500 
Table  showing  spleen  rate  in  various  parishes 
— 
1 
No.  of 
Spleens 
i 
1 
1 
Total  No.  1 
Spleen 
Average 
Parish 
|of  enlar.afed 
rate 
spleen 
examined 
I 
3 
6 
1 
9 
spleens  | 
Portland . 
291 
I  12 
152 
26 
I 
179 
6i-5 
2-5 
7  •  T 
St.  Mary  . 
398 
216 
158 
22 
2 
1  o2 
4d  7 
2'3 
St.  Thomas  . 
St.  Catherine  . 
44 
212 
27 
156 
10 
48 
0 
7 
r 
^  / 
36 
26-4 
1-6 
St.  Elizabeth  . 
Kingston  . 
249 
220 
19s 
197 
47 
23 
7 
0 
0 
0 
54 
23 
10-4 
8-2 
1-2 
1*2 
Westmoreland  . 
278 
25s 
17 
5 
1*06 
1-03 
Trelawnv  . 
189 
187 
2 
0 
0 
I'O 
St.  Ann  . 
69 
69 
0 
0 
i-o 
Manchester . 
42 
42 
0 
0 
0 
0 
i-o 
Chapelton  . 
44 
44 
0 
0 
0 
' 
1 
Total  . 
2,036 
1,500 
1 
457 
1 
.  73 
L_ 
6 
536 
26-3 
'  1-2 
1 
In  the  St.  Thomas  Parish,  time  did  not  permit  of  my  paying 
more  than  a  flying  visit,  for  which  I  was  indebted  to  Dr.  Edwards. 
At  Albion,  where  I  was  only  able  to  collect  ten  children,  chiefly 
coolies,  the  percentage  of  enlarged  spleens  was  8o,  while  at  Yallas 
it  was  only  28-4  per  cent.  I  have  no  doubt  whatever  that  at  Morant 
Bay  and  other  coast  villages  the  spleen  rate  would  be  found  to  be 
very  high. 
In  the  Portland  Parish  I  was  able,  through  the  courtesy  of  Mr. 
Plant,  the  head  master,  to  examine  a  considerable  number  of  children 
at  the  Titchfield  School,  and  though  no  doubt  many  of  these  came 
from  the  poorer  classes,  I  was  very  much  impressed  with  the  intelli¬ 
gence,  the  good  physical  condition  and,  on  the  whole,  the  cleanliness 
and  the  evident  care  bestowed  on  the  children  by  the  parents  ;  but 
even  under  these  conditions  the  spleen  rate  was  found  to  be  from 
53  to  56  per  cent.,  diminishing  as  the  children  got  older.  It  was 
interesting  to  note  that  the  children  residing  on  the  ridge  on  which 
the  Hospital  and  principal  houses  are  built  showed  an  almost  entire 
absence  of  enlarged  spleens,  indicating  a  comparative  freedom  from 
malaria.  In  the  lower  parts  of  the  town,  however,  for  example,  the 
East  end  and  the  Bound  Brook  side,  both  low-lying,  badly  drained 
and  swampy,  the  percentage  rose  as  high  as  81 -8.  Here,  whole 
families  were  found  to  be  anaemic,  cachectic  and  saturated  with 
malaria.  It  ought  to  be  noted  that  in  this  locality  the  examinations 
