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pended on), there was still a number of cases of malaria, relapses 

 from 191 3. The efficiency rate rose to 90 per cent, to 95 per 

 cent., and the average number of calls for malaria for the same 

 months was per day. In 19 14 there was no question of 

 efficiency considered, it was normal. The average of doctors' 

 calls for malaria was one in three days. All were in newcomers 

 and believed to have been contracted elsewhere. 



One of the millmen writes : "The money spent in your cam- 

 paign against malaria here gave the quickest and most enormous 

 returns I have ever known from any investment." It did pay 

 in the first year from 400 per cent, to 1,000 per cent. 



The cost here was — 80 cents per head for the first year. 



27 cents per head for the second year. 



Physicians' calls for malaria — 50 per day (for summer months), 1912 and 1913. 



* 2^ per day, many being relapses, 1914. 



I every 3 days, 1915. 



Efficiency raised for 50 per cent, to 100 per cent. 



Wilson, Va., I mention because Mr. Schoene of that State is 

 here. This is a community only moderately thickly settled — 

 not a village. It has been subject to malaria many years — ever 

 since it was settled, I presume — and of late years the condition 

 had been getting worse. In 191 5 it was bad. Every house I 

 visited in early October had a sick inmate, and in some there 

 were several. No record of cases was kept, but there were five 

 deaths in August, which would correspond to at least 500 cases. 

 The work was expensive, and the community, poor on account 

 of malaria, had to be helped. With what was done, partly for 

 economic reasons by the railroad and which will pay for itself, 

 it cost about $12 per head; exclusive of this, $3.40 per head, 

 which is very high. Yet only one single case of malaria — a 

 relapse — showed there this year, and I judge it was worth it. It 

 is the best result I have ever known, and I want to congratulate 

 Mir. Schoene on the work of his board. Next year it will not 

 cost over twenty-five cents a head — except for repair of screen- 

 ing, which would be done anyhow for comfort's sake. 



Wilson was costly because the area to be handled was sparsely 

 settled, not a good place to make a show on. I will take a 



