14 



an iron pipe 12 feet long, which is protected by a covering of wood, 

 and to the end of which is attached a cyclone nozzle. The fine 

 spray from the nozzle is ignited and the resulting fierce flame 

 passed over the surfaces to be disinfected. The thorough wetting, 

 with water, of all such surfaces would practically abolish the 

 danger from fire and at the same time increase the germicidal 

 action of the heat. 1 



All harness and similar material which has been used by or come 

 in contact with the glandered horses should be thoroughly dis- 

 infected. This may be accomplished by first removing all foreign 

 matter, such as dirt, dressing, etc., and then by scrubbing with 

 soap and hot water, followed by a thorough scrubbing with a milky 

 emulsion of creolin or a solution of 4 per cent carbolic acid. 



TWO CASES OF HUMAN GLANDERS OCCURRING 

 IN MANILA. 



CASE I. 



History (furnished by Maj. J. M. Bannister of the First Reserve 

 Hospital, by permission of the chief surgeon). Henry Marshall, 

 an American negro, 27 years old, who had been a teamster for the 

 Manila Street Car Company, was admitted to the First Reserve 

 Hospital on May 29, 1904, with a diagnosis of articular rheuma- 

 tism. When about 20 years old he had suffered from an attack 

 of articular rheumatism, involving the elbows and the knees, which 

 terminated in about three months in recovery. There is no his- 

 tory of further illness until the present attack, which began with 

 daily severe chills. At this time he entered the San Juan de 

 Dios Hospital, where he remained for two weeks, suffering with 

 high fever and rheumatic pains in the knees, elbows, and ankles. 

 He was next removed to the First Reserve Hospital, on admission 

 to which he was weak, was suffering much pain, had a temperature 

 of 105.2 F. and perspired profusely. 



While at the First Reserve Hospital he had a remittent tem- 

 perature varying between 101 and 105 F., with an irregular morn- 



method appeals to one as being not merely cheap and easily 

 applied but as one which might be adopted for the disinfection of native 

 quarters and nipa shacks and the ground around and beneath them during 

 the prevalence of various epidemic diseases, especially plague and cholera. 

 Its efficiency under such conditions could be tested by the experimental 

 method. 



