French army surgeon, Laveran by name, working in Algiers,
found in the microscopic examination of the blood
that there were little bodies in the red blood corpuscles,
amoeboid in character, which he believed to be the
germs of the disease. Very little attention at
first was paid to his work, and it is not surprising.
It was the old story of “Wolf, wolf”; there
had been so many supposed “germs” that
the profession had become suspicious. Several
years elapsed before Surgeon-General Sternberg called
the attention of the English-speaking world to Laveran’s
work: it was taken up actively in Italy, and
in America by Councilman, Abbott and by others among
us in Baltimore. The result of these widespread
observations was the confirmation in every respect
of Laveran’s discovery of the association with
malaria of a protozoan parasite. This was step
number three. Clinical observation, empirical
discovery of the cure, determination of the presence
of a parasite. Two other steps followed rapidly.
Another army surgeon, Ronald Ross, working in India,
influenced by the work of Manson, proved that the
disease was transmitted by certain varieties of mosquitoes.
Experiments came in to support the studies in etiology;
two of those may be quoted. Mosquitoes which had
bitten malarial patients in Italy were sent to London
and there allowed to bite Mr. Manson, son of Dr. Manson.
This gentleman had not lived out of England, where
there is now no acute malaria. He had been a perfectly
healthy, strong man. In a few days following the
bites of the infected mosquitoes, he had a typical
attack of malarial fever.
(3) Journal Linnaean
Society, London, 1879, XIV, 304-311.
(4) Medical News, Philadelphia,
1889, LV, 689-693, and monograph
with Kilborne, Washington,
1893.
The other experiment, though of a different character,
is quite as convincing. In certain regions about
Rome, in the Campania, malaria is so prevalent that,
in the autumn, almost everyone in the district is
attacked, particularly if he is a newcomer. Dr.
Sambon and a friend lived in this district from June
1 to September 1, 1900. The test was whether
they could live in this exceedingly dangerous climate
for the three months without catching malaria, if
they used stringent precautions against the bites
of mosquitoes. For this purpose the hut in which
they lived was thoroughly wired, and they slept under
netting. Both of these gentlemen, at the end
of the period, had escaped the disease.
Then came the fifth and final triumph—the
prevention of the disease. The anti-malarial
crusade which has been preached by Sir Ronald Ross
and has been carried out successfully on a wholesale
scale in Italy and in parts of India and Africa, has
reduced enormously the incidence of the disease.
Professor Celli of Rome, in his lecture room, has an
interesting chart which shows the reduction in the
mortality from malaria in Italy since the preventive
measures have been adopted—the deaths have
fallen from above 28,000 in 1888 to below 2000 in 1910.
There is needed a stirring campaign against the disease
throughout the Southern States of this country.