5 ^ 
kinds and be placed in the most favourable hygienic conditioos 
possible. 
I fear to overstate my opinion of the value of atoxyl giiTii to 
this way in the treatment of trypam.somiasis. I am fully conscioos 
Aat the evidence in its favour, though strong, is far from complete 
However, besides direct evidence derived from its actual use in the 
disease Itself, there is a good deal of collateral and indirect evidena 
derivable from its employment in other protoaoal iliseases -syphils 
for example. Recently I had an experience of this kind which has 
greatly impressed me. The case was one of Kala-arar-,-.diiiittedly 
ranv”° r™ » f •'"d been ill f« 
emaLTeT^'d ^^P^ 
extended T' d ^larged spleen and liver; the .spleen 
reshmanhT r' P“-‘“- 
diagn”s“ I* " ‘ix^'icn as In 
diagnosis. He was given ato.xyl injections over a long oenod at 
first apparently with little benefit • n ^ 
cheeks rx i * a. i Jnnainination of gums, 
setting in tL : 7 P^'P''™! neuritis 
after leaving hos t 1 “P'n'on then, apparently to die. Soon 
sweats! helained'SeSTr'’? f"’" 
and, when I saw him a weeSagS 
five months and appeared u ' 
weak. The liver was al f ^ well, although still a little 
just be felt under the ribrVTsTh' ®P'^™ 
now for the victims of vi-t atoxyl? If so, there is "hope 
. Before conclul^^ht 1 
like to draw attention to ' PO'^ts I would 
trypanosomiasis in Europears'^w?')! 
observation three of them were femM “"der my personal 
number of European female. d .‘^ “"^'dnring the very small 
European males in tropical Af tnlatively large nmiiber of 
attacked with trypanosomiasis 
dealing, it is true, with verv it circumstance. 1 am 
‘be relative dis^opoXT “f"" 
wc reflect that whereas women t>«idental: but when 
nca expose themselves, as 
