17
Choa Saldan Shall and Kallar Kahar.
Choa Saidan Shah and Kallar Kahar . were visited as the spleen-rate
had been found to be as high as 68.42 per cent
in the one and 87.5 per cent, in the other. These
places are picturesquely situated in a valley, the one on a small stream, the
other on a lake which contains slightly brackish water ; both are very malarious.
M. Listoni hovered in swarms above one's head in the dusk of the evening in
Kallar Kahar, even in the middle of December, when it was very cold, much
colder than it is in the plains of the Punjab. These places will be kept under
observation.
Spleen-census before and after fever
season of 1916.,
The spleen-census of school children under ten years was again carried
out in June and November 1916. The results
are shown in Maps III and IV of Appendix
C. A comparison of these results gives a fair idea
of the limited endemics found in different localities.
Visit to Muktsar.
The town of Muktsar was visited after it was flooded by the heavy fall
of ram—8.5 inches—on the night of the 13th
July. Fortunately, it was possible to show that
the locality- was not ordinarily malarious, and that, if proper precautions, which
were indicated, were taken, it was unlikely that great harm, as far as malaria
was concerned, would follow.
Quininization scheme.
The scheme for quininization of school children, approved of by the
Local Government, for voluntary adoption by
selected Municipalities was participated in by
certain Municipalities in the Hohtak, Gurgaon, Ferozepore, Ludhiana, Lahore,
Amritsar, Sialkot (Pasrur), Montgomery, Gujrat (Kunjah), Lyallpur, Jhang,
Shahpur (Sargodha), Multan, Muzaffargarh (Jatoi) and Dera Ghazi Khan
Districts. A short note on this is given in the chapter on Anti-Malarial
Measures.
Malaria leaflet.
A simple leaflet on malaria was circulated all over the Province during
the fever season. It has been appreciated, and
there have been considerable demands for it from
the various districts.
Correspondence with Director of Public
Instruction for providing teat tubes
containing mosquitoes.
In answer to our inquiries, the Director of Public Instruction
was not in favour of Colonel Lane's sug-
gestion to supply specimen tubes containing
mosquitoes for instructional purposes to schools.
He proposed, however, instead, that Medical
Inspectors should be given a small stock, which they could use for demon-
stration purposes on visiting schools; where they might leave them, if they
thought they would be of use. Something will be done on these lines in the
near future, but it will probably be advisable before issuing the tubes to
give these Inspectors some preliminary instruction.
Improvement of sanitary condition
of Lahore and some other places with re-
gard to malaria.
Correspondence has been kept up in connection with reducing the
number of breeding places of anopheles in
Lahore and other stations, as Ambala, and
Mianwali, and in the improvement of the sani-
tary conditions m and around dak-bungalows and rest-houses.
Necessity of information of increased
incidence of malaria in a place to the
Chief Malaria Medical Officer, Punjab.
We have tried to obtain special reports from
Civil Surgeons on any special prevalence of
malaria in their districts, but up to the present no
definite information has been afforded.
IV.—Anti-Malarial Measures.
Quininization scheme.
The scheme for the quininization of school children was not a success.
Local authorities had failed to comply with the
instructions issued, so that when the time came
for them to put them into effect, most found themselves without the means
of carrying the scheme out, as they had no quinine or registers ready.