8. All coolies must rinse their hands in a solution of i in 

 1,000 corrosive before meals. 



9. Change the bathing places if possible. 



10. Limevvash or corrosive wash all benches in the kuchies. 



11. In the case of small-pox universal vaccination. 



12. In the case of plague, plague vaccination and disinfection as 



Dengue. 



This disease is an exceedingly sudden, and extremely infectious 

 fever, it is marked bv severe pain in the bones and joints, a rash 

 usually appears, but in this country is rather fickle in its appearance, 

 in the early stage of the fever it occurs as a simple redness of the 

 general body surface, which is hard to demonstrate on dark skins, 

 the pain in the joints and bones is frequently very serious, and the 

 disease has hence acquired the name of "break-bone" fever. It almost 

 invariably occurs in epidemic form, and rapidly spreads, it may be 

 " seen coming " and advances from the neighbouring towns rapidly, 

 when it has once declared itself. 



After the primary fever a short interval of calm or freedom from 

 fever occurs, and patients may even feel fit to go to work, but the 

 secondary fever then breaks out, and a rash the true rash of dengue 

 shows up, this commences on the palms and backs of the hands, is 

 best seen on ths back of the body to which it quickly spreads. It 

 consists of slightly elevated, circular, reddish brown, spots, about 

 half an inch in diameter, which eventually coalesce to form plates 

 of red. 



Peeling occurs, and may last for some time (2 to 3 weeks). 

 Isolation of the first cases is advisable, but the disease spreads so 

 rapidly that it were advisable not to expect too much of isolation as 

 a preventive measure in this disease. 



Influenza. 



As the vast majority of us have had personal experience of this 

 disease, I shall merely draw attention to the leading symptoms once 

 more to remind those who have suffered of their miserable time, ana 

 to claim kindness, or at least consideration, for coolies who become 

 affected by it; sneezing, cold in the head with fever, pain in the back, 

 rheumatic pains all over, general miserableness. Quinine and salicylate 

 of soda are useful drugs in the disease, but it must notbe trifled witrt 

 nor neglected. 



Measles. 



The rash comes out on the fourth day of fever, it is well defined, 

 and the "running at the eyes" usually helps to diagnosis, 

 must be avoided, as pneumonia is a rather frequent complication. 



