keeping up the “normal healthy
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account