The Fundamentals of BacteriologyMorrey, Charles Bradfield
Science
The Fundamentals of Bacteriology
Morrey, Charles Bradfield
Bacteriology
In _active_ immunity the organism may be introduced in what is to
be considered a natural manner, as when an animal becomes infected,
has a disease, without human interference. Or the organism may be
purposely introduced to bring about the immunity. For certain purposes
the introduction of the products of the organism (toxins) is used to
bring about active immunity (preparation of diphtheria and tetanus
antitoxin from the horse). The method of producing active immunity by
the artificial introduction of the organism is called _vaccination_,
and a _vaccine_ must therefore contain the organism. _Vaccines_ for
_bacterial_ diseases are frequently called _bacterins_. The use of
the blood serum of an immunized animal to confer passive immunity on
a second animal is properly called _serum therapy_, and the serum so
used is spoken of as an _antiserum_, though the latter word is also
used to denote any serum containing any kind of an antibody (Chapters
XXVII-XXXI). In a few instances both the organism and an antiserum are
used to cause both active and passive immunity (_serum-simultaneous
method_ in immunizing against hog cholera).
In producing active immunity the organism may be introduced (_a_)
_alive and virulent_, but in very small doses, or in combination with
an immune serum, as just mentioned for hog cholera. The introduction
of the live virulent organism alone is done only experimentally as
yet, as it is obviously too dangerous to do in practice, except under
the strictest control (introduction of a _single tubercle_ bacillus,
followed by gradually increasing numbers--Barber and Webb). More
commonly the organisms are introduced (_b_) alive but with their
_virulence reduced_ (“attenuated”) in one of several ways: (1) By
passing the organism through another animal as is the case with
_smallpox vaccine_ derived from a calf or heifer. This method was
first introduced by Jenner in 1795 and was the first practical means
of preventing disease by _vaccination_. This word was used because
material was derived from a cow--Latin _vacca_. (2) By drying the
organism, as is done in the preparation of the vaccine for the _Pasteur
treatment of rabies_, where the spinal cords of rabbits are dried for
varying lengths of time--one to four days, Russian method, one to three
days, German method, longer in this country. (It is probable that the
passage of the “fixed virus” through the rabbit is as important in this
procedure as the drying, since it is doubtful if the “fixed virus” is
pathogenic for man.) It would be more correct to speak of this as a
_preventive vaccination against rabies_, since the latter is one of the
few diseases which is not amenable to _treatment_. The patient always
dies if the disease develops. (3) The organism may be attenuated by
growing at a temperature above the normal. This is the method used in
preparing _anthrax vaccine_ as done by Pasteur originally. (4) Instead
of growing at a higher temperature the culture may be heated in such
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