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ting  hospital  where  some  lepers  are  interned. 
There  is  also  a  Bactériologie  Institute  under 
the  direction  of  Dr.  LUIZ  MIGONE.  Besides 
these  there  are  a  few  private  sanatoria. 
Chagas’  disease  has  been  found  in  Pa¬ 
raguay.  We  examined  several  specimens  of 
Triatoma  megista  with  Dr.  MIGONE;  they 
were  infected.  Malaria  is  found  in  several 
regions  and  even  in  the  neighbourhood  of 
Assuncion.  Ankylostomiasis  and  other  worm 
diseases  are  spread  over  the  whole  country, 
which  is  hot,  damp  and  low. 
Leishmaniosis  is  by  far  the  most  com¬ 
mon  skin  disease  in  Paraguay.  There  are 
also  same  foci  of  Leprosy  in  different  zones. 
Many  cases  of  Granuloma  venereum  have 
been  observed  in  the  National  Hospital  of 
Assuncion  and  elsewhere.  The  real  “Bouba” 
Framboesia  tropica,  and  Blastomycosis  are 
unynown.  Perhaps  these  two  diseases,  found 
almost  all  over  South  America,  have  only 
passed  unnoticed. 
Syphlis  and  Gonorrhea  are  as  common 
in  Paraguay,  as  in  Brazil. 
We  made  some  excursions,  collected 
many  insects  amd  made  interesting  medical 
notes. 
ARGENTINE.  On  the  return  journey,  to 
Brasil,  we  stopped  saveral  days  in  Buenos 
Aires.  We  saw  the  Bactériologie  Institute,  the 
Faculty  of  Medicine  the  Hospitals,  Museum  and 
botanical  Gardens.  The  efficient  organisation 
of  the  hospitals  made  a  very  good  impres¬ 
sion.  All  the  foreign  colonies  have  their  hos¬ 
pital  and  a  well  arranged  medical  assistence. 
The  most  interesting  sections  of  the  Facul¬ 
ty  of  Medicine  are  the  gynecological  muse¬ 
um,  the  department  of  experimental  physio¬ 
logy,  the  wards,  the  botanical  and  pharmaco¬ 
logic  Institute  etc. 
The  bacteriological  Institute  is  quite  ready 
and  working  under  the  direction  of  Prof. 
KRAUS.  In  the  Muniz  Hospital,  we  saw 
many  cases  of  typhoid  fever,  anthrax  and 
leprosy. 
Dr.  ABERSTURY  and  Dr.  SOMMER 
gave  us  interesting  information  about  the 
prophylaxy  of  leprosy.  Granuloma  venereum 
aud  leishmaniosis  are  quite  common  in 
Ramos  Mejia  and  in  other  hospitals. 
URUGUA  V  MONTEVIDEO.  We  only 
spent  one  day  in  this  fine  city,  but  saw  the 
wards  of  the  MACIEL  hospital,  the  Radiologi¬ 
cal  Institute,  the  National  Syphilicomium  and 
the  Natural  History  Museum. 
SOUTH  of  BRASIL.  RIO  GRANDE 
DO  SUL.  I  visited  the  following  towns  in 
this  state:  Rio  Grande,  Pelotas,  Bagé  and 
Porto  Alegre,  and  made  some  excursions  in 
the  neighbourhood  of  Bagé  and  Rio  Grande. 
Sanitary  Conditions.  There  is  a  high  per¬ 
centage  of  Ankylostomiasis  in  the  vicinity 
of  Rio  Grande.  Malaria  is  hardly  known. 
Epidemics  of  Smallpox  and  of  Chickenpox 
have  broken  out  recently.  1  registered  7 
cases  of  Leprosy.  There  is  a  Charity  Hos¬ 
pital  in  the  town.  At  the  time  of  my  stay  I 
found  very  may  mosquitos,  specially  Culex 
albofasciatus  and  Stegomyia  catopus.  From 
Bagé  I  have  little  to  report;  according  to 
several  doctors  Syphilis  is  the  worst  infec¬ 
tion.  In  the  interior  of  this  district  I  caught 
many  specimens  of  Neotabanus  missionum 
and  several  Culicidae.  The  Bagé  hospital  is 
well  installed  and  treats  many  pad  ents.  That 
of  Pelotas  also  makes  a  good  impression  ;  the 
municipality  has  also  made  an  lnstitutey  for  Hy 
giene  and  put  it  under  the  direction  of  Butan- 
tan.  In  this  place  I  saw  several  lepers  and  a  pa¬ 
tient  with  an  ulcer  of  the  lower  lip  which 
looked  like  leishmaniosis. 
In  Porto  Alegre.  I  remained  ionger 
and  saw  the  “Santa  Casa”,  the  faculty  of 
Medicine,  the  Instituto  Oswaldo  Cruz,  Dr. 
PEREIRA’s  bactériologie  laboratory  etc.  Du¬ 
ring  my  stay,  March  and  April,  several  cases 
of  Plague  were  registered  and  the  town  was 
visited  by  an  epidemic  of  Typhoid  fever.  A 
little  while  before,  there  had  been  a  severe 
epidemic  of  smallpox.  Vaccination  is  facul¬ 
tative  and  left  to  the  private  initiative  of  the 
people  who  must  request  it  from  the  public 
health  officer.  The  medical  service  is  alto¬ 
gether  very  deficient.  Chagas,  disease  is  found 
in  Rio  Grande.  All  the  specimens  of  Triatoma 
we  examined  in  the  Instituto  Oswaldo  Cruz 
were  infected.  The  principal  foci  of  Tu  atonía 
