58 31 OS QUI TOES 



mosquitoes, so lonf^: as lie liad g-ermsinliis capillary blood. 

 The results were as prompt as tliey were gratifying. Not 

 a single new case of malaria developed ; Anopheles dis- 

 appeared entirely from houses where it had been previ- 

 ously a night terror, and Culex was greatly diminished 

 in numbers. 



The results reached by Dr. Berkeley were admirable, 

 and lie advises the following official steps for greater 

 New York : 



1. Eecpiire malarial cases to be reported as scarlet fever 

 and diphtheria are now. Malaria is at least as dangerous 

 as scarlet fever ; economically it is far more of a scourge, 

 for it affects adult breadwinners as well as children. 



2. Send an inspector to every infected house, who shall 

 instruct the people to kill all the Anopheles in the house, 

 to provide the windows and doors with screens, to isolate 

 the patient with particular care from mosquitoes, and to 

 cause all the standing water in the vicinity to be drained 

 or heavily petrolized. 



Eigid treatment with quinine should be insisted upon 

 and the drug furnished gratis to those unable to pay, as 

 diphtheria anti-toxine is now supplied. Dr. Berkeley 

 believes that in a summer or two it would be possible, 

 by these measures, to reduce the number of local cases 

 by more than ninet}^ per cent. 



Another interesting case has been reported to me by 

 the Rev. Wm. Brayshaw, of Chaptico, Md. Chaptico is 

 situated at the head of a wide-spreading bay or elbow of 

 the Wicomico River, about eight miles from the point 

 where this river enters into the Potomac at Rock Point. 



