The spores of the Tricophyton and Acorion have been discovered in and seem peculiar to skin hospitals. In that taken upon two occasions from the ward of St. Louis (the Skin Hospital of Paris), and submitted to examination, one specimen was found additionally to
contain 36 per cent. and in the other 46 per cent. of organic matter.
“The scaly and round epithelia found in most rooms are in large quantity in hospital wards, and probably in cases where there is much expectoration and exposure of pus or puriform fluids to the air the quantity would be still larger.”[269]
[269] Parkes.
The investigation of the air of a cholera ward in 1849 by Britain and Swayne, at Clifton, revealed the presence of bodies resembling fungi; minute scales of variolous matter have been found by Bakewell in smallpox wards, and cells of pus and epithelium in the sheds and stables of animals affected with cattle disease and pleuro-pneumonia. Dr Watson detected in the air of a ward for consumptive patients at Netley, together with pus cells, bodies bearing a great resemblance to the cells met with in tuberculous matter, these latter not being discoverable in the open air or in the rooms of non-consumptive persons; whilst Rainy, examining the air of the cholera ward at St. Thomas’s Hospital, found bacteria in it, besides fungi. The presence of these bodies was, however, detected in the open air.
The atmosphere of mines, workshops, manufactories, and rooms in which handicraft of any kind is carried on, is more or less laden with small particles of substances employed in the arts, manufactures, and various industries. The nature of these floating substances, as well as a list of the diseases, together with the amount of mortality they produce, will be found under the article “Trades, certain, their effects on Health.”
Dr Wynter Blyth gives the following instructions for collecting atmospheric dust for examination:—
“The most simple way to obtain the emanations from a sick room for microscopical observation is to suspend a common water bottle from the ceiling filled with iced water. The moisture of the air condenses, and brings with it organic matters; or the moisture may be gathered which adheres to panes of glass in cold weather; or a bottle may be taken containing some distilled water, absolutely free from impurities of any kind, and filled several times with the air of the place. The water may then be submitted to microscopical and chemical examination.
“Metallic dust, such as iron, may be attracted by a magnet. The most usual and successful way is, however, by aspiration, either by an aspirator made for the purpose [see Aspirator], or by means of an ordinary cask, by which a considerable volume of air is drawn through a small quantity of distilled water, glycerin, or other liquid. The indirect way for the organic matter, &c., mentioned above, viz., analysis of the rain water, and the obvious way of collecting the dust, by carefully sweeping it off shelves, &c., may be also enumerated.
“Examination of dust. The dust obtained by any or all of these methods should now be examined microscopically and chemically. Low powers should be used at first, and then (if looking for germs) the highest that can be obtained. If the dust is in any quantity it can be submitted to chemical examination, but a knowledge of what class it belongs to—animal, mineral, or vegetable—is sufficient for most purposes.”[270]