24. Potsdam, 1864, 5 slight cases (Dr Mollendorf).
25. Celle (Hanover), 1864, 8 patients (Dr Scheller and Dr Baring); Trichina proven in the pork by Gerlach. In 1855, 12 Trichina (?) patients were treated by Schuchart.
26. Hedersleben, 25th October, 1865, a pig was killed and sold; on the 28th the malady appeared amongst the workmen; 350 patients, 100 deaths. Of 100 children infected, none died. Trichina found in the autopsies (Dr F. Kratz).
Dr Davaine also adds the following outbreaks:
In Massachusetts, 1867, 6 patients from having eaten raw ham, 1 death (‘Medical Times,’ 20th April, 1867, p. 431).
Ravecchia (Bellinzona), 1868, 5 patients, 4 deaths (Dr Zangger in Landbote of Winterthur).
Up to a comparatively recent date no case of trichinosis had been recognised in England during the life of the victim. As regards diagnosis, what was happening every day on the Continent was utterly unknown here. Whilst, however, not a single instance of Trichina-disease had been observed by British physicians in actual practice, as many as thirty or forty instances had occurred where the parasites in question had been found post mortem. I had myself examined the trichinised flesh taken from a dozen of these corpses, but in no instance had the faintest suspicion of trichinosis been entertained during life. The circumstances attending the only outbreak of trichiniasis that has been witnessed in England are very interesting. In the month of April, 1871, I received from Dr W. L. Dickinson, of Workington, Cumberland, specimens of pork which he requested me to examine; and in complying with his request I confirmed his opinion that the diseased meat was infested with Trichinæ. A few days afterwards I announced the discovery in the pages of the ‘British Medical Journal’ for April 22, p. 435. It happened, also, that at the time I was delivering a course of lectures before the Society of Arts; consequently, in my second discourse (which was devoted to the parasites of cattle) I gave full details of the facts that were obtained. Taking a small portion of the flesh which I judged to be affected to an average extent I addressed the audience as follows:
“If you calculate from one portion only, you might, if you had stumbled upon a part which was more infested with parasites than another, be led to over-estimate the degree of trichinisation. Taking proper precautions I have calculated that one scruple of this trichinous flesh would give us 4320 parasites, and two scruples would therefore yield 8640. Without speaking so precisely to numbers, I do not hesitate to aver my belief that there are at least 5000 of these parasites inside this small piece of ham. The number is probably close upon 8640. In one drachm that would give us 12,000, and in an ounce 103,000, according to the old apothecaries’ weight. If, however, we calculate according to the ordinary weight used by butchers, we should say that one ounce contains 4371/2 grains of meat, and therefore the number of parasites in one ounce would be 85,000. Thus, in one ounce of meat from this particular pig you have 85,000 Trichinæ, calculated at the rate of 200 in the grain, for I have purposely cut off the odd numbers. You may say, if a person can survive 18, 20, 30, or 40 millions, he would not take much harm from eating a piece of flesh containing only 8640 parasites. Such a portion, however, would be quite sufficient to make any one of us extremely uncomfortable were we to eat it, for supposing its contained parasites to be alive, it might prove dangerous to life. Why? The explanation is this:—Half of those 85,000 parasites, at the very least, will, in forty-eight hours after ingestion, have become fully-developed females; and from each of these 42,000 there will proceed at least 1000 as a brood, so that the entire progeny (and it is they that do the mischief by their independent migrations through our tissues) will eventually yield about 42,000,000 entozoa. If we should be so voracious as to eat a pound of such trichinised flesh, then there would be 400,000,000 as the result of a single meal.
“Having detailed these facts and inferences, I now wish to bring to your notice some other particulars connected with the Cumberland outbreak.