63

??? o  Km. Sur. Manoel Duarte. Dr. Andrade,
Dr. Linta, Dr. Tomaz and I discuss proposed
contract frankly.  No difinite conclusion reached.
Dr. Barros Barrett0 says Fraga is agreeable

in principle to mission for investigation of   \
                          1
Ieptos irosis in north and asks for conference \
with p rag& Friday. @ragao notified.
5                                              5
                                                     ;

&Y 31p.  Office in AM. Holiday
of Brasil.  Swim at Post 6 waves strong.

Mey 4. Conference with Dr. Decio Pefieiras on
malaria.  Probable easy solution of malaria
situation.  Pernambuco notified that he can sail
in June.  Visit from Dr. Guilherme Silve of
malaria service of Minas Gerees.

Dr. Henrique
and talk over t
BB says the DNSP is
says material should be sent here for study and
that he needs time to brush up on leptospire
technique.  He offers to buy two monkeys. and
St&, work ,and I authori'&?'purchebe 'with R.F.       i
??*??o         .<-
    Dr. HH promises to work out detailed

p%%s for work of commission to be presented
next Thursday when we are to have further conference.

by 5.  Connor telegraphs of suspect case of
y.f. in Timbe'& (Pernembuco). Telephone to  1
Borges asking for "pn&6" f@--weti
May 6.  To top of Tijuce with Capt Babcock end
family.

by 7.  Return cflost engineer "Costa" Leite.
Accountant comes to check 1927 accts.

Advise Dr. LaFeyelte agd Dr. B. Barrett0 of
the suspect case in Timba$ba. Dr. Kerr arrived /

Asuncion.

May 8.  Dr. Muench sails on Oranie for Bahia    i
receive wire from Connor saying nothing posi    i
appears in investigation of Timbabe case.

May 9. Leave card on Dr. J Iemagine et Hotel.
Visit auto show.

May 10.  Connor sails from Recife for Bahia.
Dr. H. Arageo and I visit Dr. Harros Barrett0
end talk over plans for commission on study of          r
icterus in Brazil.  Dr. HA submits typewritten        ,&&.
outline of proble  .t be studied by joined forces
     +-!zz            -4
                                                Lk.kc,.Ls~ \
of C.R., DNSP, 5.  Aof Bahia and Ins. OS. Cr.        Pr-d?ac.. 63 $
See Ion Cheney in Monster of the Circus.


May 11.  Wire from NY "Connor - do not understand
your letter April 24th,  No doubt about diagnosis
yellow fever - Case is not Weils disease Russell."
Send report on commission mentioned for study
to Russell and Connor.

May 12. Gerald Golden, British, from &%$&&.
Goyes, comes to office for information regarding
Hookworm and malaria.  Wire from NY announces   :!
that Davis will sail June 2 to join Connor.        i
--

May 13. Sunday.  Lunch with Consul G. Dawson.

May 14.  Interview Ietocoere to see.3.f passage
for Muench can be arranged.

Dr. Fraga has just returned from Cexambu.
I discuss the yellow fever situation with him   ;
                                                      1
end tell him of steps already taken by Dr.
Aregao.  Also tell him of $FFR's attitude toward
Course of Hygiene in Rio and give him invitation
to go to the USA.  He states that action in
Congress on Course can be delayed until after his
trip to US even if he does not go before Sept.
I also inform him that Dr. Davis will arrive
in June.

May 15.  Wire from N.Y. asking for "current"
to be used by Davis in laboratory list of "currents'
in north secured from General Elect&.

  Conference with Drs. Fre m Aregao.
The situation of%north is discussed. Why
did yellow fever disappear once end for all time
in Rio, Sao Paul0 and Amazon River when control    :
measures were adopte t but fails to do so in the
Northeast of Braril;. All are agreed that studies
must be made.  D. Aragao is to work up details
for conference with Davis on arrival.        \
Also proposed to send one M. rhesus north now.
Dr. Aregao is proposing many details including      i
the examination of each town in danger zone every
three months.for at least a year after last
suspect case.

From letter of FFR to MEC Apr. 24.
      .f. lesions
_u'"- first described byrRocha
Lima wh c are necrosis of the midoone cells of  i
the liver lobtiles are accepted by Klots, McCallum~~
Darling, Callender end others as characteristic
of y.f....... 1 might say that at the present time i
this lesion is the most definite a--
istic thin which we know in the diagnosis of
$-3x6x&."
From letter of FFR to MEC Apr. 23.        i

   11 . . ..No Leptospire have been found in Africa!"


65

Ftter FFR to D.W.B. Apr 28.
. ..one of the most difficult problems in yellow
fever control, t e is, the recognition of cases
so mild and aty & end so limited in number, that
the diagnosis on clinical grounds alone presents
great difficulties...... In Iegos, e virus has
been obtained from cases so mild that a diagnosis
on clinical grounds cuuld not have been made....

mild cases may occur in adults as well es in
children andgDung persons... As you know, the
American pathologists who have studied the question
are quite convinced that the lesions first described
by Roch,& Lima are pathognomonic of y.f. Darling
while still et Panama discovered the same thing
end taught it to his assistants but, so far es
I know, never published anything on the subject."    '
Dr. Fraga's attention has been called to work

in Cempin$ Grende end Alagae &ende. Municipal
control checked by state control should ble %e &b-J-
                                                                     .._
                                                        .

------A<
May 16.  Conference with Dr. Frega. DF asks for
use of Costa Leite in Jacerepegua for one or
two.months granted.  I suggest that CR needs
new office end that Nurses Residence would be
ideal.  C. F. agrees in principle but suggests / q-$@f--@--y
that we take nursing service quarters end that
Mrs. Parsons move to Residence. To this I reply
that I prefer Residence office.

Cell on Capt. R.A. Warner.
               --       See What Price Glory?

May 17.  Ascencion Day. No Holiday.

May 18.  Dr. C.F. agrees to our occupation of
Nurses Residence.  Visit from James H. Roth.
Rotary 221 East Cullerton St. Chicago.

Advise Mrs. Parsons that our contract with
Federal Government expired April 1, 1928.

     Dr. Salles Comes, Dr. Geo. Hesselmann
     Parsons visit office almost simultene-
ously.

S-afternoon Dr, Aregeo informs that tissues 1
of Almeide, Tii&a#ba. are nositive.  Later
I learn of suspect case in Rio end advise
2onnor and NY.  late Set. night Rocha Lima
confirms both diagno&s.    I

Sunday 20. Wire NY end Connor of R.L. diagno&;/
afternoon in hills with Mrs. Parsons Mdm LeDog
and Miss Dennherdt.

