Americus times-recorder. [volume] (Americus, Ga.) 1891-current, 1918-02-20

as it becomes light. If she cannot
leave, she hides in some dark place
during the day, so that not finding
anopheles in the daytime in room
with open windows Is no proof that
they were not present at night.
Since malaria is contracted only
from the bite of certain kind of mos
quito rendered infective by having fed
on a man himself infected with ma
laria, if you can keep the infected
insect from the well man or the man
harboring the malaria1 parasite in his
blood from injecting the insect, there
viii be no spread of malaria Either
method perfectly carried out would
extinguish the disease. We will con-
slider the second method first
Measures Involving Control
I! OF the Human Host.
Regarding methods to prevent the
access of mosquitoes to men infected
with malaria as in practice entirely
| inefficient for the elimination or even
control of malaria in villages or thick
ly settled communities where it is
prevalent, as in some parts of the
Tropics. The reason is the large num-
Der of Carriers people who carry
rcalarial parasites in their blood and
are infective, to mosquitoes with no
sign of illness whatever. There are
obviously no practicable means of
isolatign all such men from mos
| quitoes, save by measures applicable
/ for the whole community, which is
/ impossible
But for families in farm houses and
plantation houses not too close to col
ored quarters much may be done on
this line Especially is this true of
places in districts not very malarious
or, at least, with long period-winter
and spring-during which malaria Is
not contracted, so that it is reason
able to expect during some part of
the year that none of the household
is carrier.
(a) Under such conditions, then, a
case of malarial fever should be treat
ed like a case Of communicable dis
ease, which it is No access to an
opheles mosquitoes should be allow
ed. The patient should be kept in q
screened room, and under mosquito
bar, especially at night.
(b) For sanitary reasons, quinine
should be freely administered and in
sufficient doses, with such other
medication as is necessary, to cure the
case, to rid him of his parasites, and
not simply to reduce their number,
and get him on his feet. Remember
that few-say, two-doses of quinine
will practically free the blood vessels
of he skin of malarial parasites and
render the man temporarily incapable
of injecting the mosquito. The prompt
use of quinine, then, will greatly essen
the chance of injecting the mos
quitoes, which, in spite of our efforts
do have access to the patient.
Visitors convalescent of malarial
fever or from badly infected neigh
borhoods are so apt to be carriers
that the above anti-malarial measures
are indicated for them also as far as
they can be applied. Parasites in the
blood of a carrier can always be
demonstrated by blood examination.
(c) Killing the mosquitoes which
ing with a fyfap or small pan of coal
oil flor the ceiling) may be made an
efficient anti-malarial measure. An
opheles enter the room in the evening
or night when the light burns, feed
and remain quiet until morning-be,
fore sunrise-on the glass of the win
dow trying to get out.
These are measures of little value
/ in a community unless one can be as
sured that it is from carriers to start
with. 1t is, Think, Of no value in
| houses close to the quarters of me-
groes as is frequently the case in
southern plantation; so many negroes,
especially children, are carriers of the
parasite
Id The use Of quinine. by well
people in small doses to prevent the
development of malaria is not admit
ted to be efficient universally by SAM
tarians, yet the general concensus of
opinion is in its favor and comparative
experiments by the Japanese in For
most and the people in East Africa
would show it decidedly valuable.
There are two methods of giving it,
one a single dose from to grains
q day and one a single dose of 10 or
even Is grains once a week. The
latter seems to give the best results
.....1 - ~ovorfia7, RI fhn amin