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SCARLET FEVER. Synonyms.—Scarlatina; Scarlet Rash. Definition ...

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This Koch announced to the expectant world March 24, 1882, before the<br />

Physiological Society of Berlin, as the bacillus tuberculosis. Since then<br />

the profession has largely acknowledged the bacillus as the exciting<br />

cause, though some still contend the microorganism is the result and not<br />

the cause.<br />

Zoological Distribution.—This disease, so fatal to mankind, is widely<br />

distributed among the animal world, especially domesticated animals; in<br />

fact, it is only found in wild animals after having been reduced to<br />

captivity, proving that environment is one of the predisposing causes of<br />

tuberculosis.<br />

Of domestic animals, cattle are by far the most frequently affected,<br />

especially dairy cattle. Dr. Carpenter stated before the British Medical<br />

Association, held in Glasgow in 1880, that he was informed by a London<br />

meat inspector that 80 per cent of the meat sold in the London markets<br />

was tuberculous, and that, if this were all condemned, the inhabitants<br />

could not be fed. While this statement is most likely exaggerated, it<br />

shows that it is extremely common in cattle.<br />

Swine are next in order of frequency, while sheep and goats are almost<br />

free from it. The horse is not often affected, though not exempt. Fowls<br />

are frequently troubled, though the tuberculous material is of a milder<br />

and less infectious character. Monkeys, when brought into captivity, are<br />

peculiarly susceptible, Forbes stating that 43 per cent dying in the<br />

London Zoological Gardens succumb to tuberculosis. Dogs and cats, for a<br />

long time considered proof against its ravages, are now found<br />

tuberculous, most likely from their close association with man. Rabbits<br />

and guinea-pigs, when domesticated, soon show the same tendency.<br />

Geographical Distribution.—Tuberculosis is the most universal of all<br />

diseases, and is to be found in all parts of the world, perhaps more<br />

extensively in warm climates than cold; however, the local conditions<br />

figure more prominently than climate. Wherever large masses of people<br />

congregate, there tuberculosis prevails.<br />

Altitude has a more deterring influence on tuberculosis than latitude,<br />

and at one time it was supposed that the high mountain regions' were<br />

exempt; and while the condition of the atmosphere is undoubtedly purer<br />

and more fatal to the bacillus, yet the fact, that the mountainous<br />

regions are more sparsely settled than the valleys, is not to be<br />

The Eclectic Practice of Medicine - PART I - Infectious Diseases - Page 179

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