( 8o ) 



Ankylostomiasis, I have no doubt. The cause lies bevond question 

 hidden in one word, icounds, whether caused by biting flies, the 

 Anchylostoma, sugar-cane leaves, stoney ground, or what not, the 

 original cause of ulcer amongst coolies is, I believe, a wound, and the 

 method of their prevention is quite obvious. 



The admissions for this disease in Krian district during 1905 

 amounted to 5,322 in a -total labour force of approximately 7,200, and 

 if the average number of days for which each case was in hospital be 

 put at say 10, the total monetary loss to the estates must have been 

 about $14,000. During 1906, 3,617 cases were returned on a labour 

 force of 7,135. 



Dum-Dum Fever. 



imported Indians, but that 

 country, is not certain. 

 As I have already stated it may be confused with Anchylosto- 

 miasis, and some other debilitating diseases, the diagnosis can only be 

 made microscopically, and considerable skill is necessary in the 

 preparation of the specimen. 



There is as yet no known cure for the disease. 

 The disease has also been called Kala-Azar. 

 The principal symptoms will be anaemia, swelling, weakness, 

 enlargement of the spleen and liver, and great general debility. 



The cases must, of course, be sent to hospital, if only to have the 

 diagnosis made. 



Bilharzia Disease. 



co Endemic in Africa, this disease has happily not invaded this 



discharge of blood and mucus. 

 It may be confounded with dysentery when affecting the latter. 



first S e tr CC , Urate dia P osis can only be made microscopically and n 

 first aid treatment is likely to be necessary. 



men/of infl a CVent .- 0f ^ bladder P ain occurring, the general treal 

 TZt hin K r mat !°u °, f that (irrespective of the cause), najnelj 



a hot hip bath, and barley water to drink" should be kept in mind. 

 The disease is caused through bad drinking water. 

 Worms. 



the rouTd worm 6S harb ° Ur inte stinal parasites, the commonest ban 



