22,8 Sellards: Public-health Aspects of Yaws 259 



When one is cut off for weeks from a base of supplies, the 

 essential equipment for the treatment of yaws with neosalvarsan 

 is not complicated, even in regions where the simplest articles 

 of household life are wholly lacking. The exact details will 

 vary with the preference of the individual. The following unit 

 was found practical, and is suggested as a suitable basis for the 

 selection of an outfit: 



small water still with tin condensing coil, 

 bottles (0.5 liter) for receiving distilled water, 

 supply of suitable water for washing and boiling syringes, 

 khotal or primos stove with complete set of wrenches and pliers and 

 fine wire for cleaning and soft leather for repacking the piston. 

 (New models have a valve for regulating the size of the flame.) 

 ) gallons of kerosene, allowing 1 quart for ordinary use of stove 



continuously for eight hours. Alcohol for priming stove, 

 small box for shielding the stove from drafts. This is essential. 

 The wooden case commonly used for two 5-gallon oil cans is 

 satisfactory. 

 12 syringes, Luer type, 10 and 20 cubic centimeters capacity (for 

 intravenous work), an ample supply of needles, and a stone for 

 daily sharpening of these. If steel needles are used alcohol and 

 ether saturated with vaseline are convenient for drying them 

 when not in use. 

 2 pairs of ordinary forceps. 



2 wide-mouthed bottles 100 cubic centimeters (with glass stopper or 

 cover) with graduation marks. (A mark at 60 cubic centimeters 

 for dissolving 3-gram ampules of neosalvarsan at the minimum 

 dilution of 0.1 gram per 2 cubic centimeters. Additional gradua- 

 tions can be made with a syringe.) 



;in) for boiling water for dissolving salvarsan. 

 used syringes. 



2 copper instrument boilers (25 by 12 by 6 centimeters) with removable 

 tray and with wire tongs for handling tray. Soap, alcohol, and 

 cotton for preparation of patients. 

 2 soft rubber tourniquets. 

 2 triangular files. 



1 set of cards for records of patients. (Cards are preferable to 

 a bound book for convenience in locating a patient's record on 



Ampules of salvarsan. (3 grams each for the main stock with a few 

 small ampules, 0.6 gram each, for convenience ^ in adjusting the 

 quantity of solution required in closing the day's work.) 

 Schedule of dosages for varying ages. 

 Stethoscope. 



Clinical thermometers and reagents to test for albumin in the urine. 



The main cost of the work is the expense of personnel for the 



administration of neosalvarsan. Fortunately, in some localities 



in the Philippines, the Government hospitals with their person- 



