( 8 3 ) 
I may perhaps be pardoned for having digressed somewhat, and in 
some instances for having invaded the domain of the manager’s illnesses 
rather than the coolies— as in the case of the treatment given above — but 
I submit that on such occasions if I have outlined the proper treatment 
for the manager he can easily substitute for what is laid down as his 
treatment, what should be the treatment for his coolie sick of the 
same disease. 
Infectious Diseases. 
I have already laid down the advisability of isolating cases of 
dysentery, diarrhoea, anchylostomiasis, and other intestinal diseases, 
the necessity in infectious cases — strictly such — is absolute, and if it be 
remembered that in the case of cholera alone, the disease frequently 
commences as a simple diarrhoea, the expediency is obvious. Of 
epidemic disease affecting bodies of coolies the principal will, of course, 
be small-pox, cholera, chicken-poz, influenza, measels, dengue, 
plague, to a minor extent enteric fever, and amongst the Chinese 
beri-beri (which is perhaps not directly infectious). The majority of 
these diseases can be seen coming, and arrangements made for the 
isolation of the cases directly they occur, the estate should establish 
quarantine against infected areas in the vicinity, and every endeavour 
should be made to prevent coolies visiting such infected areas. 
Small-pox. 
The incubation of the dised.se is about 13 days, during this time 
the patient feels quite well. 
Fever starts with shivering, and sweating, and frequently vomiting, 
children often have convulsions, pain in ( the back is severe. On the 
3rd day of fever the eruption appears, in appearance like pimples, and 
with a shotty, hard feel to the touch. 
The pimples next suppurate and matter forms, this period marks 
the commencement of the secondary fever, and occurs about the 8th 
day, the eruption appears on the head and neck first, gradually 
spreading. The secondary fever is severe, and about the 14th day 
the patient becomes most offensive, and may be quite unrecognisable. 
Delay in the appearance of the eruption is a favourable sign. The 
rash comes out all at once, in contradistinction to, chicken-pox which 
occurs in crops. 
The infection lasts until all the crusts have fallen. Careful 
disinfection of the hands, and of all material which has come in contact 
with the patient is imperative. 
Attendants upon the sick should be chosen from amongst those who 
have already had the disease, or who have good vaccination marks. 
Strict quarantine for 14 days after the death or complete recovery 
of the last case is necessary. 
