SAKCODINA 



733 



this disease. Kogers, in India, following out this suggestion, soon re- 

 ported excellent results, and the drug is now accepted as a specific. 

 It is administered hypodermically in ^-grain doses three times a day 

 at first, then twice and later once daily until a total of ten grains has 

 been administered (Vedder). In addition, the patient is put to bed 

 and placed on a milk diet. During convalescence large doses of bis- 

 muth subnitrate, a heaping teaspoonful suspended in water or milk, 

 may be given (E>eeks). Relapses may be prevented by occasional 

 examination of the stools for cysts and a course of emetin if they are 





FIG. 162. ENDAMEBA COLI. 



Typical nucleus. (Army Med. School Collection, 

 Washington, D. C.) 



found. As a result of the emetin treatment and exact diagnosis the 

 clinical picture of amebic dysentery has completely changed, and we 

 no longer see the weak and emaciated dysenteries who formerly 

 crowded the wards of tropical hospitals. 



Prevention. One significant fact appears in the epidemiology of 

 the disease it always occurs sporadically and never in explosive epi- 

 demics such as we see in water-borne diseases, like typhoid and chol- 

 era; house epidemics are, on the contrary, not uncommon, This fact 



