Bovine tuberculosis in man : an account of the pathology of suspected cases / by Charles Creighton.
- Charles Creighton
- Date:
- 1881
Licence: Public Domain Mark
Credit: Bovine tuberculosis in man : an account of the pathology of suspected cases / by Charles Creighton. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![iiuinifu8t(Ml in n‘|>eut4Hi ontbrt?akrt of acuto diaeafte over a iuiiiiWt itf yeaiu, wan tlio ovi<U*iic« of it. Hut why uliould the hoy» of an imluNlrial acliool tte liahitually scrofulouH ? 1 have ({uoted from the lie}{iiiniii^ of I)r J^pencer's an account of defective drains, wliich will rtunind us of manv saniuiry re|i<>rt8 that we have read lx*fore ; there are our old enemies, the leakage of sewage and the esca]»e of sewer en> h'rini; into the Ude like the C(X'k and the hull of romaiK'e, Ix>ak- in^ M'Wap> an<I currents of sewer ^as are no douht unwholesome and Hoiiiotimes even dHii^erous tiling, hut had they anythim; tn do with the epidemics in the particular industrial kc1kk)1 ? 'I’liero can 1k» little douht that the Ixiys were poisoned hy a tulx'rculous virus, and the fact that the serous uiemhranes and the lymphatic glands weri* uniformly implicated, although minute details an* unfortunately wanting, points to the virus having bt*on the bovine tuWrculous virus, which might ]>oHsihly have entered the school through inadvertcnc:e in the milk that was supplitnl to it. Then? an; many tuberculous cows nlsmt, and as they get ohler their disease gets worse, ami their secretions more abnormal. The milk of a cow well advanced in tubenmlosis is probably unwholesome, although, fortunately, it l>erome8 at the same time ]MK)r in quality, and unattractive to the discriminating milk-ilrinker. Epidemics of typhoid fever are constantly taking place, in which the virus is conclusively traced to the milk from a dairy. Hut, on the part of all those who inquire into such outbreaks, there apl>enrs to Ihj a fixed determination to pixjve that the virus which was in the milk when it was distributed, had come into the milk after it was taken from the cow. Ity way of explain- ing the outbreaks of typhoid fever that are traced to the milk 8up])ly, innunierable sanitary defects of dairies and of cow- houses have been pointed out, but, curiously enough, no one seems to have thought of the sanitary defects of the cow. We have had elaborate hyiwtheses of isolated cases of typhoid in the dairyman’s household, of typhoid excreta carelessly thrown into the dung-heap, of the percolation of the typhoid poison into the well, of the water from the w^ell taken to cleanse the milk-pails or to water the milk—in short, a chain of many links, and at least one link a hypothesis. Wheu a case of extensive](https://iiif.wellcomecollection.org/image/b2226758x_0108.jp2/full/800%2C/0/default.jpg)
