PROPHYLAXIS AND TREATMENT OF GLANDERS.

Extinction. Exclusion, in Australia, New Zealand, English army.

Occision of infected, and disinfection of stables, harness, vehicles,

utensils, manure and other infected things, mallein diagnosis;

attendants should avoid handling suspicious horses, except with sound

hands, and disinfect latter. Sheep living in horse stables, tested

before slaughter, or inspected after. Malleinization on Plains and in

high, dry air, in secluded herds: less hopeful elsewhere. Mallein test

for all solipeds from glanders districts, and imported horses.

Treatment illegal in many states, so that justice would require

extinction with indemnities. Successful on high tablelands and

mountains. Demands careful segregation and disinfection. Acute cases

always hopeless: chronic skin cases more promising. Antiseptic

injection of unbroken nodules (carbolic acid, potassium permanganate),

also of open sores (mercuric chloride, iodized phenol, cupric

sulphate, saturated, zinc chloride), excise nodule. For delicate

mucous surfaces Lugol’s solution of iodine or iodized phenol diluted.

Tonics: arseniate of strychnia, copper biniodide, baryta nitrate, iron

sulphate, sulphites, bisulphites, hyposulphites, phenic acid, open air

life at pasture, or thorough ventilation, sunshine, moderate exercise,

generous, partly grain diet. Mild cases in separate herd, in secluded,

wide pasture with rich diet, including grain, and shelter in clean,

comfortable shed at will, under tonics and antiseptics, tested by

mallein at intervals, to be restored individually to work after two or

more tests without reaction. Serum of immune animals subcutem.

Treatment in man: surgically as in the horse, excision, curetting,

antisepsis, abscesses opened and disinfected; iodoform insufflations,

antiseptic gases, sprays and solutions. Internally: tonics,

sulphocarbolates, iron muriate, iodides, phenic acid, quinia,

strychnia, arsenite, stimulants, serum treatment, pure air, out door

life, rich, digestible food.

Radical efforts at prevention must look to the extinction of the disease

in the soliped, and its complete exclusion from Australia and New

Zealand shows that such a result is not unattainable. In the English

army where every glandered horse is at once killed and all pertaining to

him disinfected, the disease is now virtually unknown except in the case

of newly purchased horses or regiments operating in the field. In the

French army which formerly lost 9 per cent. per annum from glanders, now

under similar precautions loses but .5 percent. A law providing for the

prompt destruction of every glandered soliped and the safe disinfection

of carcasses, stables, harness, vehicles, utensils, fodder, litter and

manure that have been exposed to contamination, if enforced, would soon

eradicate the disease. But this law should provide efficient machinery

for its enforcement, and, under suitable safe guards, an appropriate

indemnity for the owner. With the use of mallein in all infected studs,

as a diagnostic agent, the campaign can be made sharp, short and

effective, instead of waiting as in the past for the slow development of

occult cases.

The greatest and most fundamental error in veterinary sanitary

legislation is the lack of a guarded indemnity for the animals killed. I

strongly urged this fact on the committee of the N. Y. legislature in

1898 but to no purpose. A bill was passed forbidding all indemnity for

glandered horses, and an impetus thus given to the spread of the disease

is daily bearing fruit in our great cities especially, disastrous to the

health of the horses, and a constant menace to that of humanity as well.

The law makes it the duty of veterinarians to report all cases of

glanders, but in great horse establishments such a report would stop the

use of the whole stable, at a loss of thousands of dollars per diem, and

put a sudden end to the employment of the reporting practitioner by the

firm or corporation in question. The owner of one or two horses can

afford to report, the loss of these and their work does not mean

absolute ruin, but the owner of hundreds can not safely report. For

owner and practitioner alike the alternatives are presented of obedience

to the law with personal ruin on the one hand, and the surreptitious

dealing with cases of glanders and the preservation of their livelihoods

on the other. Whatever may be said as to the constitutionality of the

law which destroys private property without compensation under the right

of eminent domain, this is certain, that, as applied to animal plagues,

this course is unjust, oppressive, and not only useless, but positively

injurious, in that it drives the owners of animals to such courses as

favor the spread of the plague in place of restricting it. To-day in New

York City glanders is extensively prevalent, but large horse owners dare

not adopt the legal measures for its extinction, with the certainty of

great loss or ruin staring them in the face as the result. It should be

further considered that any law is at once bad and vicious in its

tendency which places before the citizen the alternatives of

disobedience with profit, and obedience with loss or ruin. Such a law is

the worst possible economy because in preserving the infection, it not

only perpetuates the disease and its attendant losses for all time, but

perpetuates forever the official expenses of keeping it in check, when a

prompt extinction of the infection would once for all time abolish all

loss and all outlay for surveillance.

Until provision can be made for the enforcement of our laws against

glanders, all who handle horses should be warned of the danger of

working about strange solipeds, or those that show suspicious symptoms,

while they have any sores on the hands, and in case they must run any

risk of contact with infection, to promptly wash hands and face in a

solution of hydrargyrum chloride (1:2000), or carbolic acid (2:100).

Animals of susceptible races (sheep, etc.) which have lived with

glandered horses should be made to pass the mallein test before they can

be put upon the market for human food.

In the high, dry altitudes of the Plains and Rocky Mountains, where most

cases of glanders are mild and the majority recover, resort may be had

to malleinization provided the patients are kept safely secluded from

all other horses. In some horses with a native tendency to immunity, the

oft repeated inoculation with 0.5cc. of mallein will render the animal

refractory to the infection. Animals that have recovered from casual

attacks show the same immunity. Among those who have experimented with

mallein may be named: Straus, Schneidemuhl, Semmer, Bonome, and Vivaldi,

Mowry and Michel, Schweinitz and Kilborne. Sacharoff apparently secured

immunity in the horse by inoculation with virus modified by passing

through the cat. Straus found that dogs which had received mallein

intravenously could be made immune against intravenous inoculations,

but, as Galtier had already pointed out, were still susceptible to

cutaneous inoculations. Finger, experimenting on the rabbit, found that

immunity only resulted after a long series of inoculations. The

frequency of successful auto-inoculations in chronic cases of glanders

in the horse would tend to discredit the alleged value of single

injections of mallein, so that a long series is necessary if we would

aim at good results.

Altogether attempts at immunizing the equine population generally, are

not hopeful where it is dense, where they must be kept stabled, where

the climate is moist and where glanders is deadly, or tends to persist

in the chronic form for years in the same animal.

Considering the prevalence of the disease in a mild form on many of the

western breeding ranches it is well to test all horses arriving from the

west. The same applies to solipeds imported from abroad.

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