Monday 21.  Wire Connor that Frega wishes
him to come to Rio for conference. Another '  I
soldier is deed but Frege doubts if it is yellow 1



66

fever.

                                                           w*,-
Tuesday 22.  Connor received wire in Bahia but   1 ",
went to Recife as planned - From Muench's station 1       ~
journal) Received this wire at noon and sailed  1
that night for Recife. Authorized to move to      '
Nurses Home from N.Y. arrangements made with
S-dard Oil for recei$T-o? @*`FGd$;-- . .* -'
        -._- _.... I _- ,-._, -., ,-,  -(.I_^.
In the afternoon Dr. Tomaz and I went to
Manguinhos where we received something over five
cantos which leaves Osweldo Cruz owing but 3
cantos and this an old account which Hydrick
refused to collect by going to the treasury.
We meet Dr. Magarinhos Torres who has been con-
tracted for the medical school in Asuncion. He  \

shows liver of Timbaule case and we get specimens
07 liver ver end of liver and  1
                                            1
kidney from the second soldier. IaOer in the
afternoon Dr. Torres calls to say that liver of  i
second case is yellow fever.  N.Y. notified by
ceblejalso Connor.  Newspapers carry news of death
of Noguchi et Accra,                         -*--^__ i

       . ..^W.^  .-,__* " -.61*.,  Gold Coast of yellow fever. 1
Dr. Aragao reports no new cesesaspected. Drs.   I      L
Fraga and I&Fayette not seen because at Santa Crus. '      i

Wednesday 5-23.  Connor wires he is enroute for &-r4A i?.u-c
Recife.  $m~ect case in Parehyh. Dr. Guedes
               ..,..-*-.I.-,. ._ *-.
Pereira also has wire about case. Together we  .&L.hA.+ $A- l52-.2&
go to Dr. Lafayette and discuss situation. Dr. i
                                           ;  w 'Ls LucLU
l&Fayette is willing for same cooperation in
Fortedese as in Natal.        +&23
                                                             --
                Dr. Albert0 da Cunha is
                                    4_,Y"_.~ ~^-. .a.-.-.. .
heading up stegomyie contx=e. Dr. Frega
sick in bed.   .a.--LI.. _- _.

  Drs. Decio Perreiras end A. Andrade come to
office to I-Mk over Rio malaria situation and we
agree on contract basis for 1928.
  Quarterly report for 1st quarter mailed.
  Government &.e. lower house of Congress passes
motion lamenting loss of w&i.     i
  Dr. Sousa Pinto reports trypanosoma in blood
of child at Sante Cruz.

Thursday May 24.                                         I
         Take citrate tubes to Dr. Aragao

at Manguinhos.  Consult Dr. Fra  and tellhim
:het Ruswrieed&n Rio if  I
            i
            Fraga is doubtful i III
                 e &Xii on-these

two cases is now as fallows:Possideon Nino,
Pernambuco in Rio five mohths reported to hospital
ill on March 14th - died March 15th. History
of previous illness since January with bloody
stools continuing in spite  0 9. emetine end bismuth.
He became ill at the quartep at Campinho. History
not very definite.  At autopsy 500 cc of urine
was found in the bladder.  Only liver sections


67

were taken for diagnosis - these were diagnosed
positive by Drs.             i
           Torres and Roche Lfma on 19th. :
Pedro Lopes, Alagoas, in Rio one year, entered

hospital militar for Rx for scabies on May 4th
or 5th, leaving on the 16th for Sante Crua, 40
or 50 M. but in Be&era1 District. Reentered
hospital with high fever on May 18th. Died on
May 20th.  Symptoms suspicious of yellow fever.
Anurie reported2
    ?J- Bladder empty at autopsy.
Dr. Fraga sew a  opsy and did not believe case to
be y.f.  Liver red end solid. Peryassu cut
liver et autopsy and was not convinced of y.f.
Liver diagnosed poisitive by Drs. Torres, Osweldo
Crus end Bomfim (militer) but kidney is not
typical of yellow fever.

Discussion.
  1.  These two soldiers are both from northern
states where yellow fever has in the past been
endemic.
  2.  They are from different branches of the
service and no possible point of contact such
as sleeping in the same barracks has been es-
tablished.
  3.  P.N. did not suffer from anuria and 500
cc of urine were reported at autopsy.
  4.  P.L. had anuria but the kidney is not
that of p.f. (Rocha Lima stresses kidney lesions
and BW Crowell considered them more important
than those of the liver.
5. Both cases must have been infected in the
federal'district.  This means that one or. more
previous cases must have occurred. P.L. could
only have been infected in the military hospital.
No other cases have occurred in the hospital
nor do the records reveal suspect cases.
6. Analysis of recent mortality records shows
no increase which might be attributed to an
undiagnosed epidemic.

The epidemiology of these cases does not clearly
fit the picture of yellow fever.

May 25.  No'new cases have developed. One suspect
case proved to be lobar pneumonia confirmed by
autopsy.  Dr. Connor notifies that Smith goes
to Fortaeesa.  Muench to Parehybe. Reports that
Seth believes that case in Parehyba was positive.
Bases belief on microscopic appearances et
time of autopsy. '-%sit'by Dr. Guedes Pereira.

Saturday 26,  Visit nurses ho#e with Dr. Agg$
who is to make estimate of cost of changes wan&bed.
Dr. Mattos shows room available for deposit of   !


68

heavy objects.  Dr. Aggeo states that military
hospital will again be fumigated.

"A Manha" carries scare story of 60? cases
of yellow fever is Rio.  Dr. Fraga reports
nothing new.

In considering the Sergipe and other northern       I
                                                            /
cases, it would appear that the difficulty of           I
recognition came from the small percent of foreigners ;
in the region and an underestimation of the
previous endemicity of the disease. It is quite
possible that these two factors have been respon-
sible for giving an epidemiology different from
that of other fields with which Dr. Connor was
familiar.

May 27.  Home all day except to Post office in
PM with Mrs. Muench.

Monday May 28.  No new developments Rio. Wire
COMOr to come to Rio at request of Dr. Fraga.  I

Tuesday May 29.  Dr. Guedes Pereira lunches with
me at 125 Bolivar.  Dr. Guedes is director of
P.R. in state of Parahyba.  Still no new develop;;

ments in Rio.

