4 6 
part of our work. No definite conclusions can at present lx* deduced 
from the data acquired. 
More fruitful results were obtained from the treatment of beri-beri 
patients. The removal to a clean dwelling, disinfection of furniture 
and clothes, a diet consisting largely of milk, raw eggs and raw beef 
juice, small doses of calomel followed by intestinal antiseptics —salol 
or beta-naphthol — expulsion of ankylostomes with thymol, and 
massage, have benefited patients who could not afford to leave the 
State through pressure of business. 
The universal practice in Manaos is to send the patient away 
immediately the diagnosis of beri-beri has been established. The 
Brazilians are sent to the Southern States of the Republic, the 
foreigner to Europe. Delay of a week or two very often ends in a 
funeral instead of a sea voyage. Poor patients arc assisted by the 
State or sent to Itacoatiara, a small place a few hours from Manaov 
Patients with chronic debilitating diseases are advised not to remain 
in the wards of the Santa Casa, where they expose tl.rmsrhe? to 
Contact with cases of beri-beri. 
The etiology of beri-beri is so obscure that it is highly desn»„«. 
coHect as many data as possible regarding the disease in Brazil 
e Societ6.de Pathologie exotique, Paris, has appointed a Commis 
sion to enquire and collect information on the subject. North Bmz 
is one of the be ri -beri centres, and is interested in the problem of th. 
bv < tfcf. , f? Se - Much vaIuable formation e, ,,,1,1 be furnish* 
appoint!!? f ° f A r maZ ° naS and Pa - We would recommend th, 
ca!es of b eri l ! C ° mm,SS,0n in Ma "“ s to collect data relating 
cases of beri-ber, occurrmg in the city and suburbs. 
—’ * 1 C,K Y 
majority of caLTappear tToctuT inTh ^ TT" “ 3nd 
Igarape de Cachoeirinha. The disease „s T ’ al ° ng ^ 
Bacillary dysenteries usually runs a severe course. 
Prevalent L^t^oZsT^T ” -d are particular 
cases come from the sXmhs u **'*** m to August. Most of t> 
where the soil is polluted by the e^ * ^ ™ n ° draina £ e system, ar 
infection is generally of a ^ mhabitants ' T * 
m,Xed bacillary form, but we have ha 
