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GERM THEORY OF DISEASE 2
Introduction
The news media regularly highlight various microorganisms that cause disease, including
notable ones such as HIV, Salmonella, H. Pylori, Tuberculosis, and Malaria. New outbreaks
occur each year, and scientists help to identify the causative organism. It is now common
knowledge that germs cause many diseases, including notable ones such as HIV/AIDS,
tuberculosis, and Ebola (Gillen & Oliver, 2009). For many centuries, however, people did not
know that germs exist. For many years the concept of microbes was strange, although diseases
like leprosy, plagues, and pestilence caused havoc in the world. Today, the germ theory has been
widely accepted, and it notes that some diseases are caused by microbes, the pathogens (Egger,
2012). It has become a central theme in biology, and it has guided the course of research into the
cause, progression, and treatment of various ailments. The germ theory of disease is an important
The antecedents to the germ theory include the disproving of spontaneous generation as
the origin of microorganisms, the discovery of the microscope, and its improvement to observe
small agents; the proving of biogenesis; studies on food and wine to demonstrate fermentation,
and the demonstration that microorganisms cause disease. Joseph Lister, Louis Pasteur,
The society has always been concerned about health and diseases. As a result, there has
been constant research on public health and how to improve the quality of life. Consequently,
there have been various concepts about treatments, diseases, and health. The Germ Theory and
the emergence of biomedicine have changed how to view disease and health, and there is
GERM THEORY OF DISEASE 3
constant scientific research for correlation between the causes of illnesses. Human beings cannot
find remedies without first understanding the cause of infections and diseases.
Today, it is commonly accepted that bacteria, fungi, viruses, protozoa, and other
microbes are responsible for several diseases such as pneumonia, chickenpox, and influenza
(Gillen & Oliver, 2009). However, before the 19th Century, people did not know that
microorganisms cause disease. In ancient Greece, people thought that there were infectious seeds
in the air and food that caused disease. They also observed that the seeds could stay in the body
of the infected, even after recovery, so that they can cause a relapse at a later time.
The concept of Contagium animatum is highlighted in the Bible, meaning that close
contact can lead to the spread of disease. The Mosaic Law has many texts that discuss contagious
diseases and infections such as pestilence, plague, and leprosy. It is recorded in the Bible that
people learned how to clean hands and distinguish between the clean and the unclean (Leviticus
11:47). Moreover, God, through Moses, instructed people about disease prevention and control
methods such as disinfection, sanitation, and quarantine. However, the idea of contagious disease
was developed further only recently, first by Girolamo Fracastoro in 1546. He postulated that
Syphilis is caused by a contagious agent, although he did not see it (Gillen & Oliver, 2009).
Medicine, philosophy, and religion have always been vital elements in all civilizations. In
the primitive age, there was a prevalent concept that evil spirits enter the body and cause disease.
The demonic theory holds that gods sent diseases to men as a warning. Also, some diseases were
caused because of enmity between people and the gods. Moreover, it was also believed that some
dead ancestors came back to haunt the family members through diseases. The demonic theory is
closely related to the punitive theory, which originates from religion. Even to the present time,
GERM THEORY OF DISEASE 4
there are many people, including Christians, who believe that sickness is a punishment from
God.
According to the Ancient Greeks, through the humoral theory, the matter is made up of four
elements, Water, Fire, Air, and Earth, all these have corresponding theories of being Cold, Hot,
Moist, and Dry. The body represents these elements through the humor: blood, black bile, yellow
bile, and phlegm. A person is healthy only when there is an equilibrium among the humor, and
any disequilibrium leads to illness. Moreover, there was the Miasmatic theory, which explained
Century. He is considered as the founder of the germ theory due to his publication about
Syphilis. He noted that the causes of disease were small, transmissible, and unique for each
disease. Besides, he correctly observed that the agents were capable of reproduction, although he
did not have any evidence for his assertions. It was until the 17 th Century that the microscope
helped to explore the microscopic world, and knowledge about microbes became apparent. Most
physicians and scholars in the 19th Century shared Hippocrates' theory that disease resulted from
an imbalance in the body due to noxious environmental influences. Therefore, they vehemently
resisted any attempt to attribute disease to germs or microbes. They categorized the germ theory
It is frequently indicated in the news and media services that diseases are caused by
germs. The word 'germ' simply means pathogen, and it is the central focus of the germ theory of
the disease. The historical background dates back to over 150 years down the line, and many
scholars, including the Jews and scientists who were not linked to any religion, linked the disease
GERM THEORY OF DISEASE 5
to pathogens (Alan and Douglas, 2009). Experimental analysis by different scholars greatly
impacted on the justification that germs cause infectious diseases. Among the pioneers who
performed practical analysis which developed germ theory are Antonio van Leeuwenhoek, Louis
Antonio Leeuwenhoek did the discovery bacterium as small and microscopic agents that
exist and live in other organisms. The first invention of the microscope was done by Robert
visualize microorganisms. Through microscopy, Antonio Leeuwenhoek became the first person
to describe bacteria and other microscopic organisms like protozoa, which the human eye has
never seen in the year 1663 (Porter, 1976). He used the term ‘minute eels’ as he was in the
process of writing about the spiral-shaped bacterium scientifically named, Spirillum volutans.