Nurses Residence.  See "Aurora" with Dr. Jansen
de Mel10 and Susa. Play poor.

Wednesdey May 30.  Meet Miss Bertha Lutz, Feminista.
Connor to leave Recife for Rio tomorrow. Wire
to R.J.S. - Gov. bmartine and C. Dantas to
lunch.

Thur. May 31.  Authoril;e work at Nurses Home
done by Arge

Dr.  Lessa Y tells me of suspect yf case in

Portuguese who became ill Monday, May 28.  Dr.  ',
Albert0 Cunha confirms and says case is now    \
at Sao Sebastiao Hospital. Dr. Cunhe says case 5
is from Praca Republica but that patient slept
in Rua Sao Pedro. Dr. Cunha considers clinically 1
Yf.  Later:  Visited SRO Sebastiao with Dr. A de
Cunha.  Surely a beautiful location for an isola-
t%jn hospital.  Patient, .Jose Te@eira, by name,
19 years of age, Portuguese workedCin candy        '
factory in Praca de Republica. After he became   1
ill he went to sleep (one night- at 257 Sao
Pedro St.  Had not newspaper articles appeared
recently calling attention to possibility of yf
in Rio the doctor who notified this case would
not have considered it yf.but an acute severe
case of grippe according to his .own statement;    !
When he saw the patient he was semi delirious.
#hhc'&@d~~~&;,,ar&continuously mumbling *
                         .


                           69


                    T1\:'1
                  ii
Dr. da Cunha says td facial expression iS CharSC-
teristic.  Examination wes by electric light
and icterus could not be well observed.  Fever
reported as 385 axillary. Respiration very
rapid and not too deep.  Pillow end sheet soiled       1
with some black clotted material and with steins
of red blood.  Eyes did not appear greatly congested.
Teeth in poor condition and gums very congested
but no hemorrhage on pressure. Dr. da Cunha
examined lungs very superficially and insisted
they are clear.  Dr. da Cunha demonstrates-the
marked sensitiveness of the stomach region.
Examination of urine (catheterized) was recorded
as "alb. trecos accentusdos."  In conclusion
Dr. da Cunha insists this case presents the typical
signs of yf.  The similarity however of this
patient to certain patients seen during the flu
epidemic of 1918 is marked.
Dr. Henrique Aragao had seen this case and
drawn blood before we arrfved. I noted, in addition
to the site of venepuncture, certain d&k black
deep subcutaneous spots over the region of both
biceps.  Could these be deep hemorrhages as
found in yf?
June 1, 1928. Yesterday Dr. Washington Iuio went \
home after only a week in the Case da Saude,    !,
Pedro Ernesto.  Again we can use the Avenida       :
Mem de Sa.  A few days ago I spoke to one of the    :
policemen who prevented traffic from approaching    '
thekDspita1.  "Boa tarde" "Boa tarden  "How
much longer must we go the back streets which
are poorly paved?"  @They say the Presidente
will go home Saturday."  "Very well. But you
know when I had my appendix taken out, no streets
were blocked off nor soldiers stationed to
maintain silence in the neighborhoodf How do
you explain the difference?! "Mas o dontor
operou - se aqui em Rio de Janeiro?"  "No in
Baltimore."  "Ah, that explains it." And he gave
me to understand that were I to be operated
here the whole city would be closed! Such
delightful technique!
Today Dr. Seidejof Sao Sebastiao told Dr.
Tomaz that case of yesterday (Jose Teixeira)
had died with diagnosis of "hepato nephritis."
This made us feel good for a while as Dr. SeideL
also suggested "grippe." However I went out to
Manguinhos and saw the: -v& and talked with
         t
Dr. Aragao.  There is no doubt but that this
case is yf.  Blood was taken and has been injected
into one Macacus rhesus and one Brazilian monkey.
The microscopic examination made hurriedly showed
cylindrical casts (calcareous) in the kidney.
The liver could not be satisfactorily diagnosed


70

because of previous lesions.

Together with Dr. Aragao I went to see another
suspect case at Sao Sebastiao, vi%.  Alfred0
P. Reis who is a Portuguese and who became ill
Monday May 28 the same day a Jose Teifeira.
This case is from the Rua B &%"de Sao Felix 76
        P            $,q$&

and was picked up by Dr. Le.&e.  He is subicteric,
he8 vomited all night, black vomit, has only
37 temperature and is able to carry on a conver-
sation but does not talk freely. Detailed history
not obtainable.  Blood taken by Dr. Are, 60 for

me.            t
   Bloods from both ceses put in ice ' t 6:30
PM in thermos bottle.  Dr. Lessa makes positive
diagnosis on this case.             J
Impossible to see Fraga but call him late

at night.  He reports conference with President
and Minister and says he has been given carte
blanche as far as yf is c;ncerned. I suggest
possibility of Connor        subordinatie
personnel to which he agrees and insists that
as many good subordinate employees as possible
should come.  The following wires aqe sent:
  "Rockfound NY. Two casesyAracaj,Z Stop.
Two civilian cases Rfo One a#topsy positive.
Monkey injected.  Government undertaking control.
Soper."

"Rockfound Bahia If possible Connor should
bring trained guards chefes with him."

Dr. Lessa Reports other suspicious h'&/tories    V"
such as Portuguese husband and wife who died
last Sunday May 27 after 7 days illness.

Alfred0 Reis (entered 8:30 PM May 31 - died
4:30 AM June 2) w&ked into hospital because motor
did not come rapidly.  Anuria practically complete.
20 cc in 24 hrs and 20 cc in bladder. Albumina +++++.
This case never appeared ill but a few hours before
death began to show signs of lowered arterial
pression.  Autopsy showed typical yf and stomach
and intestines full of blood.

June 1.  Conference with Mrs. Parsons on yf
situation.  Mrs. Dawson and Mrs. Muench to
dinner.  Fraga has conference with President and
is given "carte branca" in control.  Credit of
2000 cantos opened in Tribunal das Contos.

June 2.  AM in office.  PM visit Se0 Sebastiao
and take two tubes of blood from Candid0 Fernandes
who became ill on May 30. Dr. Fraga says all
guerdes and servants are taken from other Services
and control is starting rapidly. British consul
has been d
  b vised not to permit personnel of
H.M.S."Co  allis" now in port to sleep ashore.
Dr. Werner comes to office and I explain situation


71

as is to him.  He says that the child of Commander
Wilson had something which mayhve been yf. Dr.
Fraga asks me to investigate and report.

