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 — John Shaqi
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
7. In the herbivora the Tb. are most commonly carried from the cæcum
to the mesenteric lymph-glands. In man, the agminated lymph-follicles
of the small, and the solitary lymph-follicles of the large intestine
also serve as points of entry (cf. Carl Hof, “Ueber primäre
Darmtuberculose,” Kieler Dissert., 1903. Compare also v. Hansemann,
“Ueber Fütterungs Tuberculose,” _Berl. klin. Wochenschr._, 1903, No. 7).
8. Reference to the peculiar features of the stomach of ruminants and
remarks on primary tuberculosis of the stomach (Schottelius).
9. The primary development of localized foci in the lesser omentum
after infection through the stomach in early nursing period.
10. Peculiarities of the infection of nurslings through the alimentary
tract, experimentally and statistically determined.
(_a_) Feeding experiments with anthrax bacilli and other
bacteria.
(_b_) Feeding of spores.
(_c_) Tubercular virus behaves in many ways more like the
resistant form [spore form] of anthrax virus, especially when
the Tb. virus is present in cheesy pus.
(_d_) The observations of Adalbert Czerny and Paul Moser on the
occurrence of bacteria in the blood of living human nurslings
(1894).
(_e_) Carl Weigert’s statements concerning the penetrability,
for Tb. virus, of the intestinal apparatus of very young
children. (From 1883, cited in _Deutsche medizin. Wochenschr._,
1903, No. 41.)
(_f_) Raw’s communication (_British Med. Journ._, 1903)
concerning 300 cases of _tabes mesenterica_, not one of which
was found to have developed in a child nursed exclusively at
the breast, but rather in those who had been nourished for a
considerable time on cow’s milk.
11. It is probable that in thickly populated countries practically
every person is at some time or other infected with tuberculosis. Aside
from the quantity and quality of the Tb. virus, the outcome of the
tubercular infection is dependent to a high degree on the physiological
state of the infected individual and on accidental conditions of
infection. (Intercurrent pathological factors; endogenous and exogenous
conditions of infection.)
12. Not a single unexceptionable case has been brought forward to show
that under the conditions of life usually present in civilized lands,
an adult person has ever contracted pulmonary, bronchial, tracheal, or
laryngeal tuberculosis without having previously been infected and thus
rendered oversensitive to the tubercular poison.
13. Against the action of tubercle bacilli entering the intestinal
apparatus, healthy, full-grown persons apparently possess sufficient
protection in the character of the mucous surfaces and the
anti-bacterial action of the digestive juices. It has, too, still to be
proved that healthy, full-grown persons become ill with tuberculosis as
a result of eating food (milk, butter, meat) derived from tuberculous
cattle.
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