Handbook of Medical Entomology

by William A. Riley; O. A. Johannsen

More successful attempts have been made to work out the life cycle of a related species, Babesia canis, which causes malignant jaundice in dogs in Africa and parts of Southern Europe. In this instance, also, the disease is transmitted by heredity to the ticks of the second generation. Yet the larval, or "seed ticks," from an infected female are not capable of conveying the disease, but only the nymphs and adults. Still more complicated is the condition in the case of Babesia ovis of sheep, which Motas has shown can be conveyed solely by the adult, sexually mature ticks of the second generation.

In Babesia canis, Christopher (1907) observed developmental stages in the tick. He found in the stomach of adult ticks, large motile club-shaped bodies which he considered as oökinetes. These bodies pass to the ovaries of the tick and enter the eggs where they become globular in form and probably represent an oocyst. This breaks up into a number of sporoblasts which enter the tissues of the developing tick and give rise to numerous sporozoites, which collect in the salivary glands and thence are transferred to the vertebrate host. A number of other species of Babesia are known to infest vertebrates and in all the cases where the method has been worked out it has been found that the conveyal was by ticks. We shall not consider the cases more fully here, as we are concerned especially with the method of transfer of human diseases.

Ticks and Rocky Mountain Spotted Fever of Man—Ever since 1873 there has been known in Montana and Idaho a peculiar febrile disease of man, which has gained the name of "Rocky Mountain spotted fever." Its onset is marked by chills and fever which rapidly become acute. In about four to seven days there appears a characteristic eruption on the wrists, ankles or back, which quickly covers the body.

McClintic (1912) states that the disease has now been reported from practically all of the Rocky Mountain States, including Arizona, California, Colorado, Idaho, Montana, Nevada, Oregon, Utah, Washington, and Wyoming. "Although the disease is far more prevalent in Montana and Idaho than in any of the other States, its spread has assumed such proportions in the last decade as to call for the gravest consideration on the part of both the state and national health authorities. In fact, the disease has so spread from state to state that it has undoubtedly become a very serious interstate problem demanding the institution of measures for its control and suppression."

A peculiar feature of the Rocky Mountain spotted fever is a marked variation in its severity in different localities. In Montana, and especially in the famous Bitter Root Valley, from 33 per cent to 75 per cent of the cases result fatally. On the other hand, the fatality does not exceed four per cent in Idaho.

In 1902, Wilson and Chowning reported the causative organism of spotted fever to be a blood parasite akin to the Babesia of Texas fever, and made the suggestion that the disease was tick-borne. The careful studies of Stiles (1905) failed to confirm the supposed discovery of the organism, and the disease is now generally classed as due to an invisible virus. On the other hand, the accumulated evidence has fully substantiated the hypothesis that it is tick-borne.

According to Ricketts (1907) the experimental evidence in support of this hypothesis was first afforded by Dr. L. P. McCalla and Dr. H. A. Brereton, in 1905. These investigators transmitted the disease from man to man in two experiments. "The tick was obtained 'from the chest of a man very ill with spotted fever' and 'applied to the arm of a man who had been in the hospital for two months and a half, and had lost both feet from gangrene due to freezing.' On the eighth day the patient became very ill and passed through a mild course of spotted fever, leaving a characteristic eruption. The experiment was repeated by placing the tick on a woman's leg and she likewise was infected with spotted fever."

The most detailed studies were those of the late Dr. H. T. Ricketts, and it was he who clearly established the tick hypothesis. In the summer of 1906 he found that guinea pigs and monkeys are very susceptible to spotted fever and can readily be infected by inoculation of blood from patients suffering from the disease. This opened the way to experimental work on tick transmission. A female tick was fed upon an infected guinea pig for two days, removed and isolated for two days and then placed upon a healthy guinea pig. After an incubation period of three and a half days the experimental animal contracted a well-marked case of the disease.

A similar result was obtained at the same time by King, and later in the season Ricketts proved that the male tick was also capable of transmitting the disease. He found that there was a very intimate relation of the virus to the tick and that the transmission must be regarded as biological throughout. Ticks remained infective as long as they lived and would feed for a period of several months. If they acquired the disease in the larval or nymphal stage they retained it during molting and were infective in the subsequent stages. In a few cases the larvæ from an infected female were infective.

The evidence indicated that the tick suffers from a relatively harmless, generalized infection and the virus proliferates in its body. The disease probably is transferred through the salivary secretion of the tick since inoculation experiments show that the salivary glands of the infected adult contain the virus.