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HINTS TO TRAVELLERS. 
Do not neglect quinine, whatever old travellers may say; look upon 
mosquitoes and all other biting insects, e.g., sand-flies, as deadly enemies. 
As far as possible protect all parts of the body by suitable covering, e.g., 
a pair of thin gloves will protect the hands. A pair of soft thin top 
boots will be found a great help in protecting the legs and feet, when 
working indoors. Cover cane-seated chairs with a pillow or coarse 
canvas. At night, work under a mosquito tent, if possible. Before 
retiring, see that all mosquitoes have been cleared out of the bed-tent. 
Symptoms .—Malarial fever presents itself under two forms. (1) Inter¬ 
mittent fever. In this disease the temperature may rise high, but returns 
each day to normal or sub-normal; hence there is, after each attack, a 
period of complete freedom from fever. An intermittent fever or ague is 
usually less serious than a remittent fever. (2) Remittent fever. In this 
the temperature, though it varies, keeps constantly above the normal, 
and the higher the fever, and the slighter the difference between the 
extremes of temperature, the more serious is the condition of the patient. 
The attack may be sudden, but it is usually preceded by a feeling 
of languor, yawning, and general discomfort: this is followed by the cold 
stage, which, in the tropics, is usually short; then comes the hot stage, 
often of long duration, followed by the sweating stage. After this there 
is a period of remission or intermission of the feverish symptoms; usually, 
after some hours, the attack comes on again, beginning with the cold 
stage, but if the fever is treated very early, the disease may now pass off. 
As a rule, when a patient is suffering from malarial fever, the attack 
returns every day, but in some cases it only returns every second or 
hird day. 
Treatment .—-Put the patient to bed and cover him up well; if the 
bowels are not freely open give an aperient, such as four grains of 
calomel, and if this does not act repeat the dose in about four hours. 
If free evacuation is not produced, a warm-water enema should be given. 
On no account delay the administration of quinine, but give ten to fifteen 
grains with, or before, the purgative. If the quinine cannot be retained 
by the stomach, it must be administered by the bowel, remembering that 
twice as much must be given by enema as would be given by the mouth. 
When vomiting is persistent, it is best to make the patient drink water 
freely, half a pint to a pint or more, to allow the stomach to be well 
emptied, then give him a sedative draught containing twenty drops 
