A bacteriological expedition to the Kalmuk steppes, 1911. During his preceding journeys in the Kalmuk steppes, Metchnikoff had often heard it said that tuberculosis was almost unknown there, but that the Kalmuks took it very easily when brought into contact with foreigners. As all means of combating this disease had hitherto given very unsatisfactory results, Metchnikoff thought that researches should be started along a new path. He had long thought that observations on the extreme liability of Kalmuks to tuberculosis might perhaps provide some new data. But the study of the question necessitated a very distant journey which he now at last had the opportunity of realising. According to Metchnikoff’s hypothesis, a natural vaccination takes place among us against tuberculosis which would explain the resistance of the majority of human beings in spite of the enormous diffusion of the disease. He concluded that some attenuated breeds of microbes become introduced into our organism during our childhood, thus vaccinating us against the virulent tuberculous bacillus. This supposition seemed to him plausible, for he had long ago found that some micro-organisms (Cienkovsky’s bacillus, the cholera bacillus, etc.) become modified in different environment and conditions, both in form The expedition to the Kalmuk country was therefore planned in order to ascertain whether tuberculosis was really absent from the steppes. This could easily be done by Pirquet’s test, The expedition was also intended to elucidate a few questions on the etiology of endemic plague in the Kirghiz steppes. When this intention became known, the Russian authorities desired to add to it a local mission on the study of plague epidemics in the steppes. Metchnikoff, who was chiefly concerned with the question of tuberculosis, was only able to draw up a plan of work for the Russian mission and to start it going in one of the plague centres. The Pasteur Institute expeditionary party comprised, besides Metchnikoff, MM. Burnet, Salimbeni, and Iamanouchi. They were joined at Moscow by Navigation on the Volga from Nijni Novgorod to Astrakhan was full of peculiar charm. That five days’ journey was one of the rare periods of complete rest in Metchnikoff’s life. He indulged in the dolce far niente as he watched the peaceful landscape on the passing banks. The Volga, then in flood, covered immense spaces. Here and there, whole forests emerged from the river which reflected them as in an enchanted dream. From time to time, little isolated villages appeared with the gilt cupola of a church or a monastery, then meadows, forests, steep cliffs, or gentle slopes down to the river. What poetry, what grandeur in simplicity! As in a kaleidoscope, types of varied populations and pictures of local customs followed upon each other. Along the banks now and then were seen processions of pilgrims. Their humble, gray, stooping figures breathed deep faith and resignation. Sometimes popular songs arose from the Volga, sad, expressive, soul-penetrating chants. This contemplative quietude was only interrupted At Tsaritsine, several Kirghiz embarked on our boat in order to go to a large fair which the inhabitants of the steppes attended in numbers. Metchnikoff thought this was a unique opportunity to learn whether there were any carriers of the plague bacillus among those many natives coming from all parts of the steppes. He therefore decided that those members of the expedition who had come to study plague would go to the fair with the Kirghiz, whilst he, with the rest of the expedition, would make observations on the Kalmuks of the Astrakhan region. A most hospitable welcome awaited us there; people vied with each other in their efforts to assist the expedition. The Governor-General of Astrakhan had ordered all preparations to be made, and the mission was provided not only with necessaries but with comforts which did much to alleviate the fatigue of the long journey. Whilst waiting for our companions, we had time to verify several diagnostical reactions, the Kalmuks lending themselves willingly to the operation. We heard later that they thought they were being vaccinated against small-pox, a disease much feared in the steppes. As soon as the plague mission arrived, we started towards the Kirghiz steppes, for there was a plague As we arrived, we could see from afar a sort of Valkyries’ ride of natives clad in brilliant colours and riding up at full gallop with wild cries and exclamations. Before us spread a barren and sandy steppe, producing the sad impression of a land forsaken by God and man. How could life be possible there? But gradually, as we became captivated by the charm of the boundless space, the purity of the air, the harmonious colouring and the scent of wild heliotrope and wormwood which alone can grow in those sands, we began to understand that it was not only possible to live in those steppes, but also to love them. The plague centre stood among sandy hills with low-growing grass; the summit of one of them was black with charred remains of burnt objects; the corpses were buried in the same place. Only a few wretched forsaken hovels remained. In order to throw light upon endemic plague in the steppes, it was first