Another feature of the progress of our knowledge of disease—as a scientific problem—is the recent recognition that minute animal parasites of that low degree of unicellular structure to which the name ‘Protozoa’ is given, are the causes of serious and ravaging diseases, and that the minute algoid plants, the bacteria, are not alone in possession of this field of activity. It was Laveran—a French medical man—who, just about twenty-five years ago, discovered the minute animal organism in the red blood-corpuscles, which is the cause of malaria (see [fig. 44]). Year by year ever since our knowledge of this terrible little parasite has increased. We now know many similar to, but not identical with it, living in the blood of birds, reptiles, and frogs (see [fig. 45]).
It is the great merit of Major Ross, formerly of the Indian Army Medical Staff, to have discovered, by most patient and persevering experiment, that the malaria parasite passes a part of its life in the spot-winged gnat or mosquito (Anopheles), not, as he had at first supposed, in the common gnat or mosquito (Culex), and that if we can get rid of spot-winged mosquitoes or avoid their attentions, or even only prevent them from sucking the blood of malarial patients, we can lessen, or even abolish, malaria.
Fig. 44.
SCHIZOGONY SPOROGONY SEXUAL GENERATION
A diagram showing the life-history and migration of the Malaria parasite, Laverania Malariæ, as discovered by Laveran, Ross, and Grassi. The stages above the dotted line take place in the blood of man. The oblong-pointed parasite is seen entering the blood at n just below No. 1. The circles represent the red blood-discs of man. Schizogony means multiplication by simple division or splitting, and it is seen in Nos. 6, 7, 8, 9, and 10. The stages below the dotted line are passed in the body of the spot-winged gnats of the genus Anopheles. A peculiar crescent or sausage-shaped condition is assumed by the parasite inside the red corpuscle No. VI. These are found to be of two kinds, male and female, Nos. VIIa and VIIb. They are swallowed by the spot-winged gnat when it sucks the blood of an infected man. Here in the gut of the gnat they become spherical; the male spheres produce spermatozoa No. Xa, which fuse with and fertilize the female spheres or egg-cells No. XI. An active worm-like form No. XIII results, which pushes its way partly through the wall of the gnat’s gut, and is then nourished by the gnat’s blood. It swells up, divides internally again and again, and is enclosed in a firm transparent case or cyst, Nos. XIV to XVIII. The cysts are far larger in proportion than is shown in the diagram, and are visible to the naked eye. The final product of the breaking up, which is called sporogony, is a vast number of needle-shaped spores or young (called Exotospores, as opposed to the Enhæmospores, which are formed in the human blood, as seen in Nos. 9 and 10, and serve there to spread the infection among the red corpuscles). The needle-shaped spores formed in the gnat’s body accumulate in its salivary glands, and pass out by the mouth of the gnat when it stabs a new human victim who thus becomes infected, No. XIX.
Had the sausage-like phases Nos. VIIa and VIIb been swallowed by a common gnat or mosquito of the genus Culex they would have been digested and destroyed. It is only in species of gnats of the kind known as Anopheles that the parasite can undergo its sexual development and subsequent process of the formation of cysts and needle-shaped exotospores. (After Minchin in Part I. of Lankester’s “Treatise on Zoology,” published by A. and C. Black.)