42 
County, 1 ; Savannah, Chatham County, 1; and Way cross. Ware 
CounW, Ga., 1 ; and Wacissa, Jefferson County, 1 ; De Land, Volusia 
County, 4; and Liveoak, Suwanee CounW, Fla,, 1 . Both Ilymonelejpis 
cases came from Georgia. 
At another orphan as}dum, through the kindness of Dr. Little, the 
consulting physician, I examined 112 white children, all from Georgia. 
1 selected 21 for closer study, and the microscopic examination of the 
feces revealed IT cases of infection with Uncinaria americana, 1 light 
infection with Hymenole'pis nana^ and 2 negative cases, 1 of which was 
doubtless malarial. The IT cases came from the following places: 
Baxle}^ Appling County, 1 ; Cordele, D 00 I 3 " CounW, 1 ; Darien, 
McIntosh Count}", 1 ; Effingham County, 1 ; Johnson County, 1 ; Jones 
County, 4; Kinderlou Station, Lowndes County, 1 ; Lyon, Tattnall 
County, 1 ; Monroe County, 1 ; Rich wood, Dooly County, 2 ; Sanders- 
ville, Washington County, 1 ; Waycross, Ware County, 2 . 
Four cotton mills were next inspected, some of the houses of the 
factory hands were visited, and about 25 or 30 cases of uncinariasis 
were found. Inquiry developed the important facts that the infected 
persons had come to the mills from the rural sand districts, and that 
in general their condition improved with their residence in the city. 
An examination of the premises, both of the mills and of the houses, 
did not indicate that the disease would spread. 
At a negro school in Macon I failed to find a single case of uncinari- 
asis which could be diagnosed symptomatically with even a semblance 
of confidence. In one case only did I even suspect the disease. 
“ Circus day ” brought thousands of people into view on the streets, 
many coming in from the surrounding country. Several cases of 
probable uncinariasis were observed among the whites, hut none 
among the negroes. 
Besides the Macon physicians mentioned above in connection with 
the orphan asylums, I am under obligations to Dr. A. ]\J. Burt, and 
especially to Dr. H. McHatton for their cooperation in my work. 
MiUedgeville^ Baldvnn County, — Through the kindness of Dr. T. O. 
Powell, superintendent, and Dr. M. L. Perry, pathologist, of the 
State sanitarium, I was able to see a large number of the patients. 
Extreme cases of anemia were conspicuous by their absence. Two 
patients were selected as possible cases of uncinariasis, the micro- 
scopic examination being left in the hands of Dr. Perry, who has 
kindly written me that it was negative. 
Fort Valley,^ Houston County. — With the cooperation of Dr. M. S. 
Brown, a local physician, I found about 10 cases of uncinariasis near 
town within an hour’s time. The clinical histories were so typical 
that it was considered scarcely necessary to make a microscopic exam- 
ination; nevertheless this was done in one case with the result of 
finding a severe infection with Uncinaria americana. After seeing 
the class of cases I desired to find, Dr. Brown assured me that they 
