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174 APpEnDIX. is the least doubt in regard to the diaanosii; the physician should a^ once resort to his microscope. Bacilli are said to be universally present in the lower stratum of the atmosphere, just as they are always found in the upper part of the earth, with the exception that tuberculosis is rarely ever found over ten thousand feet in altitude, and never found over sixteen thousand feet elevation. Scrapings from beds occupied by tubercular patients, the dust on the floors, on the walls, in the curtains, etc., and dwellings previously occupied by phthisical patients all teem with bacilli. Guinea-pigs injected with these germs die rapidly of consumption. Dr. Osier has estimated that from one and one-half to four billions of bacilli are expectorated daily by every well-marked case of phthisis. It is hardly necessary to say that the bacilli are not alone foilnd in the lungs, but frequently in every glandular structure of the body and in the bones. And we tind it, too, in the disease called lupus, which is really nothing more than tuberculosis of the skin. So you perceive that tuberculosis does not always mean tuberculosis of the lungs, but the fact is we do recognize it most usually in the re^spiratory organs for the simple reason that they furnish the easiest mode of ingress, and there the bacilli are more likely to find a cultivated field in the bronchial glands and submucous tissues. But a little while ago tuberculosis was considered hereditary. Xow all is difierent. It is said that it cannot ])e born in an infant, but must be acquired. This is at least a source of comfort, for how cruel indeed would be the death-rate if to its now known communicability should be superadded hereditary consumption. But that an hereditary susceptibility, which is almost as bad as direct transmission of the germ, is the rule, is now a fairly well-established fact. Xot all people are susceptible, nor even all the mammalia, though we know a large proportion of the human species is liable to become affected, and cattle, monkeys and guinea-pigs are most susceptible of the lower animals. It has become common to speak of a person non-susceptible to a contagious or infectious disease as being immune. The great aim of the present day is to render the human species immune to the bacillus, and on this line Koch, Klebs and others are hard at work. A few years ago the former thought he had pursued the enemy to its lair and forever routed it by the manufacture of a lymph which is now commonly called tuberculine, and, with modifications, tuberculosidine. The world was agog, but was disappointed, for the wary bacillus, hidden in the fastnesses of the lymphatics, eluded its enemy, not always, to be sure, but often enough to make the remedy fall into some sort of disuse and disrepute. Yet the discovery was one of the greatest of the age, and along this line will yet be found, I predict, the remedy to render the human species immune.
Object Description
Rating | |
Fixed Title * | NCHH-01: Biennial Report of the North Carolina Board of Health [1879-1908] |
Document Title | Biennial Report of the North Carolina Board of Heath [1879-1908] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : News & Observer, 1881-1909. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1893-1894 |
Identifier | NCHH-01-005 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 5 |
Health Discipline | Public Health |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-01/nchh-01-005.pdf |
Document Sort | all; group-a; nchh-01 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-01-005 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-01 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375274 |
Description
Fixed Title * | Page 174 |
Document Title | Biennial Report of the North Carolina Board of Heath [1879-1908] |
Subject Name | North Carolina. State Board of Health -- Statistics -- Periodicals. |
Subject Topical | Public health -- North Carolina -- Statistics -- Periodicals. |
Subject Topical Other | Public Health -- North Carolina. |
Creator | North Carolina. State Board of Health. |
Publisher | Raleigh : News & Observer, 1881-1909. |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1893-1894 |
Identifier | NCHH-01-005-0180 |
Form General | Periodicals |
Page Type | all; report/review |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | biennialreportof05nort_0180.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 5 |
Page Number | 174 |
Health Discipline | Public Health |
Full Text | 174 APpEnDIX. is the least doubt in regard to the diaanosii; the physician should a^ once resort to his microscope. Bacilli are said to be universally present in the lower stratum of the atmosphere, just as they are always found in the upper part of the earth, with the exception that tuberculosis is rarely ever found over ten thousand feet in altitude, and never found over sixteen thousand feet elevation. Scrapings from beds occupied by tubercular patients, the dust on the floors, on the walls, in the curtains, etc., and dwellings previously occupied by phthisical patients all teem with bacilli. Guinea-pigs injected with these germs die rapidly of consumption. Dr. Osier has estimated that from one and one-half to four billions of bacilli are expectorated daily by every well-marked case of phthisis. It is hardly necessary to say that the bacilli are not alone foilnd in the lungs, but frequently in every glandular structure of the body and in the bones. And we tind it, too, in the disease called lupus, which is really nothing more than tuberculosis of the skin. So you perceive that tuberculosis does not always mean tuberculosis of the lungs, but the fact is we do recognize it most usually in the re^spiratory organs for the simple reason that they furnish the easiest mode of ingress, and there the bacilli are more likely to find a cultivated field in the bronchial glands and submucous tissues. But a little while ago tuberculosis was considered hereditary. Xow all is difierent. It is said that it cannot ])e born in an infant, but must be acquired. This is at least a source of comfort, for how cruel indeed would be the death-rate if to its now known communicability should be superadded hereditary consumption. But that an hereditary susceptibility, which is almost as bad as direct transmission of the germ, is the rule, is now a fairly well-established fact. Xot all people are susceptible, nor even all the mammalia, though we know a large proportion of the human species is liable to become affected, and cattle, monkeys and guinea-pigs are most susceptible of the lower animals. It has become common to speak of a person non-susceptible to a contagious or infectious disease as being immune. The great aim of the present day is to render the human species immune to the bacillus, and on this line Koch, Klebs and others are hard at work. A few years ago the former thought he had pursued the enemy to its lair and forever routed it by the manufacture of a lymph which is now commonly called tuberculine, and, with modifications, tuberculosidine. The world was agog, but was disappointed, for the wary bacillus, hidden in the fastnesses of the lymphatics, eluded its enemy, not always, to be sure, but often enough to make the remedy fall into some sort of disuse and disrepute. Yet the discovery was one of the greatest of the age, and along this line will yet be found, I predict, the remedy to render the human species immune. |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-01/nchh-01-005.pdf |
Document Sort | all; group-a; nchh-01 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-01-005 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-01 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb2375274 |
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