ABSTRACT OF THE REPORT.
·*-
SECTION I.—INTRODUCTORY EEMARKS, page 1 ; the word beri-beri has
been applied to several distinct diseases; ib. ; its want of vernacular
signification in any language, ib.; the diseases described originally
by Malcolmson in Madras, and afterwards, by Pekelharing in Achin,
are alike epidemic peripheral, neuritis, and have no connection with
the beri-beri of Ceylon and Assam, which are alike anchylostomiasis,
pages 3-7; reference to Leichtenstern's discoveries in Dr. Kynsey's
pamphlet on beri-beri of Ceylon pages 7-8.
SECTION II.—THE G-ENERAL COURSE AND EESULT OF THE INVESTIGA-
TION, page 9 ; preparatory measures, ib. ; general appearance of kala-azar
cases, page 10; temperature in kala-azar, page 11; its most prominent
symptom is ansemia, ib.; points of distinction between the ansemia of
anchylostomiasis and that of malarial cachexia, page 12; discovery of
anchylotom.es in a case of kala-azar, page 13 ; hostility of the natives to
European medical treatment, pages 13-14; inefficiency of native methods
of cooking prevents recovery, pages 14-15; the disease as seen in infected
villages, page 15; evidence of the prevalence of anchylostomiasis in
Jcala-azar villages, page 16; tour in the tea districts, pages 16-17;
negative results of bacteriological investigations, page 18.
SECTION III.—THE PREVALENCE OF KALA-AZAR AS JUDGED BY AVAILA-
BLE STATISTICS, page 19; data are scanty, ib. ; effect on general vital
statistics, pages 19-20; effect on revenue returns, page 21; table of
mortality in kala-azar villages, pages 22-25 ; table of villages with a
mortality exceeding 200 per thousand, pages 25-*26; table of villages
with mortality from 150 to 200 per thousand, page 26. The distribu-
tion of kala-azar is that of a communicable disease, page 27.
SECTION IV.—FACTS RELATING TO THE SPREAD OF KALA-AZAR, page28.
First appearance in 1869, medical relief operations 1884, ib./appear-
ance in Karnrup, ib.; rate of progress of disease, page 29 ; deductions
from the progress of the disease: incompatibility of the facts with
the theory of a malarial origin, io.; instances of Paru and Maligaon,
page 30 ; table of analyses of water from localities affected with kala-
azar and beri-beri, pages 32-37 ; kala-azar not necessarily a terai
disease, 38 ; Dr. Kussell on the Chaygaon thàna, ib. ; Dr. P. M. Ohipta
on communicability of kala-azar, page 39 ; further arguments as to
the non-malarial origin of kala-azar, pages 40-41 ; has never yet
affected Europeans, page 41.
SECTION V.—THE SYMPTOMS OF KALA-AZAR AS ILLUSTRATED BY CASES,
page 42 ; cases taken from Dr. Dobson's reports, pages 43-50 ; Dr. Dobson
on the prevalence of enlarged spleen in apparently healthy subjects, page
50; cases taken from Mr. Macnaught's reports, pages 50-55 ; cases taken
from Mr. Nandi's reports, pages 56-58 ; cases noted in Charitable Dispen-
sary, Crauhati, pages 59-62 ; Deputy Surgeon General Clarke on the pro-
minence of ansemia in the syrnptomology of kala-azar, page 62 ; Dr.
Borah on symptoms of kala-azar, ib.; Dr. P. M. Gupta on the symptoms
of kala-azar, page 63; comments on the cases: the dependence of the
increased mortality on anchylostomiasis : the inadequacy of malaria to
account for the cases, pages 63-66.