  Set. PM.  Two tubes blood from Candid0 Fernandes,
Rua Berao Sao Felix 198 Portuguese, 27 took sick
on May 30 with headache and fever.  Has vomited
and has heavy album&n in urine.  Marked icterus.
Taken by me.

Dr. Aragao took blood of Ant. Barb. da Silva
case for me.  This case probably grippe is
cal$,ed Antonio Barbosa da Silve (my tube marked
Guiparaes) Portuguese 22, Rua Bareo de S. Felix 218.

June 3 Sunday.  Go to Manguinhos with Dr. H.
Aragao.  Special screened sections are being
completed for expsriments'with double screens.
Only one monkey has been inoculated so far viz
from Jose Teixeira.  Inoculation made June 1
from blood drawn May 31, patient b came ill on
May 28.  Temp. at midday June 3 3 9% C which is
about 5 or 6 above normal.

  Visit Sao Sebastiao and find Antonio Berbose
apparently with a simple grippe. C&did0 Fern-
andes appears sicker than he did yesterday.
Albumin very heavy but Candid0 urinated 700 cc
which is hopeful.  Had black vomit during the
night end today is yellower then he was yesterday.
The upper floor has been screened and is being
fitted up with 25 beds.  Petients were transferred
to this section.  Dr. Linta and two or three
other MD's were present.

Cadaver of suspect case arrives and proves
to have been pneumonia, Dr. Fialho says.

Willson Russell 9 years old. Beck from Petrop.
Apr. 30. Child became ill abou$ May 20. OK
at 8 PM and 1 AM high fever 104 C delirium.
Enema and cold bath.  Fever down to 103 but
back to 104 during morning. In the evening
back to normal.  Vomited during day illness and
also at end of 36 hours after temp had been
normal for 12 hours.  Mrs. Willson described
as "coffee grounds."  Has not been to school nor
to other side of tunnel since April 30.

Candid0 d Almeida, 16, Brasiliera, died on
May 14 after takin  sick on May 9 (Palmyrao
friend on hillside f  Not yf symptoms. Diagnosis
Typhoid with sudden cardiac collapse.

Monday June 4.  Make arrangements to supply
DNSP 100 lamps and probably will give 100 more
if Connor does not need. Dr. Fraga insists that
Alfandega ten be arranged. and authorized order
of large amount of supplies.  I offer services
of Dr. Tomaz Alves if necessary but Dr. Fraga


72

says he does not need.  Visit Manguinhos and
learn monkey's temp. is back to normal. TO
Sao Sebastieo and get blood (3 tubes) from Antonio
de Oliveire Portuguese, 47 years of age, Travessa
das Partilhas 68 who became ill yesterday June 3.
Symptoms very light and may well indicete something
other than yf.  However, he comes from the same
street where the couple died May 27. Headache,
slight vomiting and fever.

Manoel Pereira de Amarel, 28, Port.
entered Sunday June 3. Became ill on May 29.
Blood not taken.  This is tppical case. (Rua
Barao de S. Felix 48)

Candid0 Fernandes continues to urinate well
Prognosis good.
Antonio Barbosa (Guimaraes) appears to have

First female case arrived today. Blood not
taken as patient is on 6th day of illness.
Nina Marie de Conceicao from Visconde de Nichteroy
#37. Negress. Abluminurie +. Diagnosis not
made.  History indefinite.
D. H&age0 ret urns to Manguinhos.  Cell on
Ambassador Morgan and give him details of
situation.
Europe.  Dr. Samuel phoa calls enroute to
                   Is

June 5.  Dr. Connor arrives on '$taimbe" at aboht
8:30 AM.  Newspapers in North have reported 70
cases in Rio.  Connor isnowready to consider
                A/.. Me. -
the entire yf .zone of..Brasil.as infected or
i%&&ibXe, from Santa-s..to.+anaos. and from
coast to--Andes.
-^.-"        Brings tissues of Parahyba case,
53 years of age, who worked two days ill and
died on fourth day.  Uver reported by Dr. Aggefl"
Magalhoes of Recife as not Rocha Lima picture
but only excessive hemorrhage. Admits that
Murchison wes probably yf and that Bahia will
probably have cases in next tao months. Does
not believe that yf in Rio is limited to present
discovered focus.  Suggests possibility of other
then A& carrying or o_ther species of M,
p+ssibi+ty of animal reservoir, esibility of
repeated infections in the same individual and
a-lso thepssibility of virus becoming attequated to
           ,.I - ,. ._
indigenous population but not to foreign stocks
t~@ssibi~it,y~.of Rio beliiiga permanent endemic
center and the impossibility of R&Fever having
c8Gjs"~i.n pas? 29 years.  We ca 11 on Fraga a'ird
partially discuss the situation and agree to
present ideas in writing. Connor would like to
hzae Rio and make yf in Braal-'one unified project.

Request Dr. Warner to keep tab on the Wilson
menage and to let me know about Elisebeth Babcock.


73

Connor and I visit Manguinhos and find monkey
with normal temperature.  Dr. Aragao has ordered
one dosen monkeys from Hamburg on my authorization.
We go to Sao Sebastiao and find that Nina Maria
de Conceiceo had pneumonia and not yf. Two other
womnm are in hospital as suspects.

Hospital notes June 5.

Manuel Concalves Braoiliero 28 Rue dos Cajuerios 12
took sick June 4th 2 AM. Awakened by headache,
fever, has not vomited. Connor considers very
suspicious becauuf hour         Two tubes
of blood taken.  Candid0 Fernandes better also
Manoel Pe&ira.

Francdsco Curte Itslieno Albumin++++. Became
ill June 7 AM June 1.  (June 7th this cese considered
       'cc serum seal in ampules.

For Africa on Curt&Candido Fernandes and Manoel
Pereira.  Probably also worth while to get  sm~um
for treetmnnt purposes from these men.)

June 6.  Blood from Candid0 Fernandes Manoel
Goncelves, and Antonio Oliveira sent to NY. to-
gether with tissues Jose Teixura and Alfred0 Reis.
on W. World.

Anna Jose da Silva, Portuguesa 27
Trav das PaPrtilhas #80 c/l.
Took sick et 5 AM June 5th. Fever Back ache.
Blood taken at 5 PM June 6.

