report of the medical officer of the local government board
TRANSCRIPT
454 REPORT OF THE MEDICAL OFFICER OF THE LOCAL GOVERNMENT BOARD.
These facts point to the vital importance of preventivemeasures against the infection of anthrax in connexion withthe wool industry and afford a ready explanation of
the keen interest that centres upon the work of the
Anthrax Investigation Board in Bradford. The reportspresented from time to time to the board by its able
bacteriologist, Dr. F. W. EURICH, indicate the scope of
the work and the valuable results already obtained. Last
month’s report in particular is of considerable importance,for in it, after mentioning that during the months from Mayto October nine firms had submitted samples of wool for
examination to a total of 116, and of these 10, includingsamples of Peking camel hair, Bagdad skin wool,mohair, and Cape mohair, contained anthrax germs, Dr.
EURICH shows that the blood-stained wool and hair are
the actual carriers of the germs of anthrax and not the dust
found in the wool as formerly believed ; but that althoughthe dust per se is harmless it may become dangerous byreason of its admixture with scales of dried blood derived
from the tainted hairs. Hence the amount of blood stainingof a fleece forms a rough measure of its danger to health.This observation is quite in accord with the experience ofother bacteriologists who are interested in the occurrence ofanthrax spores in hides rather than in wool, and with whomit is customary to select for examination the blood-stained
edges of the hide, which mark the original incision, and tosearch for the blood-stained patch of hair which marks the
place or places where the skinning knife was wiped. Dr.
EURICH further poirits out that blood may remain on the
wool fibres even after washing and may thus be a source of
danger to carders, combers, and the like, who manipulateit after it has passed the wash bowls ; and he emphasises the
necessity for detecting blood-stained material before the woolis washed or willowed so that it may be at once removed and
either effectually disinfected or, better still, destroyed.The action of various disinfectants, including formalde-
hyde and cyllin, upon the blood-stained and infective
material has also been carefully studied but the results
are somewhat disappointing, for owing to the protectionafforded to the anthrax spores by the matting together of theblood-stained fibres neither reagent could be relied upon toeffect the destruction of the spores, even after exposures
greatly in excess of those required to kill anthrax spores
simply suspended in water. Formaldehyde, however,possesses this valuable property-by its action upon the
albuminous constituents of the blood it fixes the blood
stains to the fibres and so prevents diffusion of the
virus into healthy fleeces, and this property, Dr. EURICH
thinks, might well be utilised in the treatment of
scheduled wools, Van mohair and Persian locks, which
the Home Office regulations prescribe must be steeped "inthe bale " before the latter is opened. Needless to say, the
board at its last meeting heartily endorsed Dr. EuRicH’s
recommendations, whilst its chairman stated that everyendeavour would be made to insure the continuance of its
work beyond the period of three years, now at an end, forwhich the board was originally appointed. Although, as wehave shown, much has already been achieved, much more
yet remains to be done before adequate methods of pro-
phylaxis can be devised, and we can only hope that the
exertions of the Lord Mayor of Bradford, Mr. J. E. FAWCETT,who is the chairman of the Anthrax Investigation Board,may be crowned with success.
Report of the Medical Officer of
the Local Government Board.THERE is an apparently inexorable rule in the Civil
Service that when the clock of a man’s life strikes 65 he
must lay down the pen which he has wielded for his countryfor perhaps 40 years or more and close his official career;
and it was in accordance with this edict that Sir WILLIAM
H. POWER, KC.B., F.R.S., to the infinite regret of all whoknew his work, signed his last report and retired at the
beginning of the present year. In what is nominally hisfirst annual report Dr. ARTHUR NEWSHOLME, the presentmedical officer, pays a graceful tribute to his very dis-
tinguished predecessor, a tribute which will be appreciatedby that somewhat limited circle who had the privilege of SirWILLIAM POWER’S acquaintance as well as by that very largenumber of the more scientific epidemiologists who learnt to
regard the late medical officer of the Board as a man of
altogether exceptional calibre. In his dislike for all ostenta-
tion and advertisement Sir WILLIAM POWER evinced the
highest qualities of the civil servant and raised the
department over which he presided to one in which
the country had complete trust. Fortunately, as Dr.
NEWSHOLME adds in his report, the State still retains
the services of Sir WILLIAM POWER as chairman of
the Royal Commission on Tuberculosis and as a memberof the Royal Commission on Sewage Disposal.The auxiliary scientific investigations which are conducted
annually for the Board by workers presumably not otherwise
officially connected with it deal as usual with subjects ofconsiderable interest only some of which can be brieflytouched upon here. Dr. E. E. KLEIN has continued
his valuable researches into the prophylaxis of plague.It will be remembered that last year his experimentalwork showed that when the dried material from the
necrotic organs of the guinea-pig in which subacute
plague had been induced was injected into white rats
such rats were rendered immune against subsequent infec-tion with a fatal dose of bacillus pestis. It has been
shown, too, that a clear filtrate of a watery extract of
these necrotic organs, even when heated to 65° C. for ten
minutes to destroy all living bacilli or cocci, was similarlyefficacious in a prophylactic sense, the filtrate possessingthe additional advantage that it may be preserved at
least for many months in sealed tubes and used in this
and foreign countries. Dr. KLEIN has recently been study-ing the use of these organic extracts in a curative as well asin a prophylactic sense and he has discovered that althoughthe actual blood of an animal which has recovered from an
attack of plague does not contain any appreciable amountof antibodies capable of neutralising the action of specificmicrobes the watery extracts of the organs chiefly affectedin the disease and which belonged to rabbits which had
recoverd from an attack of the malady possess considerable
therapeutic potency, a subject upon which, it is to be
1455
hoped, Dr. KLEIN will be afforded further opportunities forresearch.
