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BATHING CAPS THAT LAST

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THE COLONIAL DISPENSARY ·

14, Queen's Road, Central,

Tel. Contrai No. 1877.

Tel. Central No. 1877.

MUSIC JUST ARRIVED

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THE HONGKONG TELEGRAPH.

MONDAY, JULY 30, 1923.

HONGKONG MALARIA. the opinion of many that reference EXCHANGE OF TEACHERS.

Beware the Anopheles

Carrier -

has been made to it in this place,

and not because it has been proved.

to be a purely malarial complication. Obstacles to Empire Scheme.

The species of mosqutions which Jare known to act as carriers of

Habits of the Mosquito.

The Jolut. Uammittee of the

Mr. R. F. Cholmsley in a lettori "Dr. J. T. C. Jobusson, Principal malaria are. Anopheles maculatus, to The Timex calls attention to two lfinancial obstacles to the Imperial Civil Medical Officer in Hongkong, Anopheles minimus, Anopheles sinen exchange of teachers." Any tea- gis and Anopheles tesselatus. cher who takes up serviço over- in his report covering the year. 1922

of Anopheles karwari is suspected to soas forfoils the right to a pea gives an interesting account

act as neurrier.

sion from the Home Government malaria in the Colony. He says:

for the period whilst he is tea- During the hainy season there

ching.outside Great Britain. As were times when the rainfall was

Of the other mosquitoes, the thirty years' teaching service is insufficient to scour out the eggs and stegomyia group is represented by nessary to qualify for a pension arvae of mosquitoes from the pools three species: Stegoms in fasciata, from the Hom Treasury, toa and other collections of water and Stegomyia scatellaris, and Stegemyia chers who would otherwise be to this is to be attributed, in part, W. alba, the Stegomyia scutellaris ready to gain a few years' exper- at t15 rate, the prevalenes of ring the commonest mosquito in ience overseas are deterred from malaria to a greater degree than this colony. It retds in any re offering themselves for such work. is usual. Another effect of alternate ceptacle containing water in the Four Secondary Associations be- periods of rain and drought is that vicinity of houses and it is specially lieves that if some Imperial eye. the conditions are not suitable for fond of breeding in the bamboos tem were set on foot to secure the natural enemies of the mosquite used for geaffolding or hanging payment into a central fund both harvac because the pools do not clothes to dry on, or even for fences by the Home Treasury and by the exists long enougli to allow of their or which to train planı». So far local oversoas Treasuries of money being stocked with small fish, newts.it is not known to convey disease, towards the pension of teachers and insects which, prey on the nor is the Stegomyia w. alba known who are working temporarily in larvne, Then each batch of humi- to be a source of danger, and it different parts of H. M. Do- minions, the interchange of tea. malarious legion, is rare species. The Stegomyia chers would be facilitated, with jespecially when they come from fascita was not easy to and at advantage, both to the teachers

districts in which (malarin occurs, first, but a careful search, for it and to the pupils.

Another stems to result in a recrudescunce resulted in its being found some

matter of great of malaria. When the miniber of ninety odd times in the Kowloon moment with regard to teachers immigrants is large the whole com distriejs and thrice in Victoria. migrating within the Empire is munity is liable to feel the effects The larvae were found in earthern that of recognition of service and of it, the prevalence of the diseaseware pois containing water stored qualifications for the purpose of to be increnseil, and the infection for domestic use and in wooden the Burnham salary scale in is less likely to be as confined to buckets, iron tanks, wooden barrels England. Under the terms of the raport of the Standing Joint Com- children as it is "when it. exists and generally in receptacles in mittee (Butabam Secondary Re- among a sedentary population which which water is kept stored because port), service in schools or institn has become immune to a greater or of the intermittent supply to certain tions within the British Empiro less extent.

of the districts in Kowloon. This recognized provided that the The number of cases, reparted habits of this insect appear to be Incal education authorities are from three of the hospitals which practically, the same here as in other convinced that the service is of contain the greater portion of enses parts of the work in which it is equivalent standard to similar was 21 and in 1921, 702. The foud, even the habit of the larvae service in England. It is, however, varieties of malaria occur in the to go to the bottom of the barrel of an easy matter to prove such equivalence of standard. Again, aë proportion of 99-93 per cent, of the of water or other receptacle when regards qualifications, a teacher subtertian, and 5-10 per cent. of the search is Being made for them who obtains a degree in an institu- benign tertian, slightly different was found to hold good in curtion or collage within the Empire. figures being returned by different survey. It is probable therefore, but outside Great Britain has on very considerable difficulty in observers, but quite 95 per cent tmt the number of, socasions

grants into

*

of the cases are due to the wahter-which this species was captured getting recognized in England ns! scale tian parasite. Th quartin is was less than it would have been a graduate for salary seldom seen, it is doubtful if it if it had been preticable to search purposes. occurs more than once in two hall of the receptacles thoroughly.

This speries was found dred cases.

three occasions only in Victoria and 1.len .in parts in which there

Convulsions and Coma.

On

Considering the frequency of fever was a continuous supply of water. caused by the subtertian parasite

it is natural to meet with some, of the complications which are apt to be associated with it, especially in children. This summer and sulamu I saw twelve or fifteen children of) five Rod under who were sent to] hospital because of convulsions. br cemi. or other cerebral conditions and all with the characteristic his tory of being taken suddenly ill, of a rapidly rising temperature which become normal or nearly an after a limited period, the conval- sins or the cunia occurring for the most part as the temperature rose, Hyperpyrexia was noted in one of the cases and aphasia in another. Several groups of two or even three) children belonging to the same family" were brought to hospital at the same time not only suffering from malaria but from similar com-! plications of malaria, ego Con 3, convulsions. The diagnosis Was made not only by the finding of the malaria parasites in the blood, i but by the rapid improvement in the conditions after the intramus eular injections of a solution of the hydrochlorate of quinine. In two instances, two children of different families were treated in hospital: twice during the year for malaria." A considerable proportion of the children who were affected this year were sent in with the diagnosia of Haunstroke. All of these case re-i

covered:

The liability of children who suffer from malarin, to one or other. of the cerebral complications is a definito one, and the importance of distinguishing between it and sunstroke is essential for the treat ment of a very dangerous condition. Although examples of hyperpyrexia, coma, convulsions, aphasia, and paresis were, seen, none of the patients suffered from such compli vations as are described as syncopal, or haemorrhagic, but the so-called "blackwater fever" has been ob served in this colony. It was re- ported as occurring in a child in 1014 and the condition, seemed to he

in overy 'respect the same one which is often encountered in tropical! Afric Since then several other! cases have been reported as living been Ubserved in the other hospitals: of the colony, It is known Lo occur in Indo-China, Malaya, and in Formons and other places in the far East, but it is not early S common in this part of the world as it is.in Africa. It is on account of its association with malaria in

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