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drastic, and it would not be wise to treat the coolies for hook worm 
in the quarantine station, but it might be done as a routine measure 
after their arrival on the estates. 
Dr. Day said that they had no experiments to show the real 
value of prophylaxis. When coolies got to hospital it was difficult 
to diagnose the cases. He agreed that a big hospital had advantages, 
such as more complete equipment, over the small hospital, but it was 
to be remembered that cases did not come into hospitals until they 
were really bad. The main question was to catch the patients 
early. A man who got ill would never be sent off at once to a 
hospital that was seven or eight miles away. He, therefore, thought 
that there was, after all, a good deal to be said for the small hospital. 
Dr. Lucy in reply said that there was no doubt that the 
concensus of opinion was that where quinine prophylaxis was carried 
out thoroughly and systematically they not only got less malaria, but 
malaria was less virulent in type. He could not help thinking that 
quinine prophylaxis had fallen into disrepute to a great extent 
because quinine was not given as it should be. In nearly every case 
where he had gone into the question closely he found there were 
loopholes, a large number of coolies and dependents (including 
children, who were particularly dangerous) having escaped the 
quinine prophylaxis. As to the 'experiments suggested, one would 
like to see them carried out. But he did maintain that the concensus 
of opinion was in favour of continuing the quinine ration in areas 
of infection. 
As to grdup hospitals, on the question of discipline Dr. Lucy 
did not think that an argument against them. That was a question 
of administration. As to coolies a distance away not being willing 
to go into hospital, it was not a question of coolies walking into 
hospital hut of being sent there. That was for the manager to see to. 
The Chairman (Mr. L. Lewtou-Brain) concluded the proceed- 
ings by heartily thanking Dr. Lucy for his interesting paper. 
