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
Upon reflection it will at once be seen that from these experimental
data showing the ready penetrability of the infantile mucous membrane,
another logical deduction follows: If even non-virulent anthrax bacilli
introduced per stomach gain ready access to the circulation of the
new-born, then it must be possible for all the bacteria of milk to do
the same, and we may therefore expect that the accidental presence of
pathogenic bacteria in the milk fed to infants will exercise a damaging
influence on the infant organism. In considering their pathogenic
possibilities the amount of the infectious germs which enter the
system must, of course, be a matter of some importance. Under certain
conditions, however, even a few germs may be sufficient to excite
disease, for in the intestines, especially in the cæcum, they find
an excellent place of incubation where they can multiply. A milk
very poor in disease germs may thus lead to a virulent infection. In
breast-fed infants the danger of introducing disease germs, excepting
tubercle bacilli, of which I shall speak later, is not very great,
for it is very unusual for living germs derived from the interior of
the body to appear in the milk. The germs which can be found, even in
perfectly fresh milk, are derived from the surface of the body, or
from the mouths of the lacteals, or possibly even from the glandular
epithelium, as researches conducted by myself, assisted by Mr. Rösler,
have shown.
But in _artificially nourished infants_ the matter is altogether
different. It would be a miracle if, after all the manipulations to
which the milk supplied to our large cities is subjected, it did not
occasionally contain disease germs derived from the milker or from
other persons who have handled the milk.
If, by the time the milk reaches the city, the proliferation of these
pathogenic micro-organisms has already gone on to a considerable
extent, then usually the milk will contain a number of poisonous
substances in addition to the micro-organisms. Some of these germs are
killed by the scalding to which the milk is usually subjected before
feeding, and the virulence of the rest is much diminished, so that
in boiled milk practically no danger is to be apprehended from the
micro-organisms. We are not at all sure, however, that we have made
the toxins innocuous by this boiling, and probably a great many cases
of intestinal catarrh in artificially nourished children are due, not
to a parasitic, but to a toxic infection.
Public-domain text, read in full here on John Shaqi.
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