In a septic liquid exposed to the contact of air, vibriones die and disappear; but, below the surface, in the depths of the liquid (one centimetre of septic liquid may in this case be called depths), “the vibriones are protected against the action of oxygen by their brothers, who are dying above them, and they continue for a time to multiply by division; they afterwards produce germs or spores, the filiform vibriones themselves being gradually reabsorbed. Instead of a quantity of moving threads, the length of which often extends beyond the field of the microscope, nothing is seen but a dust of isolated, shiny specks, sometimes surrounded by a sort of amorphous gangue hardly visible. Here then is the septic dust, living the latent life of germs, no longer fearing the destructive action of oxygen, and we are now prepared to understand what seemed at first so obscure: the sowing of septic dust into putrescible liquids by the surrounding atmosphere, and the permanence of putrid diseases on the surface of the earth.”
Pasteur continued from this to open a parenthesis on diseases “transmissible, contagious, infectious, of which the cause resides essentially and solely in the presence of microscopic organisms. It is the proof that, for a certain number of diseases, we must for ever abandon the ideas of spontaneous virulence, of contagious and infectious elements suddenly produced within the bodies of men or of animals and originating diseases afterwards propagated under identical shapes; all those opinions fatal to medical progress and which are engendered by the gratuitous hypotheses of the spontaneous generation of albuminoid-ferment materia, of hemiorganism, of archebiosis, and many other conceptions not founded on observation.”
Pasteur recommended the following experiment to surgeons. After cutting a fissure into a leg of mutton, by means of a bistoury, he introduced a drop of septic vibrio culture; the vibrio immediately did its work. “The meat under those conditions becomes quite gangrened, green on its surface, swollen with gases, and is easily crushed into a disgusting, sanious pulp.” And addressing the surgeons present at the meeting: “The water, the sponge, the charpie with which you wash or dress a wound, lay on its surface germs which, as you see, have an extreme facility of propagating within the tissues, and which would infallibly bring about the death of the patients within a very short time if life in their limbs did not oppose the multiplication of germs. But how often, alas, is that vital resistance powerless! how often do the patient’s constitution, his weakness, his moral condition, the unhealthy dressings, oppose but an insufficient barrier to the invasion of the Infinitesimally Small with which you have covered the injured part! If I had the honour of being a surgeon, convinced as I am of the dangers caused by the germs of microbes scattered on the surface of every object, particularly in the hospitals, not only would I use absolutely clean instruments, but, after cleansing my hands with the greatest care and putting them quickly through a frame (an easy thing to do with a little practice), I would only make use of charpie, bandages, and sponges which had previously been raised to a heat of 130° C. to 150° C.; I would only employ water which had been heated to a temperature of 110° C. to 120° C. All that is easy in practice, and, in that way, I should still have to fear the germs suspended in the atmosphere surrounding the bed of the patient; but observation shows us every day that the number of those germs is almost insignificant compared to that of those which lie scattered on the surface of objects, or in the clearest ordinary water.”
He came down to the smallest details, seeing in each one an application of the rigorous principles which were to transform Surgery, Medicine and Hygiene. How many human lives have since then been saved by the dual development of that one method! The defence against microbes afforded by the substances which kill them or arrest their development, such as carbolic acid, sublimate, iodoform, salol, etc., etc., constitutes antisepsis; then the other progress, born of the first, the obstacle opposed to the arrival of the microbes and germs by complete disinfection, absolute cleanliness of the instruments and hands, of all which is to come into contact with the patient; in one word, asepsis.
It might have been prophesied at that date that Pasteur’s surprised delight at seeing his name gratefully inscribed on the great Italian establishment of sericiculture would one day be surpassed by his happiness in living to see realized some of the progress and benefits due to him, his name invoked in all operating theatres, engraved over the doors of medical and surgical wards, and a new era inaugurated.
A presentiment of the future deliverance of Humanity from those redoubtable microscopic foes gave Pasteur a fever for work, a thirst for new research, and an immense hope. But once again he constrained himself, refrained from throwing himself into varied studies, and, continuing what he had begun, reverted to his studies on splenic fever.
The neighbourhood of Chartres being most afflicted, the Minister of Agriculture, anticipating the wish of the Conseil Général of the department of Eure et Loir, had entrusted Pasteur with the mission of studying the causes of so-called spontaneous charbon, that which bursts out unexpectedly in a flock, and of seeking for curative and preventive means of opposing the evil. Thirty-six years earlier, the learned veterinary surgeon, Delafond, had been sent to seek, particularly in the Beauce country, the causes of the charbon disease. Bouley, a great reader, said that there was no contrast more instructive than that which could be seen between the reasoning method followed by Delafond and the experimental method practised by Pasteur. It was in 1842 that Delafond received from M. Cunin Gridaine, then Minister of Agriculture, the mission of “going to study that malady on the spot, to seek for its causes, and to examine particularly whether those causes did not reside in the mode of culture in use in that part of the country.” Delafond arrived in the Beauce, and, having seen that the disease struck the strongest sheep, it occurred to him that it came from “an excess of blood circulating in the vessels.” He concluded from that that there might be a correlation between the rich blood of the Beauce sheep and the rich nitrogenous pasture of their food.
He therefore advised the cultivators to diminish the daily ration; and he was encouraged in his views by noting that the frequency of the disease diminished in poor, damp, or sandy soils.
Bouley, in order to show up Delafond’s efforts to make facts accord with his reasoning, added that to explain “a disease, of which the essence is general plethora, becoming contagious and expressing itself by charbon symptoms in man,” Delafond had imagined that the atmosphere of the pens, into which the animals were crowded, was laden with evil gases and putrefying emanations which produced an alteration of the blood “due at the same time to a slow asphyxia and to the introduction through the lungs of septic elements into the blood.”
It would have been but justice to recall other researches connected with Delafond’s name. In 1863, Delafond had collected some blood infected with charbon, and, at a time when such experiments had hardly been thought of, he had attempted some experiments on the development of the bacteridium, under a watch glass, at the normal blood temperature. He had seen the little rods grow into filaments, and compared them to a “very remarkable mycelium.” “I have vainly tried to see the mechanism of fructification,” added Delafond, “but I hope I still may.” Death struck down Delafond before he could continue his work.