History, Modern -- 19th century; Nineteenth century
_Pneumonia._—While there has been a remarkable diminution in the
prevalence of a large number of all the acute infections, one disease
not only holds its own, but seems even to have increased in its
virulence. In the mortality bills, pneumonia is an easy second to
tuberculosis. It attacks particularly the intemperate, the feeble,
and the old, though every year a large number of robust, healthy
individuals succumb. So frequent is pneumonia at advanced periods of
life that to die of it has been said to be the natural end of old men
in this country. In many ways, too, it is a satisfactory disease, if
one may use such an expression. It is not associated with much pain,
except at the onset, the battle is brief and short, and a great many
old persons succumb to it easily and peacefully.
We know the cause of the disease; we know only too well its symptoms,
but the enormous fatality (from twenty to twenty-five per cent.) speaks
only too plainly of the futility of our means of cure, and yet in no
disease has there been so great a revolution in treatment. The patient
is no longer drenched to death with drugs, or bled to a point where
the resisting powers of nature are exhausted. We are not without hope,
too, that in the future an antidote may be found to the toxins of the
disease, and of late there have been introduced several measures of
great value in supporting the weakness of the heart, a special danger
in the old and debilitated.
_Hydrophobia._—Rabies, a remarkable, and in certain countries a
widespread, disease of animals, when transmitted to a man by the bite
of rabid dogs, wolves, etc., is known as hydrophobia. The specific
germ is unknown, but by a series of brilliant observations Pasteur
showed (1) that the poison has certain fixed and peculiar properties in
connection with the nervous system; (2) that susceptible animals could
be rendered refractory to the disease, or incapable of taking it, by a
certain method of inoculation; and (3) that an animal unprotected and
inoculated with a dose of the virus sufficient to cause the disease
may, by the injection of proper anti-rabic treatment, escape. Supported
by these facts, Pasteur began a system of treatment of hydrophobia in
man, and a special institute was founded in Paris for the purpose. When
carried out promptly the treatment is successful in an immense majority
of all cases, and the mortality in persons bitten by animals proved to
be rabid, who have subsequently had the anti-rabic treatment, has been
reduced to less than one-half per cent. The disease may be stamped out
in dogs by careful quarantine of suspected animals, and by a thoroughly
carried out muzzling order.
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