June 7.  Joao Bittar, Syrian, 15 years works for
tailor.  Entered hospital 10 AM June 7. Blood
taken 5 PM. Rua Itapiru 49, casa 6. 9 years ihn
Biasil.  Took sick June 4 at 10 PM. Had contack
Thursday May 31 with tailor shop in Rua Baron
SPO Felix.  Mesa today June 7 subicteric sclerae.
Declared positive by Dr. MEC. Two tubes blood
taken--*

June 8.  Maria Jose da Conceiceo Rua Itapirn
49 Tpro days sick.  Breathes like pneumonia?
Blood taken.  Lives next door to Jo30 Bittar.
June 9 looks like pneumonia. June 10 Gives
history of vomiting "red" end complains of
gastric pain.  June 11 is pregnant, etc.

June 10.  Six new cases have come to hospital
from the following addresses yesterday end today.
9th. Joao Ventura,, Rua Dua Maria (Esticao Coqueioe)
9th. gq;$ de Silva, 23 yrs., Rue da Costa,
          Port.
10th. J~enkl;~ Sergio Ferreira,
   #30, Villa          Deque de Caixiae,
zJ= _ & /J. C.GCk..?,~


74

June 6.  Dr. Connor and I visit Dr. Fraga but
find him giving attention to many other metters
especially newspaper men and so we leave to go
to Manguinhos.  ic (J(@n;r\CL.
June 6.
GE@IiZe Visi Dr. Fraga and have long and
L on y.f. situation. Dr.

Dr. Guedes Pereira comes to office with the idea
that Rio-d north. There can be no doubt
ofpresence oTyf"% Rio for some time.
         . .._- -ayu a-.. is. ..". - _ rrrulfmc x_-w-:'wMw-` -.I,H..*-Tc _ I

