Jsnuary 1,1929.

ForsddltiOnslnots8 onperiod
Jsausry l-26, see psger 122.125
at beginning ofJournal.

1.

Dr. Henrique Aratio mentions the possibility of male mosquito infeotion through

feeding on acmtsminated honey. If this works out it should be possible to presefve

the rirus in mosquitoes without danger to laboratory workers.

January 2.   Dr. H.Booha-Lima oalls at offioe to.discuss various matters. I meet

Dr. Aloides Lintc at the DHSP and learn that our oontract for 1929 with the state of
Rio is all ready to be signed and that our oontraot for 1928 was passed as a law of

                                  i. 51            ;.
the land by the 1828 legislature. Dr&Lints says therelmsbeen no yellow fever in
the state of MO for more than four months. Although he does not say so in so many
words it is quite olear that he wishes to implioate that his servioe in the state

has been far superior to that of the DpSP in the Federal Distriot. It is indeed
               A-----`--.---~.--- _ _-_

diffioult to understand the optimism existing regarding yellow fever in a plaoe

whioh suffered so muoh in the past fran the disease. Dr. Lints for exsmple is un-
doubtedly ignorant of the monthly distribution of deaths fras yellow fever in the

period previous to the work of Oswaldo Cruz. Also he 4088 not properly appreoiate
the importsnoe of today6 ease reported fxan Anohiefa, a suburb of Rio in the Federal

Distriot in direct oontact with numerous populous oenters of population of the

state of Rio.

January 3,  Dr. Muench, ,$lr. Ara&o and I go to Bras de Pinna and meet Drs. Ca

Fayate Freitae and Dr. Rodrigues. Dr. Ri&tas shows us a child who undoubtedly

has been having a mild attaak of yellow fever and a woman who is ill but with suoh
vague symptoms that no thought of'yellou fever would be entertained yere it not for

the eases already oonfirmed for the neighborhood. Dr. Freitas says that he believes

that a large number of eases of yellow fear of an undiagnosable type is ooourring

in the native Brasiliirn population.

   Dr. Fraga state that the oontraot is almost ready to be signed for the yellow

fever sertiee and that the only modifioations to be made are in regard to postal
and telegraphio franks. The oopy will be ready fasorrow. Dr. Fraga marks our trip

north for the Andes leaving Rio on the 20th of January, in spite of the recent

oases of yellow fever in Rio. Dr. Fraga insists that a signed oontraat be drawn up
                                 .-         ~~~~`~.-%/-.~~-L.-----L r-L

between the government and the Foundation as the Minister of the Interior oondiders
~-.-.-/%&.4^-v-u;, 1_  L-.-L I- -L,,, /i-L. `-L. ~r.---x/?/~ -- -&.M.-- --~L,'-d, .-+-----L--T_ __ -
suoh contraot essential to guarantee payments beyond the term of the present
                           c--TVVI., -e--- \- -. .__ k________ _~ A--- --7_-.---c_ e/LA
government.


January 4th.

2.

Dr. Ara$o suggests that a large amount of serum be seoured from the Sara Rivas
     ease in Bahia to determine whether mild oases give the same protection
to monkeys that severe ones do.

ffw  I oable Bew York asking for authority to sign oontraot for yf servioe.  I get
   hold of Noel Da&as and Henrique Bias of Bras de Pinna as they are leaving HSS
YO-  and take them to OC where HA bleeds them. Msnoel Da&as is a blaok boy from Bahia
   who had a febrile attaok with oongestion of the eyes two days after being raaainated.
   Henrique Dias is the unule and rooxnate of the Portuguese who died from yf at HSS
   removed from Bras de Pinna a oouple of days after Xmas.

Dr. Fraga says oontrect is not ready yet, He enquire8 about the possibility of fellou-
ships this year.  I explain that we are now on a budget and that the most that osn
possibly be arranged will be one fellowship and that even that one depends on the
failure of oandidates already under oonsideration to qualify. Dr. Fraga offers his
personal help on our aooounts with the Federal Government whioh have fallen into
Ereraioios pindos and suggests that I submit a list of these aooounts to him. Our
trip to Reoife is still marked for the 20th of this month.

January 6th.

      Ldiguel Jose Sar#Anna died of yellow fever in Bahia.

January 6th. Sunday.

      Dr. Menah and I meet the Andes and get package of Virus of Chioken
Sarooma from Burt for the OC in Bello Horitonte and then drive out to HSS.