The advances by Leuwenhoek in the year 1675 revealed the secret for grape juices to
change into wine when left to stand for some time. Moreover, the explanations proceeded into
knowing the reason behind food spoilage and milk changing into cheese. The discoveries of
Leuwenhoek encountered conflicts of interest from the letters he issued to the Royal Society in
1674 (Porter, 1976). His observations at Lake Berkelse Mere with cloudy water on summer made
him describe the microorganisms as 'animalcules' and associated them with attachment to other
small organisms that are visible. Later in the year 1683, he observed the plague in his mouth and
the family members and discovered that the animalcules were moving and were large in
numbers. His writings to the Royal Society of England reveal the link between dental plaque and
bacteria (Lane, 2015). The relationship between dental plaque and bacteria first directly shows
the backs up the germ theory. Leuwenhoek used a simple microscope to study microbes, molds,
GERM THEORY OF DISEASE 6
and spermatozoa. He investigated semen and seminal fluid from an individual suffering from
gonorrhea, and he observed that the animalcules found in the infected person were different from
Louis Pasteur is pronounced the founder of immunology following his investigations and
analysis on diseases in the latter days of the 19 th Century. Through his experiments, the germ
theory was popularized, and hope was built on the way out to disease menace through
vaccination (Berche, 2012). His involvement in infectious disease research came as a result of
silkworm epidemics in Southern France. Throughout his studies, he distinguished two different
diseases in which he believed that is associated with the proliferation of bacteria. From the
findings, he proposed the appropriate remedy and hypothesized the germ theory of all infectious
diseases (Kendall, 2012). The results from Pasteur’s studies convinced Joseph Lister that
Through the hunt for remedies against cholera in the fowl, Pasteur developed a vaccine
against the catastrophic chicken disease. Thousands of fowl locked in the same room could
develop the disease through the transmission of the pathogen and die within a very short period
(Berche, 2012). By successfully culturing the cholera bacteria and naming it Pasteurella
multocida, he observed that preserved colonies that had stayed for a long period did not induce
disease upon inoculation in healthy chicken. Moreover, he realized that chicken inoculated with
old culture was also not developing the disease and concluded that they are protected against the
wild type pathogen. The chicken, which survived the subsequent inoculations with wild type
pathogen still excreted wastes with pathogenic bacteria (Ernst, 1995). He embraced the term
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vaccination in honor of Edward Jenner, who performed the first experimental analysis on
The disease burden became a concern from anthrax, which was a plague attacking the
cattle. Robert Koch, who was a physician, had already cultured the bacterium Bacillus anthracis
and successfully prevented disease progression upon performing sub-culturing eight times.
Through innovative thinking, Pasteur developed a procedure for attenuation of the bacterium,
which was preferred using potassium bichromate (Berche, 2012). His procedure was tested and
proved effective and reduced cattle mortality to 0.3 percent, saving the lives of French herds.
While in pursuit of good health, Pasteur successfully rescued lives through vaccination with
attenuated bacteria and viruses. The idea of vaccination has been instrumental in modern science.
More important, by developing the concept of germ theory, attenuation became the tool of
rescue; thus, Louis Pasteur considered the father of modern-day immunology (Kendall, 2012).
