107 
ARKANSAS. 
Uncinariasis does not appear to be proved as yet for Arkansas, but 
I have been told that it is probably present. 
LOUISIANA. 
Louisiana, prior to 1821 and 1850 ? cases, ? deaths. 
Chabert’s (1821a) and Duxcax’s (1850, St. 3Iai’v Parish) accounts of dirt-eating 
apply very well to uncinariasis. See Stiles (1902b, p. 207) . 
New Orleans, 1899 1 case, 0 death. 
Tebault’s (1899) case. See Stiles (1902b, -p. 209). 
Dirt-eaters are said to be numerous in the 5Iississix)pi Delta near Baton Eouge. 
TEXAS. 
Locality?, 1861: 1 case, 1 death. 
Herff’s (1864) case in Mexican woman. See Stiles (1902b, p. 208). 
Galveston, 1894 1 case, 0 death. 
Allex J. Smith’s case, reported by Schaefer (1901). See Stiles (1902b, p. 208). 
Galveston, 1900-1901 1 case, 0 death. 
Schaefer’s (1901) case; probably infected in Mexico. See Stiles (1902b, p. 211). 
Galveston, 1901 8 cases, 0 death. 
Allen J. Smith’s cases, reported in part by Schaefer (1901). See Stiles (1902b, 
p. 211) . At least one of these cases was due to Uncinaria americana. 
Encinal, La Salle County; Heampstead, Waller County; Lavaca 
County, 1898 ? cases, ? deaths. 
Upon seeing my description of hookworm disease and the photograph from which 
figure 42 was made, Mr. Charles A. Pfender, assistant in the Zoological Laboratory, 
U. S. Bureau of Animal Industry, stated to me that he had seen similar conditions 
among Mexican children in Encinal, among negroes at Heampstead in Brazos Eiver 
bottom, and among the poorer people in the southern portion of Lavaca County, 
along the Navidad Eiver. 
Central States. 
ILLINOIS. 
Chicago, 1902 1 case, 1 death. 
C.^pps (1902a; 1903a, pp. 28-33) : Patient, G. L., in Cook County Hospital; male; 52 
years old; carpenter; American. Infection probably took place at Panama. Earliest 
symptoms two years ago, aching pain in upper belly, loss of appetite, and weakness. 
No nausea or vomiting. Bowels irregular, loose or constipated. Later, shortness of 
breath and dizziness; also- palpitation of heart. In hospital fifteen months at Xew 
Orleans; diagnosis, pernicious anemia. September 9, 1902, admitted to Cook County 
Hospital; pains in belly, weakness, dyspnea, and palpitation. After sitting or 
standing feet would swell. Frequent dizziness and faintness. Occasionally had 
developed moderate fever, at which time epigastric pain was worse. Appetite poor. 
Constipation. Gradual, moderate emaciation. 
Status presens. — Man of medium build; skin of a lemon-yellow color. Fatty 
layer fairly well preserved. Sclerotics -bluish and muddy. Lips and mucous mem- 
branes almost bloodless. Palpable arteries moderately thickened. Pulse of large 
volume, soft and compressible; low tension, with a decided water-haminer character. 
Lungs negative. Heart dullness extended to the left nipple line, to the upper border 
of the third rib above, and to the right edge of the sternum. The impulse was forci- 
ble and diffuse. Over the apex was a systolic blow transmitted to the anterior axil- 
