TRICHINIASIS OF MAN AND ANIMALS. 39 



Glazier, in his report, has collected a list of 3,044 cases of disease 

 among human beings, and 231 deaths, in Europe. For this country, 

 77 cases and 24 deaths. 



He has also endeavored to get at the prevailing opinion of doc- 

 tors as to its extension among the people in this country, as revealed 

 in autopsies, but, while many report having seen cases, the reports 

 are in general of so vague a nature as to be next to valueless. 



An Epidemic of Trichiniasis on the Jordan.* 

 By Dr. John Wortahet. 



The outbreak of the disease was traced to a wild hog which had 

 been shot in the swamps adjoining the village of El Khiam, on the 

 25th of November, 1880. It was a very large boar, and I was told 

 that its flesh appeared fresh, fat, and perfectly healthy. A very 

 large number of the people of the village ate of the flesh of this 

 hog, partly in a raw and partly in a semi-cooked condition. Not a 

 single person that ate of the flesh escaped infection. 



The head of the boar was sent as a present to a family in a 

 neighboring village. It was cooked three times before any of it 

 was eaten. Although quite a number of people partook of it, none 

 of them became sick. 



All of those that partook of other portions of the hog remained 

 in a healthy condition until the eruption of the disease made itself 

 evident, which took place in the majority in the second, and by 

 some in the third week. I heard of onlv one man who was taken 

 with emesis and diarrhoea soon after eating. In this case the phe- 

 nomena of the disease were very mild. Another ate the meat well 

 cooked, and remained free from any indications of invasion to the 

 end of the fifth week subsequent to the same, and then was not 

 confined to his bed. 



The principal phenomena during the third, fourth, and fifth 

 weeks were oedema of the face and extremities, severe muscular 

 pains, more or less fever, and itching over the whole body. The 

 oedema sometimes extended over the whole body. The pain com- 

 plicated the active muscles, inclusive of those of the lower jaw, 

 the pharynx, and larynx. It was most severe at points where 

 the tendons were inserted upon the extremities. Every move- 

 ment was painful. The fever seemed to assume a severe type 

 only in the fatal cases. Children suffered less than those of mature 

 years. 



The period of convalescence, extending from the fifth week on, 



* " Virchow's Archiv," vol. lxxxiii, p. 553. 