Although Girolamo Fracastoro is considered the father of the theory, it was Louis Pasteur
who proved that germs cause disease. He conducted experiments on wine spoilage and milk to
develop his ideas of disease and fermentation. Before Pasteur, the connection between microbes
and disease was not apparent, and many people considered that microorganisms were beneficial,
and so they could not harm people. It was through experimentation and the microscope that the
alleviate disease burden in his country. Robert Koch was a physician in the 19 th Century and a
pioneer in the discovery of etiological agents of infectious diseases. In the year 1882, Koch
exposed that tuberculosis is caused by the tubercle bacillus, which can be transmitted from
GERM THEORY OF DISEASE 8
unhealthy organisms to another, which is healthy (Rogers, 1895). Through his brilliant ideas in
explaining that diseases are linked to exogenous agents by elaborating how TB is caused by the
bacterium nullified, the idea which was initially held that diseases are endogenous. On
subsequent analysis, he successfully cultured Bacillus anthracis and opened the gate to the
identification of many pathogenic bacteria that are associated with infectious diseases (Berche,
2012).
Taking keen interest to know what exactly leads to other diseases, Koch and his assistant
researcher managed to identify diphtheria and typhoid fever bacteria in the year 1884. Intense
efforts to map out the causative agents of killer diseases led to their identification of gonorrhea,
plague, and pneumonia, and tetanus bacteria within a 20 year period (Lakhtakia, 2014). Koch
developed bacterial staining techniques that are applied even in the current day research in the
microorganism is the causative agent of infection. The issue of pathogen identification puzzled
many researchers, and upon postulation by Robert Koch, the procedure was universally accepted
and also backs the germ theory of diseases (Lakhtakia, 2014). The initial step in Koch's postulate
is that the suspected germ must be associated with all disease cases. The subsequent procedure is
to isolate the pathogen from an infected organism and cultivate it in pure culture. Healthy hosts
are then inoculated and must present with clinical symptoms as the initial case. The same
pathogen must then be re-isolated and must have the initial features as the first isolate (Allyson
and Julia, 2016). The rules by Robert Koch have been used to identify pathogens and justifies
Anesthesia was introduced in the 1840s, and it revolutionized surgery, although post-operation
infections killed many who had survived the painless procedure. In the 1860s, Joseph Lister, a
British surgeon, introduced the antiseptic system (Gillen & Oliver, 2009). He based his studies
on the work done by Pasteur, focusing his research on the surgical infection. He tested many
chemicals and settled on carbolic acid, which he found to be effective since it did not damage the
tissue. He was at first ridiculed by the conservative physicians, but he later won their recognition
The germ theory gave rise to health reform towards the end of the 19 th Century. For
instance, Ellen G. White, the spiritual leader of the Seventh-Day Adventist, incorporated it in her
gospel of wellness. She advocated for biologic leaving, vegetarianism, and natural therapies such
as exercise and fresh air. Besides, she warned her followers that urbanization and rapid
industrialization were dangerous, and it would cause disease, corruption, overcrowding, filth, and
pollution. Generally, health reformers advocated for wellness practices, which included bathing
regularly, exercise, and cleanliness. It was at the time understood that germs grew in an
Besides, the germ theory led to the development of another branch of science,
immunology (Ernst, 1995). Scientists began to investigate ancient beliefs about the ability of the
body to heal itself. It was generally accepted that the body has a mechanism to protect against the
microbes because they are ubiquitous. The science of immunology was established through the
successful use of vaccination for rabies, anthrax, and smallpox. However, at the time, it was not
yet clear whether immunity was attributed to cellular agents of humoral. By the 1880s, antiserum
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10
and antitoxins had already been developed for diseases such as tetanus and diphtheria. Scientists
inoculated animals with the organisms and developed immune serum by separating the liquid
component of blood from the cells. Later, Elie Metchnikoff discovered white blood cells which
destroy microbes by engulfing them, thus supporting the cellular immunology theory. Therefore,
it was understood that both humoral and cellular components contribute to immunity.
The preceding discussion has highlighted the profoundly important role of germ theory in
understanding disease and its treatment. The knowledge about microbes has helped the effort of
preventing infection that is caused by contact, water, and food. Besides, it is the origin of various
practices, such as proper food preparation, personal hygiene, sterilization, and disinfection.