June 7.  Conference with IsFayette de Fnaitss.
He says yf must have been here some time aa
~~~~~~~~~~~~~0    11

                    _I_....-.-a      I anuc-~
Bras&  Memorandum prepared for Dr.
Fraga not visited.

Syrian, Joao Bittar, from Rua Itepicu isolated
today.  First civilian cese recorded outside of
known infected aone and his contact has been
estiblished through visit to tailor shop in
Rus Bareo de Seo Felix dtn May 31 and June 2
during daytime.  Became ill 10 PM June 4.
Mrs. Sheppard end Allen to dinner. BowUemily
go to Sao Faulo tomorrow.

June 8.  Conference with Dr. Fraga and present- &-Lb-=- ap7W'kc
                                                              _.-.

i.etion of Dr. Connor's memorandum to Dr. Fraga  i              rc
asks for TomaaL&-W.                    4-u
                                                TC
                                                                 z=
June 9.  Call on Mr. Dewson with Connor and see
Rocha Lima.  Dr. Tomas goes to work in danger
sane because survey by Fraga showed larvae
after area had been covered.  Tomas says Frega
e2so asked us to supply him with cer. sonnor
end Rocha Lima end I go to so Sebastiti Find
new ceses et hospital but not new enough
blood.  Talk with Dr. Lessa who asks cer
information in regard to past ceses.
asks if R.F. would teke,over Brt of
D-rT"le7oiiiiok ._,- de .,.
     encj T"'Eibfh` t&I-him we'*thi
    -.--m:." .^b. II-A ._c/I.".l...s.l .,__ ,-_ .,"~_e- . . .,... ._.. . _ --,
edvis.able to begin any part..uFy measures.  Oeble
arrive;i~~~~~~ina;"sailing of Bauer a&Da,v,is and
gp$yy; fi;y;;sw;s; t;Frx Copaca~-  I "\

Dr. Somas's first day at work results in
request for auto for him. Mrs. Parsons promises
Ford for Dr. Alves.                     \

June 10.  Sunday AM conference with Dr.\ Connor.


let DNSP continue until the arrival of Connor

which will require ten days. Connor will continue
district8 and mrdeg end oilers a8 et @e&&t
   ..d..*._ - .  _ . .__."a_*.. .I
CiiiiL%@,mn.  No isolation& patients and no
fumigation to b%TZ%%?$nus.~ '.

Get map8 of city with Peryassu's districts

   Include anticulex measures in discussion
with Fraga.
/

Connor*s it&a of ore*>
Seocao de Febre Amarella reporting directly to
him with representative of Board in immediate
charge with right to employ discharge and regulate
the number end salaries of all employees. Funds
may be advanced by the board and the Departments
pro-rata share later collected. Trucking trans-
portation and custom8 privilegea/0rmpaign to be
developed on a three  ear basis %ominal salaries
for our medical .~,.%x.+--*'-;'
           rectors permits of reduced
passenger rate8 on foreign boats. Connor estimates
that 250 contos per month should carry the whole
progremme which would mean 125 for the govt on
a 50-50 basis.

situation and talk to Aragao.  Get Davis end Bauer
~~!g!!!Y? in u$iing.  Davis end Bauer probably-
go to Recif$ after one or two week8 in Rio going
direct with monkeys and nmterial. Best on Costeire
boat which stops in Bahia end Recife
gives one day in
with Aragao and

epd copy o      ragao programme if possible.
Get his ideas of programme for Davis and Bauer
and atk permission to Davis end Bauer to come
and see him frequently during stay in Rio.
Present Davis end&&suer to Rocha Lima end
maint8id contact.                \
err,$#8~J~~s& Bahia immediately on
Soper Connor be=& our entry here will be


76

about Se
d t of latter part of August&y trip
      should be over by middle of August.)
k&r& should arrive Parahyba June 15 and
Rio July 15.

Cannor plans to r-n t    early in Nov.
but will come to Rio when I return from the
Argentine.  Information for weekend cable to
NY will be wired in each Friday. Biao will
deal directly with this office.
Connor believes organisation can be made
largely self supporting except for administrative
charges through fines and collecting done.
Idea to be presented to- considered a)-     !     4

visable.  Requires official support.
Estimate of rotating funds
Bahia 30000,000
Sergipe 7000,000

Alagoas material at 4000 to dollar
Pernambuco increased as per wire.
Perahyba 5000,000
Natal as is

Fortalesa wait for telegram.

Requisitions every three months trying to
eliminate emergency requisitions.  Requisitions
can come direct with right to cut if demands .
are excessive referring to Connor for decision.
Same in regard to exceptional material.

Burke due for vacation in 1929.
End of Conno& notes.

Connor sails on Andes

Mrs. Allen and Mrs.' Shepperd sail on Voltaire.
Three bloods including Joao Bittar on Voltaire
with Purser. Advise mission personnel in Saude (L-q1
district to leave if possible. If not me
to take all precautions.

5 cases entered today as suspects including
one from Sao Christobal and one from Villa
Militar (Rua Duque de Caixias.)' Meet Dr. Amaury
de Medeiros who is going to talk to Congress
about yf.  Arrange to talk to him tomorrow.

June 11.  Conference with Dr. Amaury to Medeiros
explaining importance of African work and- 6~
of problem in Brazil. Service as unit.
Dr. Warner calls.

Dr. Peryassu calls and I Cede 18 lamps leaving
40 in stock.

Find Dr. Fraga rather impressed w-s
of Sunday after two days of comparative freedom.
He says that he himself believes only-at&
larval measures but that because of question of
nmorale~~~ go on with frimigation and


77

and isolation.  Fraga says he has refused to take
more men off the other services to increase the
Wexpurgo" group; that the newspeipers are making
a big fuss but that the government is behind him
absolutely.  Peryassu says that many physicians
are being used in the service of wvigilancia,fl
that he is a voice crying in the wilderness
and that Fraga even suggested that he should
strain water having larvae.  Peryassu insists
that only results obtained will be these obtained
by his section.

Fraga agrees to get Davis monkey and cases
right through the customs.  %-call Dr.
Fragats attention to our joy over t& Parahyba
case being diagnosed liver abscess as this clears
our service fi the present.  Visit Manguinhos
and Sao Sebastiao as I have everyday since
June lstja& 3 suspects have entered of which
two are positive.

June 12.  Dr. Burke wires of German nun at Sgo
Christovao, Alagoas, sick five days with black
vomit, icterus and albumimina.  Dr. Fra
received wire of suspect case in Bahia Rasselmann?)
            T has

who had not been out of city. Two medicos have
been suspended for 30 days because of appearance
of old cases i.e. more than 3 days in zone under
observation.  Dr. Tomaa is hard at work with
car 689.  Purchase                   a /&a~ - &.c?J
To Manguinhos - not
Aragao has gotten                  ^ri @,J& /e.xDJ,,

from Sao Paulo.  Three suspect cases in Sao
Sebastiao.

June 13.  Five tubes placed in cold storage at
-2oc.  Examination of one tube left June 9 at
-12OC. showed no breakage. Three tubes Olivio
Ant. da Silva, Novello Miguel and Jacob Kaufmsnn
and convalescent serum from Francisco Curte sent
to NY care of Purselfon Monargo. Called on Dr.
Fraga.  Nothing new.  Mrs. Parsons says that the
report is going round that Fra   said he would
either control this
or-commit suicide.  outbreak"< f 'ye'llow* fe;i"e"r'

-_.. _ ,.._._ i,,. .^ :   Tell Argeu notto"'do*anything
to nurses home.  New focus today in Rua dos
Invalidas, also report that case was at Guanabara
Casa da Saude.  Two soldiers reported from
Nichteroy.
A~EXvir
WFraga not greatly pleased with Chagas'
interviews in papers.  To Manguinhos and Sao
Sebastiao in afternoon.

June 14.  Wild rumors are heard that Bahia is
full of YF and Santos has ever so many cases


78

In contrast to this Dr. Connor wires that the
single suspect in Bahia is probably positive. \
The case at Sao Christovao died. Dr. Fraga says
that Dr. Chagas is to see him today about
programme of studies for Oswalaio Crus, Dr. Chagas
insisting that Manguinhos must get in on the
situation.  Fraga is I believe disgusted with ,,
Chagas and his attitude.  Confer with Dr. Amadeg
Fialho on the question of pathology   He is
anxiuus that the DNSP shuuld have a*hand in on

                     that I did not
               . had an&&need
                                    r,m,&.c-^ -...  ._I .,_ ,_
                  pr_agS- insists
                        he CR had not
found any cases for so long in the north that
no one living could have suspected the possibility
of Rio becoming infected at the time it was.
He says that Rio must have been infected abcut  3 1
              A-1 /___ _ ____  ___,,_ I _, i .*<-, --..i_-..---
thetime the first susp+Y case in Estancia.   2;L.P
            e.p"."."-I -         -"sl..-.<wl./ _
oocurred. Confer with-f5Yr~-&gao who has now        .--_, F,..^L
African virus secured from Marchoux (monkey
tissues May 22) in Paris, and four more Macacus
rhesus from Sao Paula.  Aragao says Chagas plans
onbopening the Oswaldo Crus Hospital and making
complete studies on yf from all possible standpoints.
Two casease reported at Sao Sebastiao but Dr.
Aragao says they are not inviting. I therefore
leave SS off my list,today. The papers report
two new suspect cases in Nichteroy, soldiers.
                                       .,_ ,. -._ .-m .,..
Called on Ambassador &%$n-and found the
Embassy thoroughly "Flitted." -Connor
su ested I outlined the situation of yf past
zi#--
  present and also our relationshiu to the

prog&ume. wn seems to feel-that un=-
officially he could not let the govt. know our
attitude_'~~~~~~~~~~~~~-'~~ntrol but %&it-Xf-affairs
come to &ZY%-pZ63&3' ~35ki it necessary to

submit a written memorandum, he will be glad to
see that it gets directly in the Presidents
hands.  PersonallInotme-,ge should
         ---"..a.sw.e.-*.l
deal through &lo~,t~. channels but since,yf
       ..res~nsib~1Xty"'I s&Z1 let him ,
           edure. Interview a'ppears"'in
Glob0 withwnista Norte Amer-no who
claims methods of Oswaldo Crus andmAmericanos  YE

show no essential differences.

June 15.  Dr. D.B. Wilson and family arrive.       1'
Dine at l&~~-~s. P%i%XX%%iXXY'-     '!b'
Muench.  Visit Manguinhos and Sao Sebastiao with
Dr. Wilson.  Monkeys have arrived from Sao Paul0
and work is beginning with African as well as
Brasilian virus.  Only very mild or very advanced
cases to show Wilson.  All Manguinhos is taking
up problem of yellow fever from all stand points,


79

c

blood chemistry, metabolism, blood counts, etc.
Some talk also of takingbases to O.C. hospital
for study.  Dr. Fraga goes to Nichtergy where
there have been f?ur cases among soldiers.

