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Supplement to the Münchener med. Wochenschrift, 1906. +Individual Resistance to Infection.+ The contagiousness of untreated syphilis is influenced by two other factors besides the mere lapse of time. The first of these is the resistance or opposition offered to the germ by the person to whom the infection is carried.
Too little weight has been allowed to the probable contagiousness, and to the preternatural shock, of such a new and strange philosophy, acting upon the jaded and exhausted intellect of the Grecian race.
This proceeding both lessens the amount of peeling of the skin in a later stage of the disease; lessens the contagiousness of the scales which are detached; and, by promoting the healthy action of the skin, diminishes the risk of subsequent disorder of the kidneys and consequent dropsy.
On the contrary, bitter opposition was encountered for the time, and only within the last two decades has their teaching found wide practical application. In 1843 Oliver Wendell Holmes published the paper on "The Contagiousness of Puerperal Fever," which is now preserved in his volume of "Medical Essays."
"Now," I thought to myself, "this farce will come to an end, for Bell will explain the facts." The counsel for the prosecution began by asking Sir John various questions concerning the terrible malady known as puerperal fever, and especially with reference to its contagiousness. Then he passed on to the events of the day when I was called in to attend upon Lady Colford.
+The Time Element in Contagiousness.+ It is the time that it takes an untreated case to reach a non-infectious stage and the events or conditions which can occur in the interval, that perpetuate syphilis among us. The chancre is contagious for several weeks, and few syphilitics escape having some contagious secondary lesions the first year. These are often inconspicuous and misunderstood.
It might be fitting to add a few words with regard to the Essay on the Contagiousness of Puerperal Fever. But the whole question I consider to be now transferred from the domain of medical inquiry to the consideration of Life Insurance agencies and Grand Juries.
The whole contagious period of syphilis would lose its contagiousness if every patient and physician refused to think of anything but radical cure. In such a demand as this for the highest ideals in the treatment of a disease like syphilis, the medical profession must, of course, stand prepared to do its share toward securing the best results.
In the papers he left behind him was to be found his perplexed endeavours to explain this mental leap, that after all his efforts still remained unexplained. He had been vividly impressed by the decision and courage of her treatment of the dogs; it was just the sort of thing he could not do. And there was a certain contagiousness in the petting admiration with which her family treated her.
He impressed his own character as a model on the imagination of the oldest boys, who in turn were expected and required to impress theirs upon the younger set. The contagiousness of Arnold's genius was such that a Rugby man was said to be recognizable all through life by a peculiar turn of character which he acquired at school.
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