MEDICAL SURVEY OF THE TOWN OP TAYTAY. 209 



was rented also, in which the members comprising the expedition lived. 

 The people throughout the town were invited to visit this station, first, 

 as a place of curiosity for those who were Avell, where they could see 

 laboratory apparatus, observe their own blood under the micjoscope, etc. ; 

 and second, as a place which offered to those who were sick an opportunity 

 of being cured and of obtaining medicine free of charge. The plan of 

 \\ork at the clinic and laboratory was outlined as follows : To each in- 

 di^idual who presented himself a ticket bearing his name was given; 

 and a number, together Avith the name, sex, age, occupation and residence 

 of the individual, was placed upon a clinical record card. A separate 

 alphabetical index of names was kept in order to avoid error if a ticket were 

 lost. Each jDerson was then su])]3lied with a test tube or bottle in which 

 he was instructed to bring a specimen of his faeces on the following day. 

 As many as could be examined were then passed to another room where 

 they Avere subjected to a physical examination. A hasmoglobin estimate 

 and an examination for malarial or other parasites was then made of the 

 blood. The results of the examinations Avere then entered on the clinical 

 card. In addition, separate records were kept of all laboratoiy examina- 

 tions. If an individual proved of any particular interest from a medical 

 standpoint, he Avas detained for further examination; otherAvise he Avas 

 discharged, or, if sick, Avas sent Avith his clinical card to the dispensary 

 Avhere his ailment Avas prescribed for and Avhere he was given special in- 

 structions regarding treatment or regarding his return to the clinic and 

 the bringing of specimens of faeces, sputum, or urine. In addition to 

 the treatment of jDatients at this daily clinic, those who were unable to 

 attend Avere visited in their homes, all the records of these cases being 

 kept likewise. The time from 4 o'clock until dark was devoted usually 

 by the members of the expedition to the mapping of the town and to 

 making a census of the population. In the course of this work, the entire 

 toAvn was covered by a house-to-house inspection, the name, sex, and age 

 of each inhabitant together Avith the surrounding conditions under AAdiich 

 he lived, being entered upon a separate card for each house. The mem- 

 bers of the expedition were able by means of this census to locate cases 

 of serious or interesting diseases which otherwise might not have come 

 to their attention. In some cases a person afflicted with a disease was 

 able to direct the members of the expedition to other persons similarly 

 afflicted, thus assisting in the discovery of all cases of .disease in the town. 

 This was particularly true in regard to goitre and yaws, diseases Avhich 

 the people could recognize easily. 



The results of these investigations have all been collected and published 

 together in the present number of the Journal, Avith the exception of 

 those carried on by Doctor Bean on racial anatomy at Taytay ; these studies 

 are not yet entirely completed and will appear later in Section A, General 

 Science, Vol. IV, No. 5, of this Jouunal, during the present year. 



While the various divisions of the work were systematically distriljuted 



