Proceedings of Eighth Annual Meeting 159 



lin Furnace and Sussex County, and we have a little epidemic every 

 once in a while up in Little Falls, along the Passaic River. We get 

 out of that place up there I should say about thirty or forty cases in 

 the county every year, tertiary malaria. 



I am sorry I did not hear the whole of the Doctor's paper, because 

 it is something I am very much interested in and I never fail to take 

 a chance at discussion if I have it. 



Mr. Bowen : The doctor is quite right in all he says, and I 

 explained when the chart went up it was like a Chinese puzzle, diffi- 

 cult to understand. And what we want to bring out is the proving 

 of your diagnosis by a laboratory test. And I want to say this in 

 partial support of what I said, that I study the examination and 

 analysis of the blood sent to the laboratory where plasmodium is 

 found, when I find the report of a proven case is any better than 

 shown on that chart. So of course I did not go into this detail, I 

 did not think it was necessary, but it is true. But it is the one dis- 

 ease in which the report is so excessively poor. We study the labor- 

 atory records, that is, they come to the Bureau of Local Health 

 Administration and we check them up against reported cases, and 

 when we have the support of the laboratory reports I feel sure we 

 know what we are talking about. 



Secretary Headlee : I would like to add a word on the question 

 of carriers of malaria. At Rutgers only about a week ago I stepped 

 into the laboratory and saw one of my students sitting at a table. 

 He turned around and said, ''Come here and look at this." He had 

 a count under that microscope as fine a case of plasmodium in a 

 blood count as I have ever seen. I said, "Where did you get that?" 

 *'Why, So and So, a student here, let me take a sample of his blood." 

 Well, I know that fellow. He was a big, robust, husky fellow and 

 in apparently the finest sort of health. And yet with a single stab 

 that boy had drawn out many red blood cells that showed the plas- 

 modium. And that has occurred not merely once, it has occurred 

 a number of times among our students. And those cases are cases 

 of students that come to us from various points in the state ; indi- 

 cating to me that those carriers can be apparently healthy and well, 

 but just as capable of infecting a mosquito as a man who was sick on 

 the flat of his back. 



Now I am led to believe, from the distribution of these men, that 

 there are a lot of carriers now in the state. Now we have seen only 

 one source, and I am deeply impressed with the possibility of carriers 

 being well distributed over the state. 



