This figure shows how sewage from a cesspool (c) might get into the water supply: lm, layer of rock; w, wash water.
Typhoid Fever.—One of the most common germ diseases in this country and Europe is typhoid fever. This is a disease which is conveyed by means of water and food, especially milk, oysters, and uncooked vegetables. Typhoid fever germs live in the intestine and from there get into the blood and are carried to all parts of the body. A poison which they give off causes the fever so characteristic of the disease. The germs multiply very rapidly in the intestine and are passed off from the body with the excreta from the food tube. If these germs get into the water supply of a town, an epidemic of typhoid will result. Among the recent epidemics caused by the use of water containing typhoid germs have been those in Butler, Pa., where 1364 persons were made ill; Ithaca, N. Y., with 1350 cases; and Watertown, N. Y., where over 5000 cases occurred. Another source of infection is milk. Frequently epidemics have occurred which were confined to users of milk from a certain dairy. Upon investigation it was found that a case of typhoid had occurred on the farm where the milk came from, that the germs had washed into the well, and that this water was used to wash the milk cans. Once in the milk, the bacteria multiplied rapidly, so that the milkman gave out cultures of typhoid in his milk bottles. Proper safeguarding of our water and milk supply is necessary if we are to keep typhoid away.
Blood Poisoning.—The bacterium causing blood poisoning is another toxin-forming germ. It lives in dust and dirt and is often found on the skin. It enters the body through cuts or bruises. It seems to thrive best in less oxygen than is found in the air. It is therefore important not to close up with court-plaster wounds which such germs may have entered. It, with typhoid, is responsible for four times as many deaths as bullets and shells in time of battle. The wonderfully small death rate of the Japanese army in their war with Russia was due to the fact that the Japanese soldiers always boiled their drinking water before using it, and their surgeons always dressed all wounds on the battlefield, using powerful antiseptics in order to kill any bacteria that might have lodged in the exposed wounds.
This figure shows how a milk route might be instrumental in spreading diphtheria. X is a farm on which a case of diphtheria occurred that was responsible for all the cases along milk routes A and F in Hyde Park, Dorchester, and Milton. How would you explain this?
Other Diseases.—Many other diseases have been traced to bacteria. Diphtheria is one of the best known. As it is a throat disease, it may easily be conveyed from one person to another by kissing, putting into the mouth objects which have come in contact with the mouth of the patient, or by food into which the germs have been carried. Another disease which probably causes more misery in the world than any other germ disease is syphilis. Hundreds of thousands of new-born babies die annually or grow up handicapped by deformities from this dread scourge. Syphilis and gonorrhea, both diseases of the same sort and contracted in the same manner, hand down to innocent wives and still more innocent children a heritage of disease "even unto the third and fourth generation." Grippe, pneumonia, whooping cough, and colds are believed to be caused by bacteria. Other diseases, as malaria, yellow fever, sleeping sickness, and probably smallpox, scarlet fever, and measles, are due to the attack of one-celled animal parasites. Of these we shall learn later in Chapter XV.
Immunity.—It has been found that after an attack of a germ disease the body will not soon be again attacked by the same disease. This immunity, of which we will learn more later, seems to be due to a manufacture in the blood of substances which fight the bacteria or their poisons. If a person keeps his body in good physical condition and lives carefully, he will do much toward acquiring this natural immunity.
Acquired Immunity.—Modern medicine has discovered means of protecting the body from some contagious diseases. Vaccination as protection against smallpox, the use of antitoxins (of which more later) against diphtheria, and inoculation against typhoid are all ways in which we may be protected against diseases.
Methods of fighting Germ Diseases.—As we have seen, diseases produced by bacteria may be caused by the bacteria being directly transferred from one person to another, or the disease may obtain a foothold in the body from food, water, or by taking them into the blood through a cut or a wound or a body opening.