101 
NORTH CAROLINA, 
Judo'in^ from the size of the ego-s, rH the cases I found in North 
Carolina were due to Uncinar ’tn (tim'vicaxa. 
Roanoke River Valley, ])rior to 180S { cases. ' deaths. 
Pitt (1808) states that inalacia or dirt-eatiiiy: “jirevails mostly amonj' the i»oort*r 
white people and negroes, and originates in my opinion from a deticiency of nourish- 
ment.” He refers also to the slowly healing ulcers on the legs, and to the “tallow 
complexion,” His general description points quite distinctly to uncinaria.^is. 
Person County, 1832 f cases, f deaths. 
Jordan (1832, pp. 18-30) gives a discussion of dirt-eating which (piite positively 
refers, at least in part, to uncinariasis. 
Durgy, Person County, 1902 ..2 cases, n (h‘ath. 
Stiles (1903b, p. 38). 
Cumnock Coal Mines, Chatham County, 1902 1 case, o death. 
Stiles (1903b, p. 38). 
Gaston County, about 1880 ? ca.ses, ? deaths. 
The following interesting letter has been received from Dr. Barringer, and indi- 
cates the presence of uncinariasis in Gaston County: 
“Dear Sir; I have just seen in the Marine-Hospital Service Public Health Reports 
your letter of October 22, from Kershaw, S. C. 1 was for many years locate<l in the 
district in which you have been working, and your letter has thrown an immense 
amount of retrospective light on what 1 saw there. IMy work was done in the early 
eighties, and yet I still remember many cases of pernicious anemia, which was accom- 
panied in some cases by dropsical effusions and diarrhea, a combination I could 
never make out, and yet this must have been uncinariasis. 
“Whole sections ofthe illicit distillers of Kings Mountain, in Gaston County, N. C., 
were affected, and the dirt-eating whites of this section seemed to have a malady dif- 
ferent from those of the better class in the neighborhood. I tried a tannic acid 
preparation, which seemed to do more good than anything else, and I wish now 1 
had tried Areca nut. By the bye, I also recall that my pointer dogs in this .‘Section 
seemed to be afflicted in the same way. During my stay in Gaston County, from 
1878 to 1881, I lost two dogs, who used to follow me around to these houses, from an 
unknown (li.^jorder. 
***** * * 
“ I remain, yours, very respectfully, 
“ P. B. Barri.nokr. ( 'linirnifin. 
“ Dr. Cii. Wardell 8tile.s, 
Care Marine- 1 loKpital Service, Washiiujlnn, IK 
SOUTH UAROLINA. 
Judcring from the measurements of tlie eggs, all tlu' cases I found 
in South Carolina were due to I nc 'niarht (nncncnnn. 
Date? . f cases, f death*^. 
Hecsinoer and Geddinos, quoted hy Blanchard, ISSSa, could not U* tnu*c<l. 
Adams Run, Colleton County, 1902 4 cases, o death. 
Stiles (19031), p. 41): Orphans at (’harleston. 