News arrives that Davis is bringing

embark Itaoui$e for Bphia.  To Sao Sebastim with

JS and Mdme LkDoux and find a number of cases
not previously seen.Y$raw blood from five cases
less than seventy two hours. Dinner and bridge
with Cspt and Mrs. Babcock.

June 17. Sunday.  Dr. Renato Studart lunches
with us at 125 Bolivar.  Visit Sao Sebastiao in
afternoon and find one new case less than 24
hrs. and very suspicious.

June 18.  Dr. Ar$ki;h;~, ;;E;i: ,Fg;zisco
Rubio, Aracaju,
Beaerra de Mel10 doubtful and Sister Carusa de
Sao Christovao not exam&ned. Connor advises
of suspect case Sao Felipe (across bay from%
S$alvador) and considers suspect in Bahia as
positive (Hedy Zollinger, first reported June
9)              .'
   w
   To S.S. a d Manguinhos. Report situation in
North to Fraga.  Visit Dr. Tomaa4sone and find
old Se&him Via$&, one of my guarda chefes from
Alagoas and Pernagbuco working with him. Ten    3---w
new cases tddag - one family of three. Drr  Is, pp-7."
-ells of one case becotii%i and remain-
ing for maare'than an hour in a cinema of the   -\k"le.o

peormr section where 500 reis admission only is
charged and where some go to sleep finding it'
cheaper than a bed.  The failure to find whole
families attacked previously may indicate that
the infection was occurring largely in points
of reunion such as movies, work shops
restawnts, etc.

Dr. Aragao very hopeful of monkey inoculation
for first time.  Has mo&ey with high temperature
inooulated from 7  One case sent to Manguinhos
for study.

June 19. Dr. Amawde Medeiros comes to inquire
about existence of statement of CR to effect that
yf had been exterminated from Brasil. I give


80

him the details of the conference of Dr. Frags,
                                 - _.1 Y..l..^_j-. L., .,_ . . ___
Barros Barr~~tq,~~~~~~~~~~~e
Bz&%*lp and also a&61  and Soper, in
              report'of Connorsa
              e'@as^'outlined of
                                1 _. _..~~,,` ._ .  . ,.
             hif3, Recife, IykGl
                   ich time a full
                                _ __. _..&l-..F.l% _m.*s ._,. -
              QLRe .w.ds and a
                another cnnference
                             ,~,s.e,..,.A%~-"`.  __.
                  this conference Dr.
Connor said that at all events the control of
Bahia would be continued unM Jan 1, 1929. Dr.

of the number of stegs now could believe in the
possibility of the infection of Rio after a
period of 20 years.  That such's statement of
Connors must have been based on past experience
of Rio itself during periods when Bahia was known
to have been 3 nfected.
Notify Dr..Barros Barrett0 of Francisco Rubio

of.Aracaju as positive case and Jose Beserra de
Mel10 doubtful.

At 2:3O PM Dr. H Aragao called up to say that
monkey #8 injected wih blood from Jacob-Bjtuffmann
and Novello Miguel had collapsed and was to die.
Dr. Rocha Lima called and went to Manguinhos with
me.  Autopsy revealed liver yellow and fatty
and hurried microscopic sectinns were examined b
Dr. Torres and called positivesad very similar
to those of monkey killed with African virus,
the liver of which Dr. Chagas brought from Paris
last week.  Russell and Connor notified by wire.
Liver to be froqen and also tissues in forms

were secured.  (Dr. Chss asked how the CP
                 --    "~~/ ,-.l__*__ -~.r.c-""-x-m^ w-w`- '-/^ *
explain the entrance-f into Rio
                            ll_ll _--_ _--..--*  Ittell
               1____1                    -1.
him we do not attempt to exglain.~t.not,lheving
      --e"__n_`e.>__*_-".. -... ~~,.  _.~ ._l-l- ---...
th~?i&essary information on which to base an-
               --.I--xv-x." - "<*,. _-,. -,.-x___.-!*.._ "^_
       He seemed quite         _I.-*..,.- _ _ _,, _,__

               --I-. -7 -.    surprised to learn

                 -*--Y--^..^II ..I."*,; _,__l..-, _" ,._. - .I. - -

Braail!)

Ister in the evening Dr. RA says Macacus
cynomalogus probably from Japan is expected
die during the night.

June 20.  Called O.C.1 at 8:30 AM and find
A-asleep.  He lay down at 5 AM. At 11

                                  AM
start to SS.  Find one new suspect case. CPositive
diagnos@are being made with great circ&mspection
Man of family of 3 noted under 6-18 came to   2
-                                     -
autopsy todamy the case was yf with
icterms, black vomit and anuria. I saw the
body just before autopsy. It was very icteric
and there were signs of hemorrhages into dependent
portions of subcutaneous tissues, scrotum, etc.
Dr. Fialho said this was the first body showing
these characteristic hemorrhages he had selJn.


81

I However, when the first incision was made through
the subcutaneous fat, he said the case was
not yellow fever but malaria. And it proved to be.
Blood slides from the wife and child were both
positive for malignant tertian. Discussing this

i question of diagnosis today with various phy-
; sici~ns~ the idea seems to be gaining ground
that the clinical diagnosis of even typical
cases is at times impossible.) (Mrs. Parsons
reports th& a couple of her nurses say that many
i  DSNP doctors are beginning to think that yf may
f have been in Rio for a long time.)

PJCSWS: (A From S.S. to Manguinhos. M. cynomalogus
     ragaos #7) died at 9 PM yesterday; injected

with be&U from Novello Miguel and Jacob Kauffmann
on June 12 this big savage monkey showed no gigns
of infection until June 18 when loss of appetite
and high temperature were noted. This temperature
dropped by crisis on 19th and monkey collapsed
and died.  Autopsy revealed a more typical gross
pathology with intestinal hemorrhages than did
Mr. N8. The liver ections are full offat
and the mideone net h 61s is very typical.
Liver for freezing and liver tissue in Z@ 10 90
formal were secured for sending to NY.

Citrated blood from the following cases was
forwarded to NY en iae by the American Iegion
today:  (left Out by Jane)
Also two ampules with convalescent sery from
Candid0 Fernandes and Ant. Pereira de Amarpl,
two sealed tubes with frozen liver from monkeys
7 and 8 and bottles with tissues in 10% Formal
from monkeys 7 and 8. Miss McK. also goes.

June 21.  Dr. Fraga says that 6 cases occurred
during the irst week, & durrg the 2nd week
   %--- --
and l&during he third week. However the failure
to have more cases during the 3rd week than during
the second week may not be significant of a real
let up.  It may be that only the 4th or even 5th
weeks will show.

Capt. Warner went to Manguinhos and to S.S.
with me.  Discuss vaccine for yf with Aragao.
Luta also goes to S.S.

June 22.  Return to*~~~~a_~rt. and find
that he ha~oit`tl%Ged the auestion ofw%ether the
CR had claimed yellow fev& extin  ished or not.
This re-prt' ap~~~~~d---+.g-~~4`.~ ";;'.in/jr~~..G-/&
           !r
I sent translations of parts-of it-to M.Y. March
22nd. (Actually published in Journal do Commercio
Feb 18, 1928).  This report to et
            " ._I ., ,.`.l_ ,..x -..-I bx wiw a-0
Ca art which% as now been published
in -the-,a.rchivas-da Hygiene #3'show"clearly that
we were in the wai.tIhg,stage when-the Rio situation
_II__-*- _ . . .

&?2SRz

has To Man inhos one monkey with African virus
high gmperature.


82

TO S.S. and all quiet and peaceful.  (One man
comes in walking as we were leaving. He insists
that he is not sick but was wanting two days
leave from work and asked for it on the basis
of being sick.  The company called a doctor & d
he was sent right out to S.S.) Dinner atCapt.
Warner's, Commanders Atkins and Wilson present.
C&g. ~~dk_n_,a~~,-~~h._~~;1~er .Fa.ed,..W been. ordered
to Minnesota but
___- __ ._I_Mw--Y-)-'--. ^. 2 that he fo,und the expense of
winter-undse. ,!And .wmxxta ta -. fw his. fapLil.y
too gr@~mziLb..ce asked for and secured
    %
transfer to Cuba where the yf investigations
Icyycar^.~.,e=--~ L-s...---,i-.d=-~ -. . ri..--l -. ,-,r91 .*.. _ I _
were carried o~t.~.                      ,_, .  _
~%"$%%'*I&? says that both Dr. '&D and Dr.
A#+&ju wish the laboratory for Bahi-a and that he  !\
has agreed to ins~'"~Gth6?%~*'~I advise Dr.       I!
                                            'i

Fraga that Dr. Tomaz has a swollen ankle and
probebly connot long continue and also of plans
to install lab. in Bahia. In conversation with
Am. Morgan I let it be known that probably the
R.F. will either increase the scope of its yf
control or retire entire&X Wilson's arrive  f
in Parahyba.

June 23.  Dr. Tomaz believes that article of
D@.F. should be called to the attention of the
       We start to Journal but find Chateau-6UIedP
       nd I resolve to give copies of both
reports (Connor and Fraga) to Ambassador Morgan
instead which I do in the afternoon. Jule and   1
I go to SS in the afternoon. Bleed two patients.
Do
Jo?& not see Dr. Fra
  - be#loons etc. $ today. (Vespera de o
              F

June 24. Sunday.  To S.S. with Aragso who feels
that epidemic is on the wane. No cases bled.   \

June 25.  Dr. Warner predicts cessation of present
epidemic with fire up Xn%%Gi%er. Drs.
%uer and Davis arrive onBan Dyck with 48 M  I
rhesus.  Dr. H Aragao meets boat. Monkeys taken
to Oswaldo Crus.  Bauer says Stokes probably
infected from autopsy on monkey still in infective
stage which had died accidentally as it was
being bled from heart.  Stokes had been bitten
on hand by monkey earlier in the day but perfommed
autopsy without gloves.  Virus of yf remains
infective in mosquitoes during so called period
of extrinsic incubation.  Dr. Aragao suthorized
to begin using tinkeys right away. Call-
Chagas and then to autopsy at Manguinhos Hospital.
Gse proves typical.


83

on the subject of his interview said that this
interview was given at the request of and based
on information given by Dr. Fraga.  I tell Chagas
that we do not care for any.newspapems@'
    -*-_cI%-.,#-.w- .".s,l_.-m.l ,_-, ., - *
m'that he canget the actual data f$fi-&ir
jT&giigtc-FG-~~~~e,~~~~i~~~~i %J& &&L&a 1.
,Reporte and from the ,Jour$l,,of Commerce of
~~~,~-i8,:"~~~~~~~"*'~agas says that Vasccncello;
and othe;Te attack-he C R only to,&-%s.ck
                               -4-e ,.,* 5.
him since it was he who permitted the CRto
begin work in Brazil.  He says that all the north
                                        rX.w-~--Pili*...~' _
of- havingyellow,~fever when-.the CRY.
              a,,.-- .:.
came in and that it so%*-iractically d+appeared.
-Llir;;i~i~~~4~~~- ^ '~"'Y...#+-r,.~-r*e~c -aI _\ _FI
             11 on Fraga whom I-invite to
dine but who nei  er accepts nor refuses definitely.