of all necessary to ascertain whether the plague microbes remained alive for some time in places where the scourge had raged; if they were preserved in dead bodies which had been singed After organising a small emergency laboratory, the corpses were exhumed, and Dr. Salimbeni made a post-mortem examination. These corpses, having been in the ground for three months, were in a state of advanced decomposition and contained no living microbes. Having set the work of the plague mission going, Metchnikoff parted from it in order to accomplish the projected investigations on tuberculosis in the Kalmuk steppes. He made a very solemn entry into these steppes; a Kalmuk deputation welcomed the mission and presented Metchnikoff with a bronze Buddha. The aspect of those natives is sad and humble, their movements are slow, their eyes dull. In this they contrast with their neighbours, the quick and intelligent Kirghiz, and one reason for it is that the latter, being Moslems, absorb no alcohol, while the Kalmuks consume fermented milk (alcoholic fermentation) which poisons them slightly but continuously; this observation had already been made by Metchnikoff at the time of his previous visit. The Kalmuks live in tents covered with coarse felt; they transport these dwellings on camels from one place to another when their herds of sheep or horses have consumed the scanty pasture grass around the camp. There is no attempt at cultivation, and the steppes become more and more barren as the pastures become exhausted. In order to remedy this evil, the Russian administration has begun One feels so entirely in the power of natural forces that the fatalism of the poor inhabitants of the land is easily understood. The Kalmuks, primitive and nomadic, produce the impression of ghosts from distant centuries. Metchnikoff noticed that since his last visit in 1874, fatal influences had worked havoc on the population. Four scourges, all of them coming from outside, are destroying the Kalmuks: syphilis, alcoholism, tuberculosis, and the Russians who are constantly pushing them back. Those poor people realise the fate which is awaiting them, and resign themselves like a sick man who knows his sickness to be incurable. The spiritual life of the Kalmuks reduces itself to their religious cult. There are many Buddhist convents where children are being brought up for a Whilst gathering observations on tuberculosis, we traversed the steppes in a north-easterly direction as far as Sarepta. This town seemed like a civilised centre after the steppes, where the conditions of life were somewhat hard in spite of the cordial reception accorded us everywhere. The food, consisting solely in tinned goods and mutton, had caused intestinal trouble in nearly all the members of the expedition; on the other hand, we were greatly incommoded by the heat, lack of water, and abundance of insects of all kinds. In spite of all, Metchnikoff had hitherto borne the journey fairly well. However, since we left Moscow he had had frequent cardiac intermittence, accompanied sometimes by sharp pains along the sternum. But the stay at Sarepta especially tried his health; the heat reached 35° C. (95° F.) in the shade and 52° C. (about 125° F.) in the sun; in the evening the windows could not be opened because of the mosquitoes. Metchnikoff, who had shown so much endurance, now became weak, drowsy, and nervous; he attributed his condition to the excessive heat. Yet he The researches of the expedition for the study of plague were not finished, and the Russian mission had agreed to complete them. So far, it was established that neither the corpses—after a certain time—nor the ground, nor the surrounding animals contained any plague microbes, and no carriers had been found among the Kirghiz population. The data gathered among the Kalmuk population justified Metchnikoff’s hypothesis. In the centre of the steppes, where the Kalmuks were still isolated, tuberculosis was completely unknown; diagnosis reactions were negative. They became positive more and more frequently as we came nearer the periphery of the steppes and the Russian population. The extreme sensitiveness of the Kalmuks must therefore depend on the fact that they have suffered no natural vaccination in the steppes, which would support the idea that some natural vaccine exists amongst us. Metchnikoff therefore concluded that he might direct ulterior researches towards the quest of natural tuberculous vaccines. Such were the scientific results of the expedition. Apart from that, the journey to Russia had a strong personal influence on Metchnikoff. He had formerly left his country under the impression of the fatal error committed by the revolutionaries in killing Alexander II., an error which had led to a protracted reaction. He had therefore remained very sceptical concerning the Russian revolutionary movement; he thought that the necessary reforms might come from a Government evolution. But, during his He thus ceased to count upon the progressive evolution of a Government which was incapable of solving the complicated problems of Russian life, and henceforward thought that those problems would be solved by the “intellectuals” apart from the Government and in opposition to it. |