4 8 
inconvenience was experienced from the presence of the parasites 
Railliet, in his Traite de Zoologies p. 691, states that acarinw have 
been found by various observers in the stools of children suffering 
from dysentery. We believe these acarines are responsible 1 for some 
of the severe diarrhoeas seen in children and the point would he 
worth investigating. One must remember, however, that varieties 
of these tiny mites abound on wood and other things; and caution 
is advisable before deciding that Tyroglyphus can produce diarrhoeas. 
In the case of the child and one of the men, we adopted every 
precaution and found the parasites in successive stools and the 
returned fluids of the clysters. 
*. y- . TYPHOID FEVER 
In 1907 we performed an autopsy on a Brazilian wKo had died 
from typhoid fever. A small outbreak of the disease occurred in 
1908. Cases of para-typhoid were seen in 1908 ; the blood of the 
patients reacted typically to cultures of para-typhoid A. We hope 
at a later date to publish observations on a number of typhoid, para¬ 
typhoid and para-colon infections which occurred in Manaos during 
1907 and 1908. 
Bacteriological examinations were made from time to time of 
the water-supply of the city, the cheap ice-creams and fruit drinks. 
The results are to be embodied in a later report to the authorities. 
s- TUBERCULOSIS 
Pulmonary tuberculosis is unfortunately a disease which appears 
o be gaining a strong foothold in Manaos and the poorer class 
shows a steadily increasing percentage of infection 
avoairr'Th g is , a serious evi1 in Manfcs - This “ n hardiv be 
has ,ncreased far more “ 
to w”in smaUh’cT hlgh ’ - and consequently many families have 
the irouses Se bad, r 'u dl "g must occur. Many of 
rooms in which “ d P — da * 
majority of the hablt which « practised by the 
verified in public places and in 
