37 
region. There can he no reasonable doubt that what is true a.s n*gar<ls tlie States 
named likewise holds good for the entire South. Since my first ca.-^e was reported 
13 other instances of the disease have been seen — 11 originating in this State, an<l 
1 each in Florida and Alabama; and if all of those encountered who were suffering 
from amemia could have been examined there can be no doubt that the numlier 
would be many fold greater. 
“This communication is written in the hope that Southern physicians will take up 
this most important matter at once, for in no other serious disease «loes the victim 
suffer so long, in no other condition is he for such a period a menace to those about 
him, and in no other malady of such gravity is the treatment so niiiidly ami surely 
successful.” 
ITINEliiKY OF TRIP THROKIH THE SOI THERN ATEANTK STATES. 
DISTRICT OF COLUMBIA. 
In September, 1902, with the aid of three assistant.s (Messrs. P. E. 
Garrison, B. 11. Kansom, and E. C. Stevenson) 1 lie^an a systematic 
study of animal parasites among^ the patients of Government Hospital 
for the Insane, District of Columbia. From Se])tembcr lu to Decem- 
ber 12, 1902, the stools of 500 male^' jiatients were examined micro- 
scopically and 15 patients, or 3 per cent, were found to be infected 
with hookworms. The history has not yet been examined foj- each 
case, but probably most of the patients l)ecame infected in Cuba, 
Porto Kico, or the Philippines. 
VIRGINIA. 
Riclnnoiul and State farm . — Starting on 1113 " held work, mv hrst 
stop (September 25) was Richmond, Va. Through the courte.sv and 
cooperation of Dr. Charles V. Carrinf^ton I was able to examine at 
the State penitentiaiy and the State farm nearlv l, 2 oo convicts. Tiie 
pri.soners hied past Dr. Carrington and mvself in single hie, and we 
selected those who appeared anemic or debilitated. Those selected 
were sent to the hospital and kept there until sj)ecimens of feces were 
obtained. In microscopic examination of h white male convicts no 
case of uncinariasis was found. The onlv zooparasitic ca.‘<e noticed 
was an exceeding!}" heavy" infection with whipworms [Tradtarix 
trlchiura) in a man about To }"ears old. 
In 22 male negroes the examination was likewise negative* so fai* as 
Uncinaria Avas concerned, but one case of infe*ction ot et*l worms 
(yl.s'CYD’/.s' hnnhricoidex) was found. In several of the convicts starch 
digestion or meat digestion was poor, but in most instances the debili- 
tated condition was due to tulx'rculosis or other diseases. 
At the almshouse* in Kichme)nel 1 white* fe*male* 2S ve'ars e>f age gave 
negative results; a weak-mindeel girl e>f 7 ye*ars showed a he*avv 
infectie)!! with whip worms (7 /*/c7d/ /‘A y trlc/dura). In twe> •negre)e*s (1 
male, 2S vears; 1 female, 30 years) the e*xami nation was negative. 
"In 350 female patient.^ examined to March 1, 
infeedioii has been found. 
UH)3, only one nU'H* of luMikxsorm 
