History, Modern -- 19th century; Nineteenth century
A race of diphtheria bacilli, which has been found to yield a poison of
great virulence in alkaline beef broth, is grown for a week or ten days
in this medium. The toxin is then separated and its virulence exactly
determined. It is preserved in sterile receptacles for immediate or
future use. The next step is the inoculation of a suitable animal with
the toxin. Of all animals the horse has been found to meet nearly every
requirement. Such an animal, in a state of perfect health, receives
an injection of twenty cubic centimetres of toxin, along with ten
or fifteen of standard antitoxin, beneath the skin of the neck or
fore-quarters, upon three separate occasions at intervals of five days.
After this it receives increasing doses of toxin, alone, at intervals
of six to eight days, until, at the end of two months, it is able to
stand with little discomfort doses of such strength that if given in
the first stage these doses would have quickly caused death.
At this period the horse is bled to a small extent, and its serum
tested to ascertain if prospects are good for the production by the
animal of a high grade of antitoxin. If satisfactory progress has been
made, the injections are continued for another month, when, as a rule,
the maximal degree of antitoxic power in the serum will have been
attained.
The horse is now bled to the proper extent, the blood being received
in a sterile jar and placed in an ice-box. Here it coagulates, and
the serum separates from it. When the separation of clot and serum
is complete, the latter is drawn off, taken to the laboratory, and
standardized. This being finished, an antiseptic fluid is added to
preserve the serum from decomposition. It is then bottled, labelled,
and sent out for use.
In similar fashion tetanus antitoxin is prepared; and quite recently
Calmette has produced an antitoxic serum for use in snake bite, by
injecting horses with minute increasing doses of snake venom. His
experiments have given some remarkable results, not only in laboratory
work, but also in cases of actual snake bite occurring in man. Thus
bacteriological scientists, after years of laborious work, in the face
of much criticism and severe denunciation, may confidently announce
that they have in their possession a magic key to one of nature’s
secret doors. The lock has been turned. The door stands partly open,
and we are permitted a glimpse of the future possibilities to be
attained in the great fight against disease.
PREVENTIVE MEDICINE
The following are some of the diseases which have been remarkably
controlled through preventive medicine:
Public-domain text, read in full here on John Shaqi.
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