The suppression of tuberculosis: $b Together with observations concerning phthisiogenesis in man and animals and suggestions concerning the hygiene of cow stables and the production of milk for infant-feeding, with special reference to tuberculosisBehring, Emil von
Science
The suppression of tuberculosis: $b Together with observations concerning phthisiogenesis in man and animals and suggestions concerning the hygiene of cow stables and the production of milk for infant-feeding, with special reference to tuberculosis
Behring, Emil von
Tuberculosis -- Prevention
In the scientific controversy as to whether the virus of consumption
and that of _perlsucht_ belong to the same species or not, various
misunderstandings have prevented an agreement. Very often the terms
“similar species” and “different species” have been used in a different
sense. It is, of course, wholly a matter of individual judgment where
to draw the line limiting the membership of what, in our minds,
constitutes a species. Even if we apply Darwin’s definition and include
under the term “species” only “organisms of similar origin,” the term
is still very elastic. However, in the light of our present biological
knowledge, based on Darwin’s theory of evolution, we are under no
circumstances permitted to take as a criterion for like and unlike
species such an easily influenced factor as the degree of virulence,
i.e., the capacity for giving rise to pathological changes in another
organism. _Nowadays all botanists and zoologists are agreed on this,
that membership in a species is determined by the origin of the
organism._ An anthrax culture, which has been made entirely avirulent
by means of Pasteur’s procedure for reducing virulence, surely belongs
to the same species as does the virulent variety from which it was
derived. And in this case the difference in the degree of virulence
is far greater than it ever is between human and bovine tubercle
bacilli. If we keep in mind all the functional differences that have
experimentally been shown to exist between tubercle bacilli which
have long lived in a human body and those which have long lived in a
bovine body, we shall surely not go wrong when we assume that with a
little patience and expert knowledge we shall be able to make these two
varieties absolutely similar again, even in respect to their virulence.
Passing now to the discussion of the real subject of my lecture I shall
try to give you an idea of the distribution of tuberculosis in the
human species. Although the number of persons dying of consumption is
frightfully large, the number of tubercular, and tubercularly infected,
persons is much larger. Not until recent years have we secured
tolerably reliable data to enable us to judge of the distribution of
tuberculosis in civilized countries.
If we classify as tuberculous every case in which there are
pathological changes due to tubercle bacilli, then surely the
oft-quoted saying of the noted Greifswald physician is true, “We are
all a bit tuberculous.” It has not been easy to demonstrate this fact
scientifically, and it would have been impossible of demonstration
without the two epoch-making discoveries of Robert Koch, that of
tubercle bacilli, and of tuberculin.
Public-domain text, read in full here on John Shaqi.
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