The Kingdom of ManLankester, E. Ray (Edwin Ray), Sir
History
The Kingdom of Man
Lankester, E. Ray (Edwin Ray), Sir
African trypanosomiasis; Human beings; Science -- History
Bruce continued his work in Uganda until the end of August, 1903,
having been joined there by Colonel Greig of the Indian Army, who
has continued the work of the Royal Society’s commission since Bruce
left. Other valuable observations have been carried out by various
medical men officially connected with the Uganda Protectorate.
Bruce soon showed that in every case of sleeping sickness, when
examined with sufficient care, the trypanosome parasite is found to
be present in the cerebro-spinal fluid. He also showed that it is
absent from that fluid in all negroes examined who were not afflicted
with the disease, but made the very important discovery that the
trypanosome is present in the blood (not the cerebro-spinal fluid)
of twenty-eight per cent. of the population in those areas where
sleeping sickness occurs, the persons thus affected having none of
the symptoms of sleeping sickness, but being either perfectly healthy
or merely troubled with a little occasional fever. The subsequent
history of all the cases thus observed has not as yet been recorded.
But in many such, even in some Europeans, the earlier presence of
the trypanosome in the blood has been followed by its entry into the
cerebro-spinal lymphatics, and by the fatal development of sleeping
sickness.
As already indicated, it was found by Bruce, on recording the cases
of sleeping sickness brought into or reported in Entebbe, that there
were certain “sleeping-sickness areas” and other areas free from
sleeping sickness. The theory now took shape in Bruce’s mind that
the trypanosome first gets into the blood, and then after a time,
makes its way into the cerebro-spinal system, only then producing
its deadly symptoms. Very generally, when once in the blood, the
trypanosome multiplies itself, and sooner or later--apparently,
in some cases, even after two or three years--gets into the
cerebro-spinal fluid. It is probable that it may be destroyed by
natural processes in the human body before this final stage is
reached; and thus the infected person may recover and escape the
deadly phase of the disease. But nothing certain is known, as yet,
on this head. Later observations show that the trypanosome is found
alive and in large quantity in the lymphatic glands, especially those
in the region of the neck in infected persons. These glands were
known to be enlarged in persons suffering from the disease.
Public-domain text, read in full here on John Shaqi.
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