Epidemics Examined and Explained: or, Living Germs Proved by Analogy to be a Source of Disease. Grove John
there as a proposition.
1. He commenced his enquiry by observing that the hands of milkers on the dairy farms were subject to an eruption, and he inferred that the notion of the peasantry bore the stamp of probability, which strengthened the idea in his mind and gave force to the proposition.
2. His next step was to accumulate facts; he found on enquiry that the persons engaged on these farms in milking, possessed an immunity from Small Pox to an extent sufficient to strengthen the value of his proposition.
3. The reasonableness of the application of the facts to the inference is clear from the coincidence that the eruption on the hands of the dairy people bore a striking resemblance to the Small Pox, and as this disease does not usually occur twice in the same individual, the inference was most reasonable that this eruption protected the people from Small Pox.
4. We have but to take the almost universal adoption of vaccination, and its acknowledged prophylactic powers against the propagation of Small Pox to shew the application of our fourth rule.[2]
Between the conception of the idea and the accomplishment of Jenner's designs, vaccination seems to have undergone an incubation of nearly twenty years. During that period, with an energy and perseverance only to be obtained by confidence, did this great man brood over and elaborate his idea; and well might the 14th day of May, 1796, be styled the birth day of vaccination, for on that day was a child first inoculated from the hands of a milker.
In adopting the above method I have endeavoured to bear in mind M. Quetelet's observations on the requirements necessary for medical authorship; he says, "All reasonable men will, I think, agree on this point, that we must inform ourselves by observation, collect well-recorded facts, render them rigorously comparable, before seeking to discuss them with a view of declaring their relations, and methodically proceeding to the appreciation of causes."
CHAPTER I.
IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS DISEASES, DEPEND UPON VITAL GERMS FOR THEIR MANIFESTATIONS?
It is, I believe, almost universally considered that Epidemic, Endemic, and Infectious diseases, originate from some imaginary poisons of a specific nature, each disease having its own peculiar poison. That this conception should have taken possession of the minds of men, is most natural from the symptoms which characterize these diseases, but when we come to enquire into the nature of these agents, or supposed poisons, we are at once struck with the idea that they exhibit one peculiarity which separates them in a marked manner, from those poisons with which we are familiar; for the poisons of Small Pox, Measles, Scarlet Fever, Hooping Cough, Fever, &c. possess the power of multiplication, or spontaneous increase, a property which attaches only to the organic kingdom, and is never known in the inorganic kingdom. The source of most of the poisons is to be found among mineral or vegetable products. A mineral in combination with an acid or oxygen may become a poison, and nitrogen in various combinations with oxygen, hydrogen, and carbon, or with carbon alone, may become a poison; these combinations are, however, in most instances the products of vegetable life, others again are obtained from the animal kingdom, such as the poison of the serpent, &c. but in all of these instances, there is not one in which the power of self-multiplication is to be found.
We are, therefore, constrained to admit that this feature, which distinguishes poisons, is one well worthy attentive consideration. The varieties of poisons may be classified into those which act topically as escharotic poisons, those which act chemically on the blood, and those whose effects are manifested in inducing a speedy annihilation of organic or vital action, as in the case of hydrocyanic acid, which is supposed specifically to affect the nervous centres from which originate the vital manifestations. It is rather remarkable that the vital poisons (as I will call them for distinction), seem to have their appropriate locality in the blood, they do not primarily affect one organ more than another, all the effects we witness resulting from them are to be traced progressively from the blood to other parts of the body. When a person is inoculated with small pox, a very minute portion (indeed it is impossible to say how minute it may be) is sufficient, when absorbed, to excite a certain train of symptoms, all due to absorption of the materies of the disease, and the process by which that materies arrives at maturity, is that known in the vegetable world as the fructification; this process of fructification is a process of development and increase.
I here may repeat that among all the poisons known, constituted as they are of various combinations of elementary matter, they are without exception destitute of the power of development or increase. Now, it is pretty accurately known what amount of these poisons is necessary to produce their effects on the living body; we can say how many drops are sufficient of hydrocyanic acid of Scheeles strength, to destroy a man instantaneously. Again, how many grains of arsenious acid are sufficient to induce such an inflammatory condition of the stomach and intestine as will end in death, and how many grains of morphia, will bring about a fatal coma—but who shall say the amount of the vital poisons necessary to produce their results? It far exceeds the limit of conjecture, to what extent the dilution of miasmatic or contagious matter may be carried, and the poison yet be capable of committing in a short time the most frightful ravages.
We may fairly then infer, that if a quantity of matter inappreciable in amount be sufficient to exhibit the characters of growth and increase, that it is endowed with the properties of vitality. That the poisons of scarlet fever, of measles, and of small-pox have this power of growth and increase, is as much a matter of universal belief as that "the sun will rise and set to-morrow, and that all living beings will die."
This power of individual increase, or reproduction, is the very summit of vital manifestation; indeed Coleridge, in his Theory of Life, (in which he says, "I define life as the principle of individuation, or the power which unites a given all into a whole that is presupposed by all its parts,") places reproduction in the first rank, and expresses his hypothesis thus: "the constituent forces of life in the human living body are, first, the power of length or reproduction; 2nd, the power of surface, or irritability; 3rd, the power of depth, or sensibility—life itself is neither of these separately, but the copula of all three."
Extensive research is not required to shew that many thinking men believe in the existence of living organic beings, as the elements of contagious and epidemic diseases; the idea indeed seems to flow spontaneously in that direction. Whenever thought, and enduring contemplation, have been concentrated on the subject, the result appears to have been the same, a firm conviction in each individual mind that a vital force must be in operation; or as Schlegel would define it, "a living reproductive power, capable of and designed to develope and propagate itself."—"Its Maker originally fixed and assigned to it the end towards which all its efforts were ultimately to be directed."
Referring further to beings having the property of reproduction and propagation, he says, (using the word nature here evidently as the vital principle for want of a better term,) "Nature indeed is not free like man, but still is not a piece of dead clockwork. There is life in it."—"Thus we know that even plants sleep, and that they too as much as animals, though after a different sort, have a true impregnation and propagation."
When Schlegel wrote this, how little could he have imagined the intricacy of this proceeding among the lower forms of vegetation. It has been shewn by Suminski, and verified by many others, that the mode of impregnation, and the period at which it occurs in the ferns, do not at all correspond to the general notion on this subject. He has discovered in the early development of the frond of ferns certain cells, which he denominates antheridia, or sperm cells; these contain in their cavity a number of subordinate cells, each containing a spermatazoon. At a certain period of the progress of the frond, the parent cells become ruptured and liberate the spermatoza, these move about in a mucilaginous fluid, which bedews the inferior surface of the frond, and become the means of impregnating the germ cells, or pistillidia, with which they readily come in contact. Thus the process of impregnation in these plants occurs during the germination, or what corresponds to the period of germination in the seeds of exogenous and endogenous plants.