CARRIAGE OF DISEASE 169 
and found on their feet bacteria which were similar to 
those found in the conjunctival secretion. 
At the time when Doctor Howe told the writer of 
this paper, the latter was so filled with the idea that 
horse manure was far and away the most abundant 
producer of house flies that, inasmuch as there are com¬ 
paratively few horses in the Nile Valley, he was in¬ 
clined to suspect that the fly concerned in the carriage 
of this disease as pointed out by Doctor Howe might 
be some other species breeding by preference in camel 
dung or perhaps in some other substance. He there¬ 
fore sent to Egypt and secured specimens of the flies 
commonly swarming about the eyes of ophthalmic pa¬ 
tients, and on their receipt in Washington they were 
readily determined as Musca domestica by Mr. D. W. 
Coquillett of the Bureau of Entomology. 
Nuttall and Jepson show that Budd, as early as 1862, 
considered that it was fully proven that flies served as 
the carriers of Egyptian ophthalmia, and Laveran, in 
1880, writing of Biskra, says the same. These writers 
also point out that Braun (1882), Demetriades (1894) 
and German (1896) agree that gonorrheal and other 
infections of the eye may be carried by flies. They 
state that Welander (1896) observed an interesting 
case where an old bedridden woman in a hospital be¬ 
came infected. It seems that her bed was alongside 
that of another patient who had blennorrhea, but that 
a screen which did not reach to the ceiling separated 
the beds. Thus all means of infection except through 
the agency of flies was apparently absent. The inves- 