June 26. To S.S. in AM with Dr. D%d B.?%r ,~!?a
Lins shows us over the available cases. B. says
symptoms of yf here are same as those of yf in
Africa.  Wire from MEG says that BB in Bahia
has offered new building for laboratory and that
he has accepted; screening to begin at once.
Davis and Bauer suggest that screening be delayed
untiliheir screen can be used.  Wire sent to that
effect.  MEC reports.--,case in interior
of Pernambuco"between Belle Jardim and Pesqueira.
D.CZnzxEed of this case and also of absence
of cases all last week.  C.F. says that Cardoso
in Recife whom Connor wants i$ going to Espirito
Santo - that all he wants is double salary and
that he cannot be spared at the present time.
Dr. Bauer suggests to Dr. Aragao the need
for trying as many sera as possible on different
monkeys.
be Aragao. Five,were already fnje2ted last night
     The final outline @ye to Aragao is
that he shall do this work using our monkeys
and shall give us the results. Results to be
published by Aragao.  We are to furnish monkeys
now but must have viruses and convalescent serum
em grande cantidadel

June 27.- Drs. &- 4
        D and B go to Manguinhos in PM.
Take serum oP'Ninchelli for injection in monkey
#3O. Dr. B. after seeing cases and slides considers
yf of Africa and Brasil the sam. Three cases
arriving from Bahia on the "Para." have been
sent to S.S. as suspects.  They all arrived in
SaU Salvador from Ilheos June 21 remaining at the
Pensao Velloso (Calcada) until Sunday (6-q)
when they embarked for Rio.  The first took sick
on Saturday (6-23) with symptoms of grippe. Dr.
Bauer injects monkey #30 himself for "sorte."
Dr. Rocha Lima and Dr. Aragao and families dine
at 125 B
  f; lfvar with Dr. Davis and Bauer.
       I