( 83 ) 



I may perhaps be pardoned for having digressed somewhat, and in 

 some instances for having invaded the domain of the manager's illnesses 

 rather than the coolies— as in the case of the treatment given above— but 

 I submit that on such occasions if I have outlined the proper treatment 

 for the manager he can easily substitute for what is laid down as his 

 treatment, what should be the treatment for his coolie sick of the 



Infectious Diseases. 



I have already laid down the advisability of isolating cases of 

 dysentery, diarrhoea, ankylostomiasis, and other intestinal diseases, 

 the necessity in infectious cases — strictly such — is absolute, and if it be 

 remembered that in the case of cholera" alone, the disease frequently 

 commences as a simple diarrhoea, the expediency is obvious. Of 

 epidemic disease affecting bodies of coolies the principal will, of course, 

 be small-pox, cholera, chicken-pox, influenza, measels, dengue, 

 plague, to a minor extent enteric fever, and amongst the Chinese 

 ben-beri (which is perhaps not directly infectious). The majority of 

 these diseases can be seen coming, and arrangements made for the 

 isolation of the cases directlv they occur, the estate should establish 

 quarantine against infected areas in the vicinity, and every endeavour 

 should be made to prevent coolies visiting such infected areas. 



Small-pox. 



Fever starts with shivering, 

 children often have convulsions, ^ 

 3rd day of fever the eruption appears, in appearance like pimples, and 

 Wlth a sh °tty, hard feel to the touch. 



The pimples next suppurate and matter forms, this period marks 

 we commencement of the secondary fever, and occurs about the 8th 

 sni'J e ™P tlon appears on the head and neck first, gradually 

 jpreamng. The secondary fever is severe, and about the 14th day 

 Delfv 16n i e ° 0mes most offensive, and may be quite unrecognisable. 



ay m the appearance of the eruption is a favourable sign. The 

 ^T^^^ - contradistmctiontochicken-po'x which 



disinlllf- infe f ct j on lasts until all the crusts have fallen. Careful 

 . niection of the hands, and of all material which has come ii 



with the r 



nperative. 



have Jl^^u 5 Upon the sick should be chosen from amongst those who 

 Strict ™ y - d the disease, or who have good vaccination marks. 

 ofthekTt arantme for x 4 d ays after the death or complete recovery 

 ' case necessarv. 



