2. Contagious also by atmospheric transmission through short distances.
Variola,
Varioloid,
Varicella,
Measles,
Diphtheria,
Scarlatina,
Rötheln,
Mumps,
Whooping Cough,
Typhus,
Relapsing Fever.
3. Endemic, occasionally epidemic.
Malarial Fevers (Intermittent, Remittent, and Pernicious Fever),
Dengue,
Yellow Fever.
4. Other zymotic or enthetic diseases.
Influenza,
Cerebro-spinal Fever,
Erysipelas,
Puerperal Fever,
Tropical Dysentery,
Typhoid Fever,
Cholera,
Plague.
As all observers are agreed in regard to the personal transmission of the first named of these series (variola, etc.), we need to give attention here only to the other groups; except merely to say that the easily demonstrable existence of a morbid material (virus) in the instances of primary syphilis, gonorrhoea, variola, and vaccinia presents a very cogent analogical argument for the presumption that all clearly contagious (even though non-eruptive) maladies, such as mumps and whooping cough, must also have a morbid material as their essential cause; and also in favor of the supposition that a morbid material may probably be the "causa sine quâ non" of each of the other maladies which are known to be endemic or epidemic. A few theorists only have argued in favor of any other view than this. Sir James Murray and Dr. Craig of Scotland, and Dr. S. Littell of Philadelphia, have sustained an electrical hypothesis, and Oldham and others have advocated one connected with changes of bodily temperature, or ozone, etc., for the origination of certain endemic and epidemic diseases. But all the facts point toward the existence of material causes, specific for each of these disorders, and many observations and much ingenuity of reasoning have been brought to bear upon the question as to their intimate nature.
Are these materiæ morborum merely inorganic elements or compounds entering human bodies and acting there as chemical poisons? Against such a supposition we have, as almost decisive objections, not only the absence, under the most searching analysis, of any chemical peculiarity in the air of malarious or otherwise infected regions, but also the clinging of many endemic and epidemic causes (as known by their effects) to particular localities, notwithstanding the recognized law of the diffusion of gases which must antagonize such concentration. Therefore, we may rule out, as highly improbable at least, the hypothesis of the inorganic gaseous nature of malaria, as well as of the essential causes of yellow fever, cholera, plague, and the other analogous diseases.
By the once general use of the term zymotic, there is suggested a line of thought which has been quite prevalent since the prominence of Liebig's teachings in chemical physiology, until recently. That great chemist did not imagine that a true zymosis or fermentation occurs under the action of a virus upon the human economy. His thought was more clearly expressed, in the phraseology of the late Dr. Snow of London, as the theory of continuous molecular change. Its most striking physical instance or analogue is the extension of flame from a burning body to combustible matter within its reach. Sugar formation from starch by diastase, and the change of albumen into peptone by pepsin, are familiar examples, in organic materials, of the propagation of molecular movement in special directions and with characteristic results.8 It does not seem to be more than a short step from these to the processes which we study in fermentation, putrefaction, septicæmia, and the multiplication of small-pox contagion, from the smallest inoculation, in the human body.9
8 In anticipation of the argument concerning the necessity of the action of minute living organisms to produce fermentation, putrefaction, and specific diseases, emphasis may be here laid upon the fact that the above named changes, and many others like them, are produced, in the absence of such organisms, by chemical agents formed in the body, or even (as when sulphuric acid changes starch to sugar) by inorganic substances. Pasteur considers that the yeast-cell secretes a sort of diastase which changes starch or cane-sugar into glucose, on which the cell then lives, decomposing the glucose into alcohol, carbonic acid, etc. Koch and others now assert that a bacillus produces the souring of milk, and another the butyric acid fermentation.