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(1973) n°3 - Royal Academy for Overseas Sciences

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— 511 —<br />

parasite is not a true Plasmodium and I transferred it to the<br />

genus Hepatocystis. I had studied the parasite <strong>for</strong> more than<br />

10 years in Kenya, and had spent the last 4 or 5 years in a<br />

search <strong>for</strong> its exoerythrocytic stages — and equally <strong>for</strong> similar<br />

stages in fatal cases of P. falciparum malaria in man. Like all<br />

other investigators, I had mistakenly concentrated attention on<br />

the mesoderm of the skin and organs and particularly on the<br />

cerebral endothelium, where J a m es had suggested to me that<br />

I should find the occult cycle in man in the same way that he<br />

had found it in chicks. He told me when I was on home leave<br />

in 1945: « d o n ’t come back from Africa until you succeed».<br />

The development of the monkey parasite (P. kochï) in the<br />

liver was so remarkable {Fig. 2 & 3) that W e n y o n (to whom<br />

I had sent sections) advised me to return at once to London<br />

to demonstrate the material. W e n y o n stated that if similar<br />

stages were subsequently found in human malaria, then the<br />

mystery of the sporozoite would be solved.<br />

On my return to England, I joined <strong>for</strong>ces with Colonel<br />

Sh o r t t who had started work on P. cynomolgi of Asian<br />

macaques. This parasite is almost identical with human P. vivax.<br />

W e used Anopheles atroparvus as the transmitting agent and<br />

allowed hundreds of infected specimens to bite a monkey which<br />

also received the ground up mosquitoes by intra — peritoneal<br />

injection. The animal was sacrificed 7 days later, and all the<br />

organs were taken <strong>for</strong> examination. Eventually in the parenchyma<br />

cells of the liver were discovered tissue stages (Fig- 4)<br />

of P. cynomolgi wich closely resembled the early exoerythrocytic<br />

schizonts of P. (— H .) kochi.<br />

Our next step was to repeat the work on a human volunteer<br />

using P. vivax, and with Sir Gordon Covell and Mr. P.G.<br />

S h u t e we ( S h u t e et al. 1945) demonstrated the stages of<br />

the parasite in a biopsy of the liver, taken 8 days after massive<br />

infection of the volunteer by mosquito bites. F a i r l e y ’s (1947)<br />

work on Australian soldiers in the 2nd world war had indicated<br />

that maturation of the sporozoite of P. vivax took precisely<br />

8 days, and this gave us the key to the timing of our biopsies.<br />

Similarly we used his figure of 5 days when we (S h o r t t et<br />

al. 1951) conducted our next experiment on another human<br />

volunteer who was infected with P. falciparum. In this species,

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