Another of the more practically important matters dealtwith in the volume under review is an investigation into
the bacterial contents of sewer air. In this connexion it now
appears we have been for several years past living in a some-what insecure paradise. It has been a commonly acceptedaxiom of the epidemiologist on the basis of bacteriologicalinvestigations that the air of sewers and drains contained
but very few micro-organisms and that such as were presentresembled more closely the flora of the outside air than thatof the sewage. In consequence of this belief the etiologicalstudent has viewed with scepticism any hypothesis which
sought to explain the spread or prevalence of specific diseasessuch as enteric lever or diphtheria by the escape of sewergases. But Dr. F. W. ANDREWES as the result of recent
investigations carried on with great care is satisfied that the
imperfect technique and culture methods of former years ledto erroneous conclusions, and that as a matter of fact the
streptococci of sewage as well as colon bacilli are to be
found in the air of drains and sewers in many ordinary cir-cumstances. The fresh light thus shed upon this problem byDr. ANDREWES as well as by Major W. H. HoRROCKS workingquite independently will have a decided influence upon ques-tions affecting the ventilation of sewers and drains, and itwill have to be considered in connexion with a movement
amongst some engineers for the abolition of the inter-
cepting trap between the house drain and the street sewer.Question will arise as to the desirability of allowing commonsewer air to pass up viii the house drain ventilator if such
air is likely to contain organisms of sewage origin. The
President of the Local Government Board has taken
prompt action in the matter and, as we announced last week,has already appointed a departmental committee to inves-
tigate the question of the desirability of discarding or
retaining the intercepting trap. The matter is largely onefor the physicist and we have no doubt that the committeewill secure the services of a thoroughly competent expert in
physics to aid them in their deliberations. We questionwhether a really scientific solution of the problem is possiblewithout further research both in physical and bacteriologicaldirections, and in the meantime most epidemiologists will,we imagine, sleep more soundly with the knowledge thattheir ventilating pipes are not used for ventilating the sewers.It will be interesting to watch the results of these new
conclusions upon etiological speculations and we foresee the
production of diagrams illustrating the manner in whichenteric fever follows the course of sewers. There is fashion
in epidemiology as well as in matters feminine and witheach new discovery or correction of former impressions thependulum swings unduly in the new direction. Yesterdayenteric fever was all water-borne, soil-borne, and sewer-
borne ; to-day it is due to shell-fish, carrier cases, flies,and personal infection ; and to-morrow the disease will,perhaps, be sewer-borne again. There is a strange wantof proportion in the application of new ideas.The bacterial contents of milk form the subject of in-
vestigation at the hands of Dr. W. G. SAVAGE who tells
us, amongst much else that is of value, that milk drawn
directly from the udder is free from the bacillus coli,
a further argument, if one was needed, for the better controlof the transit and storage of milk. The bacteriology of rheu-matic fever has been made the subject of an investigation byDr. T. J. HORDER. He has been unable to discover in the
blood of patients suffering from that disease any micro-
organisms, those found in some cases post mortem being, itis thought, merely the organisms of terminal infection.
He clearly thinks that in some of the alleged positiveresults malignant endocarditis and not rheumatic fever
has been in question. The only other investigationwhich we have the space to mention is that relatingto the conservation of vaccine lymph, a matter of
primary importance in the event of small-pox occurringunder the facilities now afforded by the State for
the evasion of vaccination. Dr. F. R. BLAXALL and
Mr. H. S. FREi4LiN have found that sustained subjection of
glycerinated calf lymph to temperatures below freezingpoint leaves the activity of the lymph quite unimpairedeven after a relatively long period of time. This is a
very satisfactory result and apparently large quantities of
lymph can by this method be always kept in stock againstemergencies. Thus does science provide for the wayward-ness of human nature and the weakness of politicians.It is very useful for us to have previous conclusions
revised and new claims examined under the auspices of acentral department of the State and everyone must
acknowledge that the funds available are well spent. At
the same time, having regard to the great advances whichhave been made in recent years in the subject of proto-zoology, it might prove profitable were some encouragementafforded to workers in this field, more especially in con-nexion with diseases and conditions with which no bacteria
have been detected or where the claims made by the
bacteriologist have not received final sanction.
Annotations.
THE BIRTHDAY HONOURS.
"Ne quid nimis."
THE list of birthday honours is a fairly long one and inthe eyes of many it is only saved from mediocrity by thedistinguished men of science whom it includes. It shouldin this respect receive the approval of all thoughtful persons,for some of the names thus brought prominently before thepublic are eminent in those branches of science the develop-ment of which tends most directly towards the improvementof the human race. The veteran biologist, Dr. Alfred
Russel Wallace, has been appointed by the King to the
Order of Merit, for which no worthier recipient could havebeen named amongst living scientists. The value of his
work, no less than the rare self-effacement with which Dr.Wallace yielded the chief honours of the doctrine of
evolution to Darwin at a time when his own claims to themwould have urged many a smaller man in a like positionto contest them bitterly, renders it all the more gratify-ing that in the evening of his days he should be crownedwith one of the highest distinctions within the bestowalof his Sovereign. Dr. Wallace is one whom the nationno less than the King delights to honour. Professor
Joseph John Thomson, who has received the honour of
knighthood, is Cavendish Professor of Experimental Physics