Hookworm and the South of USA Questions /50 1. What was the problem and disease
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Hookworm and the South of USA Questions /50 1. What was the problem and disease discussed in this story? Answer: A large part of the population of the southern states of the USA were physically weak and clearly intellectually underdeveloped. It became clear after investigations that far from being willfully inactive and purposefully intellectually deficient they were all sick. The disease involved was chronic ancylostomiasis and/or necatoriasis (hookworm disease caused by Ancylostoma duodenalis and/or Necator americanus) acquired early in their lives resulting in anemia and protein deprivation and consequent poor physical and mental development. Why and how was it diagnosed. Answer: The problem was investigated because of the lack of productivity of goods and services from the southern states of the USA. This was increasingly seen as a problem because under capitalist economic systems each region of a country is required to produce its share of the output of goods and services of the country. Investigations into this lack of productivity led to the understanding that the inhabitants were heavily infected with hookworms. Soil samples were taken from the region including from in and around outdoor latrines. Stool samples were taken from the local inhabitants. Why was it so problematic and how was it being spread? Answer: Many of our people were suffering from a debilitating infection that could be cured by intervention. Large, areas of land were not being productively used and were not contributing to the economy. Hookworms live in the intestines of their hosts and eggs are shed in feces. Larvae emerge from the eggs and wait to contact and penetrate human skin and travel through their blood via their lungs to the intestines where they establish infections. In desperately poor regions communal open-air latrines are a source of infection which is always exacerbated by the lack of footwear. What were the experiments that were done to find a solution to the problem? Answer: By experimentation it was determined that not only could the larvae move but they could cover four feet before their food reserves were depleted and they died. It had already been established that hookworms are skin penetrators and that avoiding contact with contaminated soil was a good preventative measure How was a solution implemented? Answer: Outhouses with defecation pits six feet deep was a way of confining fecal deposits out of the way of foot traffic and at a depth greater than the larvae could travel. Medication, initially Epsom salts and thymol was administered to induce bowel movements to rid the infected population of worms and shoe-wearing was encouraged to protect feet from previously contaminated ground. 2. 3. 4. 5.Explanation / Answer
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