( 76 ) 



sketch briefly the principal symptoms which lead one to si 

 serious disease, and suggest a sound amateur treatment to be ad 

 in such cases. 



Malarial Fever. 



The principal disease to which the coolie is liable is Malaria! 

 Fever, but if the attacks of this disease remain discrete — by which I 

 mean so long as the attacks are separated bv a day or days— one may 

 safely deal with him on the estate bv the administration of quinine 

 in 5 gr. doses thrice daily, if, however, the attacks overlap, and the 

 disease becomes continuous, then an hospital is the proper place for 

 the case. When it is found that the fever yields to quinine the drug 

 should be continued in 5 gr . doses dailv for two (2) months, the 

 neglect of this most important " regime of" prophylaxis " is the cause 

 of the relapse cases which < mst « n lidin^ md disturbance 



of estate work quite unnecessarily. 



The necessity of sleeping in mosquito curtains must be "r 

 into " coolies ; the Chinese have adopted them and there is absolutely 

 no reason why the Tamil should not be educated up to their use. At 

 the meeting of the Malaya Branch of the British Medical Association 

 held at Ipoh on August 28th and 29th, 1906, mv friend Dr. Malcolm 

 watson of R ang, pointed out the advisability of mosquito-proofing 

 all lines, and he laid before that meeting most convincing statistics 

 10 snow that the saving of life and labour from the ravages of malaria 

 „ th,s "J^" 8 ' am P!y repaid planters for their original outlay on wire 

 gauze. I am strongly in favour of this measure where it is feasible, 

 exist mUSt be su PP lied where serious obstacles to its adoption 



tion of fever the mosquito naturally 



starting upon the means to be adopted 



existence of this pest, I must first make my peace wiW 

 of nr^n, *• ? Stll i believe th at this insect is not the only mean* 

 b e r lf t, ? 1 no r f malaria > by stating that the malarial parasite ha= 

 htTnSh^ mosquitos, but 



earthen? 11 , f ° imd ln imposing granite, nor in any of the other 

 pagator^ of tf ' Which have been blamed as distributors or pro- 

 pagators of the disease. All exneriments with inferred Anophe^ 

 rZ^T^ and 1 a ™ q"ite % in ^tgwanteet gamble on * 

 he m ean ' he f eXp f riment of Meeting any new-comer to this country^ 

 mak™, e he n ° f mfected A "°Pheles, provided the doubting planter will 

 make the necessary arrangements with his newly-arrived assistant. 



hlmSGlf to the bites of Anopheles which were infected 48 ^ 