January 7th.

      Dr. EiA reports that monkey injeoted with blood of woman in Bras de
Pinna has fever as has also $he first transfer from this monkey.
       Dr. Raul kagalhaes  of Minas is in town. He seems quite optimistio
regarding yellow fever and does not believe

January 8th.

       I am informled from aonfidential souroes that a womsn from the Rua
Prof. Gabiso died at the Santa Casa with the diagnosis of gastrio uloer but that
autopsy showed oharaoferistio lesions of yellow fever. This aase is not being
notified to the health department.

January 9th.

       Dr. Blbreneh and I spend the forenoon mapping Brat de Pinna. Dr.
Almeida de Hello of Par& is now in oharge in Bras, Dr. Rodrigues being ooeupied
in Paquetk. Dr. Almeida took Dr. BoydO oourse in malariology and talks w
to us about eg upditohes tomesgomyia s.
   * --, Monkeys frcK&as-oases are still ru&ing fever.
        Today for the first time I meet Dr.  Braggo, an uncle of Henriqueg,
who is a olinioal inspeotor of suspect oases of yellow fever for the health department.-
He says that two Germans had died in Birbaus& house in Anohieta before Birbaumwas
~  diagnosed and that a man had died in the same house with Mrs. Stael, F&o Comprido,
a few days before she beoame ill.

      Dr. Mauricio de Abreu says that oopy of oontraot was sent to me today.
      Cable received from RY authorising signature of the oontraot.
      Tribunal de Contas approves opening a-five thous* oonto oredit to
l33Ti-r
pa fifty per oent of expenses in the north and sixthoueand oontos f5r~%hepederal
8 r 0tY  . . -3..   . . . --_.

The Glob0 oarries a telegram snnounoing yellow fever in Par$.
                                     .B       3
                                                          _ .C.._~i ---

January 10th.

-

           Dr. menoh and I spend forenoon in Braz de Pinna smpping. Dr. Rodrigues
     gives me his oensus'list to eopy. A girl at 26 Rua Guaporg has fever and is bled
        for HA,
BoTt\ -          HA reports that monkeys from Manoel Dantas and Carmen still have fever.
NY    He says that monkey injeoted with mosquito feces shows fever today; monkey bitten


January 10th continued.

3.

By the same mosquito is yet without fever. (If feoal oontamination is the rule
the absence of itahing in old residents will explain part of their apparent immunity.

  Dr. Fraga oonfirms the news of yellow fever in Par& and adds that a oase has
ooourred in Mar&or,. I assure him that Illhxeneh will sail to take charge in Belem on
Saturday the 12th. I finally reoeive copy of proposed contra&. CF says that he
probably aannot go north tm the 20th as planned.

HSS has suspeot typhoid ease from 3. Prof. Gabito 118. If oonfidential inform-
ation of Jan&h is correct this ease msy well be yf.

January 11th.

          Dr. Paul A. Lewis, of the Rookefeller Institute arrives on the
American Legion. Dr. Lewis is a brother of Dr. Marisn Lew$s of my glass at Rush
and Cook County Hospital. Dr.
HA, VacafN47ED  69 kftj dt MAW.) @OC.
           Y 8 sees five oases of yf at HSS,oalls aQ CF and

Januaryl2th.

      Dr. Muench sails aP Itaquioe for Bel&m; Dr. Lewis aooompanies him
as far as Bahia.  I wire Dr. Davis to infeat monkeys of Sunday to have material
available for speaial preparation for New York when Lewis arrives.

January 13th.
         To HSS in PM.  Return Dr. Rodrigues his oensus of Bras de Pinna at his
home in Olaria. Existenoe of foous of yellow fever on Ihla Paquetb oonfirmed,

January 14th.

       Wire received from Roife of suspeot ease there and of illness of Dr.
Crawford.

        Dr. HA is informed in detail of the teohnique used in lew York for
drying the yellow fever virus.

        Secure information regarding oarbon dioxide` snow for the Bahia
laboratory.

