EDITORIAL. 



DISCUSSIONS ON THE PAPERS OF DR. GARRISON 

 AND DR. GILMAN. 



[The papers of Dr. Garrison and Dr. Oilman were considered conjointly.) 



Dr. Thomas IF. Jackson, contract surgeon, United States Army, San 

 Isidro, Nueva Ecija, P. I. — I was much interested in Dr. Garrison's paper 

 and I have been much impressed with the statistics that have been com- 

 piled. My observations have been comparatively limited, but I believe 

 that the conditions which Dr. Garrison has outlined for Bilibid Prison 

 prevail throughout the provinces. They are of common occurrence, and 

 from three to five distinct infections have often been noted among Fili- 

 pino Scouts by many Army men. Indeed it is exceptional to find a 

 solitary variety of worms in a native Scout. Two or more varieties are 

 usually in association. 



The effect of multiple ascaris infection was not mentioned by Dr. 

 Garrison. By this I mean the occurrence of a large number of worms in 

 the same individual and when the discussion closes I would like him to 

 state the maximum number which has been observed in a single indi- 

 vidual. I have already found in a child forty-eight round worms. The 

 child was also infested with hookworms and amoebae. 



Dr. N. M. Saleehy, superintendent of the University Hospital, Ma- 

 nila. — One thing particularly interests me. A child in this city passed 

 more than one hundred round worms, and I understand that a few days 

 later it died. Does any one present know the death rate in these cases ? 

 I never investigated the subject, and I would be very glad if someone 

 could enlighten me. 



Dr. IF. E. Musgrave, Biological Laboratory, Bureau of Science, profes- 

 sor of clinical medicine, Philippine Medical School, President of the 

 Association. — It seems to me that these pajters have brought out two 

 prominent facts. In the first place, we find a large percentage of amoebic 

 infection, both in diagnostic work (Garrison) and at autopsy (Gilman). 

 This brings up the question of so much importance to the practicing 

 physician of the means of diagnosis of amoebic infection of the bowel 

 during the life of the patient. Dr. Gilman, in one hundred autopsies, 

 found 54 cases with lesions of the colon, and it is altogether likely that 

 at least 50 per cent of these were due to amoebse. Dr. Garrison found 



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