176 ROUTINE WOUK 



together witli streptococci. The disease was of a very severe type and proved fatal in every 

 instance. Its incidence was limited to native infants and young children. 



Till' Widal test has had to be doiie in ;i fi w instances. As previously stated enteric 

 fever is at present a rare disease in Khartoum, despite the fact that the present water-supply 



Fig. 78.— Ectiivmatous Skcondarv Svphilitic Rash 



can readily become contaminated, and tlnit tlie system of sewage-removal is otVcnsive and 

 dangerous, and re<|uires to be thorougldy remcilic d. 

 Knicric Kever The native Sudanese niust suft'cr but rarely, if at all. fmni the disease, and Egyjitians 



are not liable to infection. S:indwitli.* however, has shown that they may become so, and 

 now that the mw railway to I'ort Sudan is an accomplished fact, and the isolation of 



• Til.' Morlical Diseases of Egypt, 1905, pp. M and 53. 