       Dra2--$-ys,-pes over-.t-ti proposed yf oontraot and deoides
that Foundation interests are adequately p&e&ted.         2___--
     _ ~-.-------i/~.~~~. _ -,    4..
        I meet Dr. Chagas aaoidentally on the road to OC and am surprided
to have him inquire of me about how niuoh yellow fever exists in Rio. It would appear
that part of the oampaign to keep yf out of the papers has oonsisted in keeping
oases out of the OC Hospital where information is given freely to the press. Dr.CC
ssys that he will see CF and arrange for more oases in OC. CC reports that the
Brasilian virus is no longer in the laboratory of OCL

        Dr. Costa Lima has been working with HA on the feoes trsnsmission
of yellow fever. The first experiment showed that transmission lray ooour either
from the bite or from feaal sontamination.

        In oonferenoe with CF I notify of suspeot ease in Reoife. CF marks our
trip to Peoife for the 10th of February. If CF goes north at that tinm I shall
probably remain in Rio and arrange for Dr. Conuor who is expeoted from Burope to
meet him.

January 16th.

       Captain B.A.Warner says that he has been mahle sinoe the beginning
of the present outbreak of yellow fever to get the Wavy to take any preoautions
on its own responsibility in regard to stegomyia breeding oantrol. Af+ter disoussing
the possibilities, he says he will try to get the Brazilian Navy to instill a
laboratory for experimental work on yellow fever.
        Wire reports that Crawford is better.


January 16th.

of yf without

Jsnuary 17th.

if neaessary*

yesterday.

To HSS and OC.
fever and that  Inform HA that Beeuwkes also found monkeys dying
        KCD has had the sams experienoe in Bahia.

4.

Wire to Crawford, Reoife, and Burke, Bahia, to increase personnel
Learn that the government opened our oredit for five thousand oontos

        and I go to Bras de Pinna and bleed Carmen, Djanira and (leoilia.
Dr,CF asks for supply of oonvalescent serum.

roves aotion of governalent in opening oredit
_c---.- ---_.---.mm~ ._~~ -__ _    -.

January 2Oth*

        Dr. Andfade oalls and submits draft of malaria oontraot with the
State of Rio providing that the RF take over the administration of the serrioe
snd oontaining oertain other disagreeable features. Considering the faot that
only one year ago the servioe was turned over to the State at their request I
refuse to oonsider this proposed draft. It seems very diffioulf for state and other
offioials to get the ider that the Foundation is not a business oonoern and to learn
that after a proposition has been made that it osn be aooepted or rejeoted.

January 21st.

      &et Dr. Vilela of Bello Horizonte. He previously worked with Chagas
on Chagas'Disesse and contrasted it himself. His heart is I understand in very bad
shape and he finds it neoessary to limit his aotivities olosely,f Dr.`Vilela says
that Dr. Pimentel, dean of the University of kinas Geraes is snxious to get in
touoh with the Foundation with regard to the future orgsnisation and developlrent
of their projeat.

        Impossible to get rooms for &a. Muenoh in Petropolis. I suggest
Theresppolis and vaoaine both of whioh are refused.

January 22nd.                           ).
      Carmen (Braz de Pinna) monkey died of generalized tbo.
       Lt.Col, TT Behrens of the airoraft survey of Rio oalled and was

* advired to have his foreign personnel sleep in the uninfected distriots of Rio.
       Regis, Lott and Torres fellowships approved.

January 23.                , Jr&*&,k*A$
                                    ctrib=

"January 24th.      J *
      Mrs. Parsons is requested to learn details o Cabral family looking +T~-,Y
toward psyment of funds on aeaount of Miss Iraoem&s death.
          To HSS and OC.
`fever in Brat de Pinna;     Dr. Penido reports several oases with vomiting and

January `26th.

       Funds transferred for the last payment to the Faoulty of Medioine
project in Go Paulo.

and the photo          ~&~resencle of Dr. Maurioio de Abrs
                      oiated Press.     --. .~~_. (

        Mrs. Maenoh vaoainated.    &y+-yjj%~~e
      Loaned Dr. Sinval Lins, of HSS, Klots'artiole in Delamar Leotures.
January 26th.

     Visit HSS and OC,/ Leave bloods with HA for drying. At HSS Line
demonstrates large nuviber of oases to be hot yellow fever', HA snd I disouss
need for further laboratory faoilities in the study of yellow fever in RioL HA
says he is going to urge the DBSP to i&tall another laboratory and that the RF
might install one here with largely Brazilian personnel.
      Monkey infeoted with mosquito feoes only died today of typioal yf.
      Attend at night in Kiohteroy the presentation of the plans for the


January 26th oontinued.

5.

