HiDLirKA] PHYSIOLOGICAL AND MEDICAL OBSERVATIONS 219 



The physical exainiiuilion (if tlic chilch'cn prior Id llicir acliiiLstii-iii into the Fort Hall 

 Training School for the present term shows a large percentage affected with enlarged 

 tubercular lynipiiatic glands, not, however, in a suppurating condition. Many show 

 chronic (>nlargeinent of one or l)oth tonsils. 



Dr. F. H. PooLK. 



HUPA 



The report of the various forms, or rather the three forms of tulierculosis, is l)ased 

 upon a personal knowledge gained by having cases under my care, and having been in 

 the various families of the reservation. There is no doubt, however, that if a full and 

 searching investigation was made the number of cases of the glandular variety would 

 be increased by" at least 25 per cent and each of the other two varieties 10 per cent. 

 Those afflicted with the pulmonary variety are constantly dying, while those attacked 

 with the glandular and bones and joints continue to accumulate; it very rarely happens 

 that a death comes from either of them. 



Dr. J. S. LiNDLEY. 

 MOHAVE (COLORADO RIVER AGENCY) 



Pulmonary tuberculosis: 



Males (4 adults and 4 children) 8 



Females (6 adults and 1 child) 7 



Of the 15, 5 (3 male, 2 female) are students, 7 (3 male, 4 female) are former students, 

 and 3 (2 male, 1 female) have never been in school. 

 Glandular tuberculosis : 



Males (adult, student) 1 



Females (all children, 4 at school, 1 former student) 5 



Dr. T. R. White. 



NESPELIM 



I would state that the Indians here are greatly afflicted with lymphatic tuberculosis. 

 I have only reported the cases now under treatment, but I think 25 per cent of the 

 entire population are infected to a greater or less extent. Frequently these scrofulous 

 persons on catching cold will rapidly drift into pulmonary tuberculosis. I must say 

 that these people are very free fi'om venereal diseases; only occasionally am I called 

 to treat gonorrhea, and during all the years of my association with them I have not 

 known of one true case of syphilis. 



Dr. Edward H. Latham. 



NEZ PERCES 



* 



The report ol)taine(l wan apparently an estimate and had to be excluded pending 

 further inquiry. 



PAWNEES 



My observation is that pulmonary tuberculosis has greatly increased among the 

 Pawnees as they have advanced in civilization. I do not think this increase in 

 tubercular disease is due to civilization as much as to the lack of attention to the 

 laws of health. The climate is milder here than that of their former Nebraska home; 

 but they do not take the usual and necessary precautions against the changes and 

 vicissitudes of climate. Then, again, their income is such that they have no induce- 

 ment to work. Therefore they do not get the physical exercise necessary for a vigor- 

 ous body. (Connected with the Pawnees since 1889.) 



Dr. G. H. Phillips. 

 rrEOAN 



There are certainly many other cases of tuberculosis in its early stages among these 

 people, but I have reported on this l)lank only those cases in which I have made a 

 sure diagnosis existing at the present time. 



.Dr. Geo. S. Martin. 



