Pasteur describes in detail his method of securing healthy eggs. It is nothing less than a mode of restoring to France her ancient silk husbandry. The justification of his work is to be found in the reports which reached him of the application and the unparalleled success of his method, while editing his researches for final publication. In both France and Italy his method has been pursued with the most surprising results. But it was an up-hill fight which led to this triumph.
'Ever,' he says, 'since the commencement of these researches, I have been exposed to the most obstinate and unjust contradictions; but I have made it a duty to leave no trace of these conflicts in this book.' And in reference to parasitic diseases, generally, he uses the following weighty words: 'Il est au pouvoir de l'homme de faire disparaitre de la surface du globe les maladies parasitaires, si, comme c'est ma conviction, la doctrine des générations spontanées est une chimère.'
Pasteur dwells upon the ease with which an island like Corsica might be absolutely isolated from the silkworm epidemic. And with regard to other epidemics, Mr. Simon describes an extraordinary case of insular exemption, for the ten years extending from 1851 to 1860. Of the 627 registration districts of England, one only had an entire escape from diseases which, in whole or in part, were prevalent in all the others: 'In all the ten years it had not a single death by measles, nor a single death by small-pox, nor a single death by scarlet-fever. And why? Not because of its general sanitary merits, for it had an average amounts of other evidence of unhealthiness. Doubtless, the reason of its escape was that it was insular. It was the district of the Scilly Isles; to which it was most improbable that any febrile contagion should come from without. And its escape is an approximative proof that, at least for those ten years, no contagium of measles, nor any contagium of scarlet-fever, nor any contagium of smallpox had arisen spontaneously within its limits.' It may be added that there were only seven districts in England in which no death from diphtheria occurred, and that, of those seven districts, the district of the Scilly Isles was one.
A second parasitic disease of silkworms, called in France la flacherie, co-existent with pébrine, but quite distinct from it, has also been investigated by Pasteur. Enough, however, has been said to send the reader interested in these questions to the original volumes for further information. To one important practical point M. Pasteur, in a letter to myself, directs attention:
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Permettez-moi de terminer ces quelques lignes que je dois dicter, vaincu que je suis par la maladie, en vous faisant observer que vous rendriez service aux Colonies de la Grande-Bretagne en répandant la connaissance de ce livre, et des principes que j'établis touchant la maladie des vers à soie. Beaucoup de ces colonies pourraient cultiver le mûrier avec succés, et, en jetant les yeux sur mon ouvrage, vous vous convaincrez aisement qu'il est facile aujourd'hui, nonseulement d'éloigner la maladie régnante, mais en outre de donner aux récoltes de la soie une prospérité qu'elles n'ont jamais eue.
[Origin and Propagation of Contagious Matter.]
Prior to Pasteur, the most diverse and contradictory opinions were entertained as to the contagious character of pébrine; some stoutly affirmed it, others as stoutly denied it. But on one point all were agreed. I They believed in the existence of a deleterious medium, rendered epidemic by some occult and mysterious influence, to which was attributed the cause of the disease.' Those acquainted with our medical literature will not fail to observe an instructive analogy here. We have on the one side accomplished writers ascribing epidemic diseases to 'deleterious media' which arise spontaneously in crowded hospitals and ill-smelling drains. According to them, the contagia of epidemic disease are formed de novo in a putrescent atmosphere. On the other side we have writers, clear, vigorous, with well-defined ideas and methods of research, contending that the matter which produces epidemic disease comes always from a parent stock. It behaves as germinal matter, and they do not hesitate to regard it as such. They no more believe in the spontaneous generation of such diseases, than they do in the spontaneous generation of mice. Pasteur, for example, found that pébrine had been known for an indefinite time as a disease among silkworms. The development of it which he combated was merely the expansion of an already existing power — the bursting into open conflagration of a previously smouldering fire. There is nothing surprising in this. For though epidemic disease requires a special contagium to produce it, surrounding conditions must have a potent influence on its development. Common seeds may be duly sown, but the conditions of temperature and moisture may be such as to restrict, or altogether prevent, the subsequent growth. Looked at, therefore, from the point of view of the germ theory, the exceptional energy which epidemic disease from time to time exhibits, is in harmony with the method of Nature. We sometimes hear diphtheria spoken of as if it were a new disease of the last twenty years; but Mr. Simon tells me that about three centuries ago tremendous epidemics of it began to rage in Spain (where it was named Garrotillo), and soon afterwards in Italy; and that since that time the disease has been well known to all successive generations of doctors. In or about 1758, for instance, Dr. Starr, of Liskeard, in a communication to the Royal Society, particularly described the disease, with all the characters which have recently again become familiar, but under the name of morbus strangulatorius, as then severely epidemic in Cornwall. This fact is the more interesting, as diphtheria, in its more modern reappearance, again showed predilection for that remote county. Many also believe that the Black Death, of five centuries ago, has disappeared as mysteriously as it came; but Mr. Simon finds that it is believed to be prevalent at this hour in some of the north-western parts of India.
Let me here state an item of my own experience. When I was at the Bel Alp in 1869, the English chaplain received letters informing him of the breaking out of scarlet-fever among his children. He lived, if I remember rightly, on the healthful eminence of Dartmoor, and it was difficult to imagine how scarlet-fever could have been wafted to the place. A drain ran close to his house, and on it his suspicions were manifestly fixed. Some of our medical writers would fortify him in this notion, and thus deflect him from the truth, while those of another, and, in my opinion, a wiser school, would deny to a drain, however foul, the power of generating de novo a specific disease. After close enquiry he recollected that a hobby-horse had been used both by his boy and another, who, a short time previously, had passed through scarlet-fever.
Drains and cesspools, indeed, are by no means in such evil odour as they used to be. A fetid Thames and a low death-rate occur from time to time together in London. For, if the special matter or germs of epidemic disorder be not present, a corrupt atmosphere, however obnoxious otherwise, will not produce the disorder. But, if the germs be present, defective drains and cesspools become the potent distributors of disease and death. Corrupted air may promote an epidemic, but cannot produce it. On the other hand, through the transport of the special germ or virus, disease may develop itself in regions where the drainage is good and the atmosphere pure.