          NEW RBGIONAL HOSPITAL which-is Dr. LiW6' ohief hobby at
the present tins. A thoroughly tiring and unoomfortably hot evening was spent by
all who attended, Lint6 seys that he has had no oases in the @ate for four.months
and eight days!!fl!lf He seem6 partioularly pleased that no further eeises'have
ooourred in Nilopolis. He discuss the possibilities of extensive spread later in
                            r Carnival-I point out to him that
                             e as Chefe of the Prophylaxis Rur
              ate of Fragag  coul
                   not to oome to t   ot advertimthe true oonditions
                                 deral Capital for Carnival. He

0 JORKAL publishes the terms of the yf oontraot.

January 27th.                  .
       HB6 report6 the fourth case for Be&,
      To HSS and find`sase from Nova Iguas&,f.  Thus the bubble bursts
after four months and nine daysL

January 28th.

       I write to Dr. Burkedthat the inoreasing of Epiphaniob albuminuria
regularly during four day6 looks very  sus
due to oongestion only. (Kpiphanio is NCD i ioious of yf and that oough may have been
                     assistant in the laboratory.)

January 29th.

       The fbnds for the yf servioe in the north were made available under
loredito exlxaordinario. deoreto 18560 of J%nuarr 15th.1929.'

---- - ~--

time are.*mewh& oo1Ifu6~~ On investigai
&ZZiautopsies are-beinnqerformed by DrJ Bonifaoio Costa< w-2
is&, but who is preserving tissues from all oases $or final diagnosis by Fialho.

The results of pathologioal examihation6 reported here at the present
             tioq I find that Dr. Fialho is in Sao Paul0
                                                L- matholog-

Fialho wa6 previously offered a good positian in Sao Paul0 and &nor ha6 it now that
he has gone there to see what oan be arranged. It is believed that CF and he have
had a set-to regarding the diagnoses made or disclosed here.

fifteen days. RCD letter to FPR of Jan.l?th repents inoubation period in monkey of

          Glob0            in Bel$m in whioh he is quoted as saying

that the RF.is  u
of those whish 0
aammenTwaas

ame methods as OC used in the old da--ith the e&p&n
abandoned before now were he still alive, Dr. Tomaz'
lost a mighty good o-keep quiet.
HSS has two diagnoses on some oases;that he reoeives a

ial list from,the HosDital eaah da$ whioh is sometimes quite different from
DreWred for Dublio oonsumption. CF says that it is neoessary for political
o keep the newspapers nd the pxiblio from knowing the true faota in the
                                     1 Lins' fear
                                                               '--------- --I-- --

o transmitted

throughtdiplomatic ohannuls from Berlin, in whioh Kuozinski offers for a oonsideration
to oome to Brazil and demonstrate his methods of &!%l%ring the organism of yf.
I tell CF what I have heard regarding previous work of Kuc~inski but am foraed to
admit that I know nothing of his work with yellow fever.
             CF and I disouas the

in Riok He says that he gave the OC ei
but that he does not aare to depend on their lab
found it advantageous for the DNSP to install its own pathological laboratory instead
of depending on the laboratory of the OC, he now expeats to do the same with yellow
fever but oan do nothing until the present rush is over. Fraga says that our lab
should have been here in the first place.
h- wrial from our laboratory in Bahia. --T--

January 30th.               +--P
       Mr. Carl Dietsch takes through material for New York.
      Loaned Dr/ M&to6 "Conf. Afrioaine* for Dr. Sin-1 Line. *&;z
                                                               - 6-

To HSS and OCI. Scoured 80 ampules of vaocine for Capt. RAW.

-z=.

January 3lst.

        DR. Juan Barros Barretfo called up and asked for permission to quote
EICD's results with flight range of stegomyia.


Feb. 1.

    To HSS and find a heavy run of cases.
Feb.2.

   Advise Mrs. Muenoh of the loaal situation and advise Therezopolis.
Feb. 3rd.                   ?
    To Therezopolis for the day. HA happens to be going also and makes
our trip rather pleasant by showing us around. Learn that Mrs. Lensinger
is his eieterinlaw.
   Correio reports the fir
              at ease from the city of Sgo Paulo, from
the seation oalled Alto de Moooa                            -
  I learn fro%'?isourees that there have been at least 12
     s year in Anohieta due to yf8 that most of these, in faot all but
o have been bmer diagnoses to avoid the displeasure of the
family at being foroed to permit autopsie           autopsies have
bwforoemr diwws
                         --.-_ 2     ratkr
   Bilopolis is flooded so th&it is             ardas to get
about fron one house to another. Suruhy is known to be infected.

