30 The Philippine Journal of Science i9i7 



treatment of Ascaris entirely relieved the pain. Fever simulat- 

 ing the beginning of typhoid has been observed in many cases 

 with Ascaris infection, in which, after administration of san- 

 tonin and calomel, the temperature returned to normal. Whether 

 the fevers of three or six days, which disappeared after treatment 

 of Ascaris, were due to Ascaris infection is hard to tell, but the 

 fact is that after removing Ascaris in some of those cases the 

 patients were cured. In children convulsions and fever were ob- 

 served which, after administering appropriate treatment, ceased 

 with the subsequent recovery of the patients. Secondary anae- 

 mias due to infection with Ascaris are also not uncommon. 



In general, it may be said that Filipinos seem to be more or 

 less immune to the effects of Ascaris and hookworm infections. 

 Even in children I have observed 35 and 42 Ascaris worms ex- 

 pelled, in one of 5 years of age and the other of 3 years of age. 

 Both of these children were well developed and well nourished 

 without any symptoms of intestinal parasites. They were ad- 

 mitted to the hospital as cholera carriers, and infections of As- 

 caris and hookworm were discovered only upon routine stool 

 examinations. 



TREATMENT 



The drugs that are advocated by many authors for Ascaris 

 and hookworm infections are the ones that have been used in the 

 routine treatment of ascariasis and ankylostomiasis. The fol- 

 lowing order has been given for hookworm treatment : 



Nothing to eat; stop all medicine and give magnesium sulphate saturated 

 solution, 40 cubic centimeters at once. 



After three hours give thymol, grains XL, one dose. Followed in two 

 hours by magnesium sulphate saturated solution, 40 cubic centimeters. 



Liquids may be given after free purgation. 



Following day give usual treatment diet. 



The following order was instituted in the treatment of asca- 

 riasis : 



Give at one dose the following: 



Santonin grains V 



Calomel grains II 



Sodium bicarbonate grains V 



Follow in five hours with magnesium sulphate saturated solution, 40 

 cubic centimeters. 



The above treatments serve their purpose, but they are not 

 ideal, as shown by the fact that in most cases the treatments were 

 repeated many times before a complete elimination of the worms 



