therefore, presumably, infected in France.
Possibly the chief reason for this was due to the fact that after the
mosquito has sucked the blood of an individual infected with malaria,
and been infected with the malaria parasite, the weather was not warm
enough for the parasite to undergo its necessary transformation in
the blood of the mosquito. A continuous warm period of several days'
duration is necessary for this purpose, and in France these time
periods never occurred of sufficient duration. Here was a climatic
feature which proved to be of very great importance in preventing the
spread of a disease most inimical to the health of any army.
Here again, any cases of malaria developing were removed as rapidly as
diagnosed, so that mosquitoes did not have much opportunity of
becoming infected.
Typhus fever is one of the most dreaded diseases in the army, for it
is highly fatal, and both in former wars and in the recent Serbian
campaign has proved a terrible scourge. It is quite a different
disease from typhoid fever, and is conveyed from man to man solely
through lice. In other words, the phrase "No lice, no typhus" is
scientifically true.
Every army in the field is a lousy army, and every soldier in a
fighting unit is more or less lousy. The louse commonly present is the
body louse, and it lays its eggs in the seams of the uniforms and on
the underclothes. The eggs hatch out quickly so that when a man once
becomes infected the lice multiply with great rapidity.
For typhus to get a grip on an army means that there must be at least
one case of the disease, and there must be lice on the case. Some of
these lice will fall off, wander away, or be left on the bedding, in
the straw, or in the patient's discarded clothes. If these lice have
bitten the typhus patient and thereby been infected, it seems to be
necessary for a certain length of time to elapse for the organism to
develop in the body of the lice before they are able to introduce the
virus into uninfected individuals by biting them.
As yet there have been no cases of typhus fever in the British Army in
France, though it has occurred to a greater or less extent in Germany,
Austria, Russia and Serbia. The quarantine services at the ports of
the countries bordering on the Mediterranean have prevented it
spreading to any other country.
Typhus fever is known as a dirt disease, and its control is possible
through the plentiful use of soap and water. The most
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