ing
you a paper on the subject, especially in view of the food theories recently propounded in the British Medical Journal by Dr. MacLeod of Shanghai. Here we have riceeaters and eaters of several varieties of millets. Here, too, anaemia is common, and so are the eggs of the ancliylostoma in the stools. I have only been here two months, and have not yet accumulated sufficient material for a paper. But I have established the fact that ancliylostoma eggs are common in the stools in this, which is an endemic beri-beri district, and I am gradually accumulating cases. A Mahomedan, cat. 22, died about three weeks ago with an absolutely typical acute attack of beri-beri. This very preliminary contribution I only send because of your article. Later, I hope to be able to send facts and figures showing the relative prevalence and distribution of beri-beri and anchylostomiasis and their incidence 011 the eaters of the various staple foods here.
Masulipatam,
Kistna District,
Madras, 30th January 1898. J
(|0ljl[CSJ!0n(ICtUC. KALA-AZAR IN MADRAS. To the Editor of the " Indian Medical Gazette."
Sir,?I have just read the leader in your issue for December headed " Kala-Azar and Diseases Confused with It," and founded upon Surgeon-Captain Rogers' report from Assam. In the leader you say : " How far endemic neuritis still prevails in the Madras Presidency it is difficult to say, and we would welcome a contribution on this point from some of our Madras readers." You may then care to hear that both beri-beri and anchylostomiasis exist here, and that beri-beri is still endemic in this district (Kistna); and that I am at present investigating its distribution, and had proposed send-
C. L. WILLIAMS, M.D., Surgeon-Captain, I.M.S.
you a paper on the subject, especially in view of the food theories recently propounded in the British Medical Journal by Dr. MacLeod of Shanghai. Here we have riceeaters and eaters of several varieties of millets. Here, too, anaemia is common, and so are the eggs of the ancliylostoma in the stools. I have only been here two months, and have not yet accumulated sufficient material for a paper. But I have established the fact that ancliylostoma eggs are common in the stools in this, which is an endemic beri-beri district, and I am gradually accumulating cases. A Mahomedan, cat. 22, died about three weeks ago with an absolutely typical acute attack of beri-beri. This very preliminary contribution I only send because of your article. Later, I hope to be able to send facts and figures showing the relative prevalence and distribution of beri-beri and anchylostomiasis and their incidence 011 the eaters of the various staple foods here.
Masulipatam,
Kistna District,
Madras, 30th January 1898. J
(|0ljl[CSJ!0n(ICtUC. KALA-AZAR IN MADRAS. To the Editor of the " Indian Medical Gazette."
Sir,?I have just read the leader in your issue for December headed " Kala-Azar and Diseases Confused with It," and founded upon Surgeon-Captain Rogers' report from Assam. In the leader you say : " How far endemic neuritis still prevails in the Madras Presidency it is difficult to say, and we would welcome a contribution on this point from some of our Madras readers." You may then care to hear that both beri-beri and anchylostomiasis exist here, and that beri-beri is still endemic in this district (Kistna); and that I am at present investigating its distribution, and had proposed send-
C. L. WILLIAMS, M.D., Surgeon-Captain, I.M.S.
