5 ° 
STOMATITIS 
We have seen several cases amongst children. All were 
complicated with septic pneumonia which proved fatal. Wc have 
seen malignant stomatitis in a man from the interior. The disease 
involved the cheeks, gums, tongue and probably the posterior nare- 
We have seen no cases of measles, diphtheria or scarlet fever. 
LEPROSY 
A moderate number of cases occur among the residents of Manias 
Early cases have been seen where infection is said to have taken 
place in the Purus district. We have seen both forms of the disease; 
many anaesthetic ulceration cases were examined and the presence 
of the bacilli verified. 
A small lazaretto would be a comfort for the lepers as some of 
them are in a wretched state. 
SMALLPOX 
The State furnishes free vaccine for a large number of the 
inhabitants. The sanitary department is to be congratulated on the 
success of their preventive and quarantine measures which have 
effectually checked the spreading of this disease on the various 
occasions when it has been introduced from the South of Brazil, 
i ara, or from up-river places. 
elephantiasis 
We have see n several cases in which 
majority of the patients come from the 
Barbadoes. 
the foot was involved. The 
southern parts of Brazil or 
chyluria 
Two cases of this disease 
acquired in other countries. 
were seen, both of which had been 
had 0 b n e e enTA O f L°I d G ° Und ° U ““ 
The 