Particularly, the knowledge that microbes can spread from one individual to another has led to
various approaches to minimizing the transmission. For instance, asepsis has been developed as a
way off treating surfaces to prevent the growth of germs. Similarly, the understanding that water
can spread some organisms that occur in the gut has led to sanitation strategies such as the
Furthermore, various techniques that are applied in molecular biology are based on germ
theory. Infection control is now more efficient and rapid due to the use of genetic techniques to
identify target microbial sequences. Moreover, antibodies are now used to prevent microbes from
lining and non-living surfaces (Ernst, 1995). Besides, various disciplines have emerged which
are rooted in germ theory, such as epidemiology. A major milestone in germ theory was the
discovery of antimicrobial agents at the turn of the 20 th Century. The powerful medication has
saved many lives, and they have greatly reduced the burden of illness. Antibiotics are separated
from microorganisms to control other microbes. Basically, the treatment of infection has been
GERM THEORY OF DISEASE
11
impacted greatly by antimicrobial drugs, although re-emerging diseases. Some microbes have
second half of the 20th Century, uncovering missing links in biochemistry, environmental
science, and medicine. For instance, the discovery of biochemical genetics in viruses and
bacteria has given rise to stellar advances, and they have contributed to the understanding of
human genetics. For instance, microorganisms were instrumental in the discovery of DNA
(Colwell, 2017), the polymerase chain reaction (PCR), (Garibyan & Avashia, 2013), and other
Finally, the process through which microbes cause disease has now been fully
understood. Pathogenesis refers to the progression of an infectious disease over time. The
process begins with exposure to a germ (microorganism) in sufficient quantities and at the
correct portal of entry into a susceptible individual. During the incubation period, the organism
multiplies without causing any clinical symptoms. The clinical disease has symptoms and signs.
Without treatment, an individual either recovers or dies, depending on the Body’s immunity and
Antibiotics and vaccines function similarly but, in some ways, opposites. While
antibiotics kill indiscriminately, vaccinations are highly targeted. Both antibiotics and vaccines
play a crucial role in combating infections. Antibiotics treat severe infections, and vaccines
prevent those infections from becoming established. Antibiotics have defenses that originate
from the microbes to hinder them from bacteria; hence, they are not natural defenses to the
human body. Further, the human body is not used to cope will with antibiotics. In contrast,
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12
vaccines invoke the long-term defense mechanism of the human body, making them less
invasive.
Antibiotics are substances produced by microorganisms such as fungi and bacteria, which
inhibit the growth of other microorganisms (American Chemical Society, 2018). The first person
to discover antibiotics was Alexander Fleming, who developed penicillin by accident. In the
Golden Age, various antibiotics were discovered based on the ideals of the germ theory of
disease. Nowadays, diseases that used to kill many people before have been effectively
Gillings, & Paulsen, 2015). Moreover, some uses of antibiotics are not therapeutic, such as for
Today, hundreds of antibiotics have been prescribed by physicians and caregivers based
upon the suspected bacteria. In cases of serious infections, physicians recommend a broad-
spectrum of antibiotics to be used initially. After that, a narrow-spectrum antibiotic can be used
once the infection bacteria have been identified. Additionally, antibiotics are prescribed
prophylactically in cases of high risk to prevent infections. For instance, HIV patients can be
prescribed antibiotics to curb secondary bacterial infection. While antibiotics prevent infections,
vaccines target specific infections to exert pressure on them. As a result of herd immunity,
people who cannot be vaccinated receive protection from the use of vaccines. Also, since
vaccines prevent replication of targets in the host, there is no presence of bottleneck. As the host
becomes rare, the pathogen lies low to avoid harming the host; it takes a while before it spreads
to a new host. Further, the vaccine does not harm human biota; hence, it does not disrupt the
immune system. Consequently, the long-term effect of vaccines is that they do not affect non-
GERM THEORY OF DISEASE
13
targeted strains, and the usage of vaccines has been termed as one of the safest in the medical
interventions.
Antibiotics target a wide range of bacteria when they are used. Naturally, the antibiotics
either kill the bacteria or stop them from spreading. This allows the body’s natural defense to get
rid of the pathogens. Hence, when used properly, antibiotics save lives. However, there is a
recommended even when the symptoms disappear is the key to preventing any development of
bacteria resistant. In the same breath, vaccines safeguard children from deaths and illnesses
caused by infections. Vaccines also help prepare the bodies of children to fight severe and deadly
diseases. In essence, a child is born having a full immune system that helps the child to fight
Vaccines protect diseases related to targeted diseases. For instance, in the US, influenza
vaccinations help protects from acute otitis in children. Measles vaccination protects multiple
complications such as bacteria, pneumonia, and malnutrition. Usually, the antibodies disappear
when they destroy the invading antigens. Also, vaccinations against pathogens such as Chronic
Hepatitis B can help in the prevention of cancer. The reduction of cervical cancer can be
achieved through the use of HPV vaccines. Both vaccines and antibodies are life-saving
inventions that have saved countless lives as well as spared humanity hurt and misery. However,
vaccines are vastly used to antibiotics; hence, it is recommended to use vaccines freely and
Eradicating some infections can be a daunting task. There are viral diseases that are
impossible to eradicate, due to particular characteristics of the virus. For instance, the Herpes
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14
simplex virus is found latent in the neurons, where infections tend to reactivate. A person cannot
identify latently infected people clinically but can be infective as soon as the virus reactivates.