Feb.Bth.

       Called Dawson and notified him of the availibility of vaooine. To
HSS. See ALBB of Bahia at DETSP/                   c .-                     _--

Feb. 6th.  /`&Q&L* l.y$ (~kf3ti~uv.L eJ,,n&z
    ALBB Galled at the offioe and found Uohsa with m'e"r BB interpreti-
olause 8 of the new aontraot to refer to him in Bahia; refuses'to reoognire
Burke as "full time medioo". Believes that        s and lab material are to
be imported at expense of RP acoording to      16 although this olause
speoifioally mentions only clauses 10 and 11 and not 18. I aall attention  \
to the speoifio inclusion of the Laboratory in se&ion 17. BB says that he
receives nothing from the CR but that as representative of Dr. Fraga in Bahia \
he expeots to oontinue to fisoalics the work of the CR-and that his oooper-   i
ation with the CR has always been of the olosest/ To hear him tell it to     ;
                                                                   i

me it would appear that he is one of the olosest personal friends of both
PEC and AWB. He insists that we need his sooperation and I agree that withy  i
out it we had better pull up stakes and leave. I alsb let him in on the     ;
seoret that the CR has no money with which to pay duties on monkeys  or any

ion to get all the glory frm yf oontrol in Bahia with none of the worknor
bleme for failure and that he is not at all pleased at seeing his position
oheihgeing to that of passive onlooker.)  I try to tell him that I see noth-

r more monkeys for the

work in Rio. CF says that S&o Paul0 ease was a womsn who had been isolated
under a mosquito net on the Ilha do Governador but who deoided not to re-
main there and took the train for S&co Paul0 where she disld of yf. CF dis-
ausses the ocming Congress of Hygiene in Reoife in September and talks about
going to the USA in Ogtober of this yeart

Feb. 6th.

     Speoial shipment of immune monkeys arrives from Davis without any
shipping papers.

      Wille notifies that German house does not wish to ship animals
beaause of prevailing oold weather. I authorize the expenditure of,funds to
oonstruOt weather proUf aages for the animals but insist that they must be
ahQ?ped.

      C? says that he does not expect to open waocination stations to
the general publie but expeots to redem the availably supply of yf vacoine`
for foreigners, eapeoially immigrants and foreigners living in known fooi
of the disease.                .
      See Rosalvo Martins sent frcan HSS o 39' C.


Feb. 6th. Oontinued.

no new oases.*    HSS now has many empty beds and is reoeiving almost
        Did the epidemic suddenly stop last Sunday?
              Jimmie Muenah answer8 to siok call. Drs. Ma&ado and
Warner oalled in.

Feb. 7.

     HA suggest8 that Davis make early oaptures of mosquitoes whioh
have had blood meal in the house before being turned loose.
     I ask Davis to send monkey material for the preparhtion of vaooine.
     HSS received two cases yesterday hoth of whioh died today. Four
oases entered today but all were frora other institutions. (Doe8 this mean
that only those oases are being removed to the Hospital which oannot be
kept at home?)  Report has it that the situation in lilopolie is bad.

Feb. 6.

    To HSS and DRSP. Complain to Mauriaio that DNSP already has its
CC14 but that we have not yet received our good 8 whioh were to come fran
the oustosxs on the same day.

    JMello insists that his main diffioulty at the present time is the
oontrol of breeding in the roof gutters. He plainly needs more sleep than
he has been getting. JM invites me to visit his rone.

Feb .9th.

     Dr. Maurioio says that our sontraot is not registered and that it
will not be possible to begin paying operating expenses on the odntraot basis
before the mnth of Maroh,

