YELLOW FEVER EXPEDITION 
549 
The total deaths for the month were 358, or a proportion of 35*8 on the estimate 
of a 100,000 population. Some of the diagnoses given can hardly be given in English, 
but the style of diagnosis and its uncertainty in some of the headings may be judged 
of:— 
Disease Deaths 
Impaludismo (malaria) ... ... ... 8 
Cachexia palustre (malarial cachexia) ... ... 15 
Febre intermittente (Intermittent fever). . . ... 4. 
Febre palustre* (malaria) ... ... ... 5 
Febre remittente typhoide (?) ... ... 1 
Febre biliosa* ... ... ... ... 3 
Febre typhica ... ... ... ... 2 
Accesso pernicioso* ... ... ... 6 
Polyneurite palustre ... ... ... 2 
Febre amarella (yellow fever) ... ... ... 31 
Tuberculose pulmonar ... ... ... 23 
Variola ... ... ... ... ... 15 
Beriberi ... ... ... ... ... I 
Dysenteria chronica ... ... ... 1 
Lepra ... ... ... ... ... 1 
Angina diphtherica. . . ... ... ... 1 
Angina croupal ... ... ... ... 1 
Tetano traumatico ... ... ... ... 2 
Total ... 122 
The following remarks are derived from conversations with the local physicians 
and occasional visits to the general hospitals, etc. : — 
Malaria is dealt with elsewhere so that here it may be noted only that the deter- 
mination of the presence of the malarial parasite, is practically a perfectly unused mode 
of diagnosis. A good many ot the cases are imported from the islands and other 
rubber districts. Bronchitis when diagnosed is often ascribed to malaria. 
Tuberculosis is one of the chief scourges of the place, as the above figures indicate, 
the small dark houses, the universal and free spitting everywhere and anywhere, and 
the fine siliceous dust in dry weather may be regarded as contributive factors. I was 
informed that certain old sage negro women were in the habit of applying sputum to 
the breasts of mothers as a means of child murder. 
Variola (' Bexiga ') is also one of the banes of the place. Much effort has been 
made to secure vaccination, but the practical difficulties are very great and only a small 
proportion are thus protected ; revaccination is probably still more rare. An isolation 
The headings marked * are sometimes synonymous with yellow fever. 
S I 
