OBSERVATIONS ON KALA-AZAR IN KASSALA PROVINCE TABLE A. KALA-AZAR Case V Case VI AGE AND SEX | S 22 $9 | NATIONALITY... Be Abyssinian Arab if DuURATION OF ILLNESS 6 months, Oct., ’07.

VILLAGES AND Towns, WHERE ILL (Name underlined where first ill) TYPE OF FEVER TYPE OF PARASITES (Splenic Puncture) PERIPHERAL BLooD...

LIVER...

SPLEEN “as URINE...

COMPLICATIONS JAUNDICE CE DEMA TREATMENT PERIODS OF IMPROVEMENT PIGMENTATION Hovuskr INFECTION History 1 { | | No pain.

Died April 8th, ’08 Mafaza ./ Seen but once. History of tinuous fever con-Large number of big parasites No examination . Slightly enlarged 2 inches below umbilicus No complications when seen. Constipation . Absent. Conjunctive, yellow .... Absent when seen . No improvement on quinine, daily 15ers.

Unknown ... None Single. Brother and brother’s wife with whom living, well 44 months, Dec., ’07. Died April 29th, ’08 Kassala Perpetual high remittent, 104° to 101° Manysmall parasites; very many blood platelets No malaria. Leucopeenia Enlarged 3 inches below costal margin 1 inch below costal margin Albumen absent Bile absent at first, later present No pain Absent General codema marked Quinine, 40 grs. daily, no effect No None Mother and _ two young sisters healthy. No bugs found (Parasite Found)—continwed 109 Case VII 3 30 Sudanese 4 months (?) Autumn, ’07. Died Jan. 25th, ’08 Gharb el Gash (a Kassala suburb) Intermittent, subnormal, last 2 weeks Only one typical parasite found No malaria Slightly enlarged Considerably enlarged No albumen No bile No pain Absent Not noted Quinine, no effect Unknown None No definite abode Case VIII o 28 Sudanese 74 months, Oct., ’07. Died May 14th, ’08 Khatmia (a Kassala suburb), Debeleweit Intermittent, frequent intervals of 2 to3days. Normal temperature Considerable numbers of round and oval forms, Pigment collections No malaria Enlarged. Hand’s breadth below costal margin '1 inch below umbilicus Albumen Bile No pain. Persistent terminal epistaxis Conjunctive, yellow Legs (terminal) Quinine 40 to 60 gers.

daily, slight improvement. Thymol 6 grs. daily, no effect Yes None No definite abode