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Infectious
Diseases
:
Infectious diseases that historically have killed millions of people
each year were conquered early in the 20th century by improved sanitation,
antibiotics, and vaccines.
German
physician Paul Ehrlich showed around 1910 that a chemical compound,
arsphenamine, could treat syphilis. He opened the era of chemotherapy,
in which physicians use chemical compounds that act selectively
to target specific diseases.
In
the early 1930s, German and French scientists showed that sulfonamide
was effective in treating streptococcal bacteria infections. This
discovery led to the first family of so-called wonder drugs, the
sulfonamide antibiotics. In 1938 British biochemists Howard Florey
and Ernst Chain purified penicillin, the bacteria-destroying compound
that Alexander Fleming observed in mold ten years earlier. Streptomycin,
the first antibiotic for tuberculosis, was discovered in 1944 by
American microbiologist Selman Waksman. Dozens of other antibiotics
were subsequently discovered, each stronger and more effective against
a broader range of bacteria.
Scientists
learned more about how the body's immune system protects itself
from infections, resulting in new tests for diagnosing infectious
diseases and new vaccines to prevent them. The Wasserman blood test
for syphilis was developed in 1906 and the tuberculin skin test
for tuberculosis appeared in 1908. By the 1930s new techniques for
growing viruses in the laboratory led to vaccines against viral
diseases. These included a yellow fever vaccine in the late 1930s
and the first effective influenza vaccine in the 1940s. The American
physician Jonas E. Salk developed a polio vaccine in 1954. Later
virologist Albert B. Sabin developed a safer oral polio vaccine,
which was in wide use by the 1960s. Later came vaccines for other
childhood diseases, including measles, German measles, mumps, and
chicken pox.
Infectious
diseases, once thought conquered by antibiotics, became a major
concern again in the 1990s. New forms of tuberculosis and other
diseases resistant to antibiotics spread. Concerns also arose over
new or newly recognized microbes, such as human immunodeficiency
virus (HIV), the cause of acquired immunodeficiency syndrome (AIDS),
which became epidemic in 1981. As human populations grow and expand
into wilderness areas, humans and animals come in closer contact.
A number of diseases transmitted from animals have become problematic
in recent years, including the hemorrhagic fevers caused by the
Ebola and Marburg viruses, hantavirus pulmonary syndrome, and Lyme
disease. In other areas, physicians recognized that an easily curable
bacterial infection caused most peptic ulcers, a disease once blamed
on stress and diet.
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