ADDENDA 613 



ADDENDA. 



Akamushi or Kedani Sickness (vide also p. 487). Schuffner (Far 

 East. Assoc. Trop. Med., Compt. rend. Trois. Cong. Biennial, 1913, 

 Saigon, 1914, pp. 309-315) states he observed a peculiar fever in Deli, 

 Sumatra, somewhat resembling typhoid. This he traced either to a 

 mite or tick. He figures the possible carriers, namely, a Trombidium 

 and Cheyletidce. He calls this disease pseudo-typhus a variant of 

 Japanese kedani sickness, which, he says, also occurs in the Philippines. 



Ticks. AFRICAN TICK FEVER : Marzinovsky (Proc. of Conference of 

 Bacteriologists and Representatives of Medical Sanitary Authorities on 

 the Campaign against Infections Diseases in connection with the War, 

 Soc. Russ. Physicians in mem. Pirosov, Moscow, 1915, pp. 56-68), states 

 that African tick fever has been imported into Persia, and that it is 

 there carried by Ornitlwdorns tholosani. 



TICK PARALYSIS : Todd (" Paralysis and Tick-bite," Can. Med. 

 Assoc. Jonrn., 1914, iv, No. 9, pp. 825-826) refers to paralysis ascribed 

 to the bites of ticks in children, and possibly adults, in America, 

 British Columbia and Australia. He states that a young child, 

 perfectly well one day, has more or less complete paresis or paralysis 

 on the next, fever, a rapid pulse, and other constitutional symptoms. 

 The child may be dull and stupid, and may have convulsions. If 

 the tick is not found and removed the child may die, but if it is 

 removed, the symptoms disappear and recovery is complete in a 

 few hours. The tick must be entirely removed. 



Diptera. PSYCHODID^E : Bolt (China Med. Jonrn., Shanghai, 

 xxix, No. 2, pp. 78-86) states that sand-flies (Plebotomus) and the 

 fever due to them are common in North China, May and June being 

 the worst months. The natives of the region appear to be immune, 

 but all others suffer. Old ruined buildings are the favourite haunts 

 of the Phlebotomus. The species of Phlebotomus has not been 

 determined. 



Pulicidse. DERMATOPHILUS (SARCOPSYLLA) PENETRANS, OR THE 

 "JIGGER." This flea (vide p. 544) is believed by Lama (Giorn. Ital. 

 Mai. Ven., Milan, 1914, xlix, pp. 465-472) frequently to carry leprosy 

 and he points out that the early lesions of leprosy usually appear 

 on the uncovered parts of the body. This flea also attacks rats. 



Brachycera. LEPTID.E (vide p. 603) : White, A. (" The Diptera- 



