4. It contains organic impurities. These are chiefly gaseous, solid particles only being expired during coughing, or possibly during conversation. The danger from the “breath” of patients in infectious diseases is really associated rather with the dried discharges on handkerchiefs, etc., than from the “breath” itself; unless droplets of saliva discharged during speaking, or mucus during coughing, are directly inhaled.
[CHAPTER XV.]
SUSPENDED IMPURITIES OF AIR.
Pure air being essential to life and health, it is important to ascertain the character and origin of the impurities of air. Innumerable substance—in the condition of gases, vapours, or solid particles—constantly pass into it, and deteriorate its quality. To counteract this, certain purifying agencies are at work, the mechanism of which will be considered hereafter.
Impurities are much commoner and more abundant in the air of enclosed spaces than in the external air, as the natural processes of purification cannot be brought to bear so efficiently in the former case. In sick rooms, hospitals, etc., impurities arise, which are not present where only healthy people are collected. The most important impurities are derived from the respiration of animals, and the combustion of gases, candles, or lamps in rooms, from sewage emanations, from various occupations, and the air of marshes, mines, church-yards, etc. These may be classed under two heads—solid and gaseous; the solid being simply suspended in the air in a finely divided condition, or floated about in a coarser condition by currents of air. They are revealed in an atmosphere in which one did not previously suspect their existence, by the passage of a beam of sunlight. Light itself is invisible, but its course is rendered visible by the particles from which its rays are reflected. Tyndall demonstrated the presence of minute particulate matter in the air of all ordinary situations, and showed that a large proportion of this matter consists of germs (microbes). In his experiments with vapours in closed tubes, floating matter was always revealed by a concentrated beam of light, even though the air entering the tube had been first drawn through sulphuric acid and through a strong solution of caustic potash. If this air was then passed through a red-hot platinum tube and across folds of red-hot platinum gauze, it became optically empty; the floating matter had been burnt, and disappeared. It was therefore organic. In subsequent experiments, he took organic solutions, as of meat, turnip, and the like, and rendered them sterile by repeated boiling. They remained sterile when kept in air-tight vessels or in vessels covered with a thick layer of cotton-wool, which would efficiently filter any entering air; but when exposed to the air, they invariably became turbid, owing to an enormous multiplication of germs. Clearly, therefore, air contains organic, matter, and much of this organic matter consists of living germs. Most of these germs are comparatively harmless under ordinary conditions. They are, however, the causes of fermentation, putrefaction, and all the processes of decomposition which occur in organic substances. The importance of the exclusion of the dust of air has received an important application in Lister’s antiseptic and in the aseptic system of treatment of wounds. Formerly accidents and operations were frequently fatal; now vast numbers of lives are saved by improved surgical methods. The original antiseptic method acted on the supposition that some germicidal application to the wounds was necessary; now it is realized that if, during the operation, germs are not allowed to remain in the wound, all that is afterwards necessary to insure rapid recovery is that they shall be prevented from entering the wound from the external air during its process of recovery. By the adoption of such means, large wounds can be made to heal, without the formation of a drop of “pus” or “matter.” (See also page [110].)
Suspended Matters are mineral or organic, the two being commonly associated together. The mineral matters consist largely of fine particles of common salt, silica, clay, iron rust, dried mud, chalk, coal, soot, and similar substances. Not uncommonly the mineral particles are coated by, or mixed with, organic matter, the comparative lightness of the organic matter enabling the mineral matter to float about more easily. The objection to dust is thus intensified, for not only is it irritating to the respiratory passages and generally disagreeable, but it carries with it putrescent and possibly morbific particles. The prevention of infectious diseases resolves itself largely into means for preventing the inhalation of dust.
Organic Suspended Matters in the open air are, most commonly, minute fragments of wood and straw, dried horse litter, fragments of insects, the spores and pollen of plants, and microscopic plants and animals. In addition, there is the putrescent organic matter resulting from respiration and other organic functions.
Indoors, the air commonly contains, in addition, fragments of cotton, linen, silk, or other fibres, fragments of vegetables, starch cells, soot, charred wood, splinters from floors, etc.
In Sick Rooms, products of the morbid conditions may be evolved; thus, pus-cells, particles from the expectoration, blood cells, fat particles, epithelium, or the special germs or microbes to which infectious diseases are due. These are disturbed by the movements of persons, causing the dust to rise; and thus the infection of consumption, and of the acute infectious diseases, is frequently spread.
Flies and other winged insects are important auxiliaries in the diffusion of disease-carrying particles. Receiving some morbid secretions on their limbs, or other parts of their bodies, they have occasionally been the means of spreading erysipelas in hospitals, and glanders in veterinary stables. The specific contagia of cholera, enteric fever, and summer diarrhœa are occasionally conveyed to food by flies which have previously alighted on latrines or privies or other places where the stools of such patients have been deposited (page [281]). The excreta of flies, which are not uncommonly deposited on food, or on articles of furniture, have occasionally being found to contain the minute ova of intestinal worms.