95 
left  (São  Paulo).  In  Tres  Lagoas,  where  we 
stayed  the  most  common  were  ankylostomia¬ 
sis  and  malaria.  We  found  a  great  many  spe¬ 
cimens  of  Triatoma  sórdida  in  this  town. 
In  Porto  Tibiriçá,  we  treated  38  patients, 
almost  all  with  malaria  or  ankylostomiasis. 
We  also  saw  a  typical  case  of  Dysphagia 
spasmodica  (mal  de  engasgo). 
From  Porto  Tibiriçá  to  Porto  Mojoli, 
we  travailed  in  a  barge  belonging  to  the 
Mate-Larangeira  Comp;  it  was  towed  by  a 
a  gazoline  launch  ;  several  of  the  16  mem¬ 
bers  of  the  crew  fell  ill  with  malaria  on 
the  way. 
Near  Porto  Xavier,  we  made  a  visit  to 
an  indian  settlement  between  the  mouth  of 
the  rivers  Veado  and  the  Ivahy.  Some  of  the 
indians  (tame  Cayuas)  were  suffering  from 
malaria.  In  Porto  Isabel,  on  the  Matto-Grosso 
bank,  a  litle  below  the  Iguatemy,  we  saw  about 
20  workmen  most  of  which  were  Paraguayans; 
some  suffered  from  malaria  while  others  had 
large  two  lobed  goiters. 
Porto  Mojoli  was  founded  in  1909  and 
now  boasts  1300  inhabitants,  with  a  great  ma¬ 
jority  of  Paraguayans  and  correntinos.  The 
town  has  canalised  water  and  public  W.  C. 
in  several  places.  The  company,  wyich  owns  it, 
furnishes  food  supplies  at  modérât  prices  and 
there  is  fresh  meat  every  day.  An  efficient 
and  strict  police  service  ensures  order  though 
the  latter  may  also  be  attributed  to  the  prohi¬ 
bition  of  the  sale  of  alcoholic  drinks.  Most 
people  speak  the  Paraguayan  language  (Gua- 
rany).  A  Décauville  railway  belonging  to  the 
Mate  company  goe«  from  Porto  Mojoly, 
around  the  Guayra  falls  which  are  about  5  ki¬ 
lometers  from  the  town,  to  Porto  Mendes.  The 
company  also  keeps  a  physician,  a  drug-store 
and  a  hospital  for  its  workmen.  The  actual 
physician  is  Dr.  FRANCISCO  VARELLA. 
When  we  visited  the  hospital  we  saw  37  pa¬ 
tients  there.  Malaria  and  Ankylostomiasis 
prevail  ;  the  first  is  brought  from  Matto-Grosso 
the  second  from  Paraguay.  We  a'so  saw 
some  goiters.  The  sanitary  conditions  of  the 
settlements,  Porto  Artaza,  Bella  Vista,  Zo- 
rorô  and  Porto  Mendes  are  superior  to  those 
of  Porto  Mojoli  and  Porto  Tibiriçá.  All  of 
them  are  almost  exclusively  inhabitated  by 
Paraguayans  and  Correntinos. 
Water  pipes  have  been  laid  in  Porto  Ar- 
taza  which  belongs  to  Mr.  Julio  Allica,  who 
claims  that  in  this  settlement  hygiene  is 
practised  as  a  sort  of  religion.  The  popula¬ 
tion  is  argentinian  and  there  is  more  mora¬ 
lity  than  in  Porto  Mojoli.  All  these  settle¬ 
ments  form  part  of  the  borough  of  Iguassú. 
Iguassú  (the  townj.  This  old  military  co¬ 
lony  was  made  a  borough  in  1917.  The  town 
is  lit  by  electricity  and  has  a  telegraph  of¬ 
fice.  The  water  is  not  canalised.  The  sanita¬ 
ry  state  is  good.  In  1905  and  1906  there  was 
a  bad  epidemic  of  malaria,  but  in  the  last  few 
years  only  a  few  spoiadic  and  imported  cases 
were  observed.  We  saw  no  patients  with 
ulcers  or  any  other  important  diseases,  with 
the  exception  only  of  some  grave  cases  of 
leprosy.  Iguassú  has  no  physician  and  no 
dispensing  chemist.  Patents  whose  means 
allow  them  to  do  so  go  to  Posadas,  in  the 
Argentine,  to  be  treated. 
PARAGUAY:  ASSUNCION.  This  at¬ 
tractive  capital  occupies  the  left  bank  of  the 
Paraguay  about  100  m.  above  sea-level.  It 
has  100.000  inhabitants  and  about  40  doc- 
tyrs,  some  of  which  are  foreigners.  There  is 
no  pipe  system,  but  there  are  electric  trams, 
fine  buildings  and  public  gardens. 
SANITARY  CONDITIONS.  The  Presi¬ 
dent  of  the  Republic,  whom  we  visited,  sho¬ 
wed  a  great  interest  in  hygiene  and  spe¬ 
cially  in  rural  prophylaxy  and  told  us  that  in  the 
same  year,  (1918),  he  intended  to  reopen  the 
faculty  of  Medecine  which  has  been  closed 
for  several  years.  Dr.  ANDRÉS  BARBERO 
gave  us  interesting  information  about  the  sa¬ 
nitary  condition  of  the  country  and  about 
the  frequency  of  leishmaniosis  among  the  pa¬ 
tients  treated  in  the  department  for  “bubati- 
cos”  of  the  Assistência  Publica.  Dr.  BARBE¬ 
RO  intends  to  establish  more  posts  for  the 
treatment  of  leishmaniosis  in  other  parts  of 
the  country,  and  to  begin  a  campaign  against 
malaria  and  ankylostomiasis  in  the  near  future. 
Assumpção  has  a  National  Hospital,  a 
Military  Hospital,  and  a  Maternity  hospital  as 
well  as  its  Assistência  Publica  and  it?  isola- 