     HSS has three new oases today. Seoond ease is reported from SPaulo.
Conferenoe with CF regarding the ehlorin8tion of the Rio de Janeiro water
supply. C? very plainly not interested.
&isg  I call on BB at Itajubg Hotel; BB says that the CR is none too
strong in Bahia; that who proteoted the CR when everyone else
w that he i?ihe Secretary of lAalth of the State of Bahiai
that the present oontraat was made without oonsulting him; that the CR
may proceed to assume all the responsibility for yf inoluding fumigation;
that he will sit by with folded hands and watoh the performanoe; that by
right and by justiee nothing regarding yellow fever nor any other disease
should be done in the state without oonsulting him; that
                               or four thous               --
                             id it for Rio snd the south of
                       od Brazilian he is interested in
the elimination of yf from all Brazil but that as an official of the stat<
.of Bahia he is only interested in it8 elimination from that state; that
Bahia 18 the ehave to the situation fo%Xll B razil              ---
                                    and without work in that
state that all efforts in other ii art8 of Brazil are useless; that he does
not intend to be made BP "IdhWa, by this oontraet;,that hi is the repre-
sentative of the Federal Health Department in the State of Bahia and that
as suoh he should have a voioe in the spending of yellow fever funds sup-
plied by the federal government for work in that state; that he, BB; was
quite surprised that I had written to Burke that he should not have oon-
suited ALBB about spending money for motorcycle and motor launch, although
he admits that he had not felt offended when AWB purohased a new motor ear
                      BB'says that the CR offended and insult-
                        by sending Hale, a non+nedioal man
             &.a;%hat one of Hale's men was
                            orders-of a householder. BB admits
that more than a quarter of a century has passed since the work of ReQd's
oommittee and that in spite of the knowledge made common to the world at t
that time that neither the Brazilians nor the CR have extinguished yf from
Brazil although all other parts of the Amerioas have apparent& been @lea&d,
but insists that it it not neaessary for Bra8ilian8 nor the Brazilian gov-
      t0                      -
     f$W &i6fa&oll t0 anyone  f or
their                     suoh failure; that it is entirely
   own personal affair. BB ridioules the suggestion made by MEC last year
  t the state organise mosquito servioes in the interior to be fisoalized
by RF employees; if suoh servioes oould be organized by the state they oould
also be fiscalized by the state,f BB says that the y2.$.tuation in Brazil is
                                                                 -------


Feb. 9th. oontinued.

tibr admitted; that he is much more diffioult ths.nQzhe RF' has ever known
          k&%Wthat MEC had plans all made to withdraw from
'BrAail last y&ii;'that he-has been  acau
- .    .
s he'd

barrels as wry ill                reoent proposal to readmit
          adtiawd. However, he piotures the situation in Bahia
as one of sweet oontentment all the way rounds; he loves both Connor and
Burke and they both low hitq, BB says he purohases sera and vaocines to
the amount of 120 aontos per year in Rio whioh he might well make in Bahia
at a oost of thrity to forty oontos but that he has oeded willingly his
new seruminstitute building to the CR for their monkey laboratory.
after the abow snd muoh more we-
                              An analysis
of the oonference with BB shows a;dozen wiled threats.

           ease with Captmwho suspects yellow fewr.
          rday atnoon. High fewr and high pulse with no con-
gestion and no vomiting. Clearly not yellow fewr.

Feb. 11th.

slight albumen

Feb. 12th.

but report case to CF as suspeat, G has

tihi%3 not yf.
has albumin. T-pulse 112. Dr.
                                       --

Feb. 13th.
        G

Peb.lBth.

    Hake arrangements to pay 20r920$500 against power of attorney of--
General Cabral.  Vaocinate Thompsons, Bawsons, Buohanans and Burt.
     Contract has been registered by the Tribunal de Contas.

Feb,lSth,      IL
        G
S.Uah$a.  Ai+ ithmany o                    urine. s isitfrcm Dr.
     I learn today               tabella for the P.R. of
Bahia inoreasing his ablary to 4:800@NO per month but not inoreasing the
salaries of servants and other low salaried helpk His argument was that
t_heJrstomed to living with low salaries but that he was not.
                             -                 H--b
Feb. 16th.

    Glowr has fewer oasts and more urine today. See three suspeot o
oases close to OCI with Dr. H4 and Penido. These look very suspicious but
later prove to be malaria.

     Dr. CC reoommends a Dr. Fontes for work in Bahia at the instanoe
of Dr. Castello Vianna and asks for the lean of four monkeys from Bahia.

    ( The above mentioned cases sonsisted of a Portuguese man woman
ohild who were ill in the ssme house; the child had been quite ill but was
improved to such an extent that she was up end about;the man was quite ill
and was very oongested with high temperature; the woman was complaining of
abdominal pain, vomiting and fevers evidences of black varmit were to be seen
on the floor and her interus was wry definite. Dr. Penido made a diagnosis
of yf on the woman and I on the man 'if! it were prawn that they did not
have malaria!' When the embulanoe arrived they had all fled only to return
two days later with olear cut piature of malarial)