12 CONTENTS 



PAGE 



Two Casks uk \'klut Soke Teeated by Autogenous Vaccines. By the Dieectok ... 213 

 Vaccine-therapy — Case I. — Case II. — Successful Treatment l)y Autogenous ^'accmes — Use of 

 a Mixed Vaccine. 



Ulcus teopicum. By the Dieectoe 217 



Leucodeema. By the Dieectoe 217 



Fevees in the Sudan, Peeliminaey Note. By the Uirectoe 219 



Classes of Fevers — Case of Hepatitis — Case of Malta Fever — Plilebotomus Fever or " Sand-tiy " 

 Fever — Dengue Fever — "Toxic Enteritis" — Miliary Tuberculosis — Prolonged Fever of 

 Syphilitic Origin — Helminth.s as a Cause of Fever — Fever due to Old Malarial Infection — 

 Idiopathic Tropical Splenomegaly — Septicajmic Fever — History of Cases — Three Cases of 

 Pyrexia of Unknown Origin — History and S>'miitoms — Classification of Fevers — 

 Temperature Charts of Cases. 

 Four Cases of Pyrexia due to Infection with a Bacillus of the B. cloac.e Type, 

 with Notes on the Vaccine Treatment of Two of these Cases. By 



Cai'tain II. G. Archibald 231 



Blood Cultvire for Early Diagnosis — Clinical Signs — Isolation of the Organism — iloi'iihology — 

 Cultural Characters — Agglutination Tests — Cultural Reactions — Presence of Organism in 

 Excreta — Outcrop of Boils — Success of Vaccine Treatment — Conclusions — Temperature 

 Charts. 



Diphtheeia in the Tropics. By the Director 239 



Diphtheria in the Sudan — A Coccal Form of the Diphtheria Bacillus — Seasonal Incidence — 

 Case in Khartoum — Bacillary Form — Involution Forms — Variation in Bacilli — Additional 

 Note — Associated Organism — Characters of the Organism — Mori)hology — Pathogenicity. 



Some Aspects of Tropical Sanitation. By the Dieectoe 249 



Tfie Sanitary Insjiector in the Tropics — Eftects of Sun and Humidity on Health — Native 

 Populations — Malaria and Mosquitoes — Unexpected Breeding-i)laces — Other Communicable 

 Diseases — Conservancy Method.s — Bacterial Treatment of Sewage — Proposed Sewage Farm 

 — Incinerators — Birth-rate — Milk Supply — Miscellaneous Duties — New Khartoum. 



Sanitary Notes. By the Dieectoe 263 



Meteorological Conditions — Mosquito Work — Statistics — Malarial Outbreak — Irrigation Rules 

 — Influence of Cultivation on Diseases — The Covering of AVater Utensils — Eats in 

 Khartoum — Infectious Diseases — Tables of Statistics — Vital Statistics — Death-rate — 

 Birth-rate — Liability of Sudanese to Tuberculosis. 



The Watee-Supply of Towns in the Tropics. By the Director 289 



Significance of B. roll rommnnh in Water — Bacterial Flora of Tropical Water-supplies — 



Clemesha's Observations — " Coli " Standard as apjjlied to India — Comparative Value of 



Tests — B. cloaccv — Varying Powers of Resistance to Sunlight amongst Coliform Organisms 



— Clemesha's Conclusions — Bacterial Standards in Tropical and Temperate Climates — 



Shallow Well Water— Classes of Fwcal Organisms— Blue Nile Water— Collection of 



Samples — Khartoum Water-supply — Geological Conditions — Air-lift Pump — Quantitative 



Examination — Qualitative Examination — Danger of Crenothrix — Pumping Trials — Report 



of Mr. Abel and Dr. Todd — Solution of Difficulty — Conclusions — Extracts from Government 



Report — Tables of Tests — Appendix — Notes on Distriljution. 



The Presence, Type and Possible Significance of Lactose-feementinc; Bacilli in 



SuEFACE Waters and in the F.eces of Man and Ceetain Domestic Animals 



IN the Sudan, to(;ethee with a Consideeation of the Effects of Sunlight 



and Earth Burial on these Organisms. I'heliminary Note. By Captain 



E. G. Aechibald 319 



Standards of Purity — Observations on Indian Water-supplies — Khartoum Water-supply — 

 Technique — ] differential Sugar Media — Tables of Results — Conclusions — Additional 

 I'^xperimcnts —Lactose Fermenters in Human Fieces — Effect of Sunlight — Effect of Eai'th 

 liiiiial cm the liacterial Content — Clemesha's List of Lactose Fermenters — Tables of 

 Results. 