Also, Influenza A is an RNA virus with antigens that are persistently changing as a result of the
antigenic drift. Antigenic drift is a point mutation in neuraminidase genes, which reduces the
affinity of antibodies. This explains why some people are easily re-infected with the influenza
virus.
Based on scientific grounds., infections such as malaria are not easy to eradicate either.
Human malaria has four species, and two of them are more common-the Plasmodium vivax and
Plasmodium falciparum. The P. falciparum is alleged to be the most dangerous out of the four
species, and it is also responsible for causing many deaths, especially in Africa. P. Vixax is also
common among the four species but is seldom fatal. Consequently, the two species respond to
medicines differently while exhibiting drug resistance differently. Also, to find a malaria
Further, another challenge for malaria resisting treatment is through the cause. The
single-cell parasite causes malaria, and it can evolve and evade the immune system. The parasite
can evolve, which enables it over time to be resistant to medicines. As a result, even if a person
recovers from Malaria, he or she is not guaranteed from Malaria infections in the future. This
fact alone makes it challenging to find a vaccine for malaria. Moreover, it is not only the
parasite that can evolve and adapt, but also the Anopheles mosquito, which has resistance to
Moreover, the war against HIV has been shifting over the years, as humans persevere in
the search for a cure despite the continued setbacks. HIV is difficult to control because when it
comes to most viruses, the DNA has to be transcribed to RNA, which is then converted to
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15
protein. However, HIV is a retrovirus, meaning it carries a single strand of RNA in its genes
rather than carrying a DNA strand (Colwell, 2017). To the people infected, HIV attacks the cells
of the body with a reverse transcriptase enzyme, which creates a DNA version that invades the
cell.
The other factors that are hinder the eradication of infectious diseases are political
instability, war, and conflict. These causes have halted the global efforts of eradicating parasitic
diseases. Also, there is a breakdown in various health systems resulting in resurgence, such as
Malaria. Next to political instability, the absence of a political will is the most corrosive factor
hampering public health efforts against infectious diseases. Perhaps the saddest thing about
infections and disease control getting out of hand are instances of deliberate attempts to block
vaccination exercises. Currently, the transmission of polio has been halted almost everywhere
except Pakistan, where some religious extremists vow to assassinate vaccine workers.
Moreover, now, the United States and Europe are alleging to have anti-vaccine groups linking
vaccines and autism. Massive scientific studies have conclusively confirmed that there is no
Another public concern is the reemergence of measles, which the most contagious among
the vaccine-preventable-diseases. The concern stems from the decline of vaccine rates. Also,
worldwide polio eradication is not going according to plan, as the first eradication year of 2000
was missed. This can be attributed to instability, hard-to-reach areas, and political unrest. In
countries like Pakistan and Nigeria, there is a struggle to achieve massive vaccination coverage
that is needed to eliminate the disease. Also, health workers risk their lives working in hostile
communities.
Conclusion
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16
As shown herein, this is the theory that is widely accepted for many diseases. According
to the theory, some germs can cause disease. The organisms are too small to be seen by a naked
eye, and they are ubiquitous, including living in bodies of other living things. They cause disease
by growing and reproducing within their hosts. Germs include viruses, bacteria, fungi, protozoa,
and other microscopic agents. Moreover, it has been noted that apart from the pathogen being the
principal cause, hereditary factors, and environment all contribute to influencing disease severity.
Basic forms of the theory came from earlier researchers, such as Girolamo Fracastoro. However,
it is Leuwenhoek, Pasteur, Lister, and Koch, who helped to establish the theory and promote its
wide acceptance. Although for a long time, the cause of disease had been a mystery, the
development of germ theory has helped to generate insights about various infections. By
understanding the cause of a disease, it becomes easier to treat and control. Therefore, the germ
theory of disease is an important concept that helps to understand the etiology and pathogenesis
of diseases.
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17
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