100
4. A definite amount of debility, chiefly anæmia, cardiac dilatation, and chronic dyspepsia, prevails, especially in the more highly infected districts.
5. Dwarfism and infantilism are found amongst those infected, both white and black; but other causes of these conditions are probably operative, and the result of treatment must be awaited before definite conclusions can be drawn.
6. The mode of infection is from the soil (mainly).
7. Drinking of polluted water is general, and the resulting dysenteric
diseases complicate, and are complicated by, ankylostomiasis.
8. The blood examination carried out in the laboratory of the Commis- sion has revealed infection by the malarial parasite in different areas -which also complicates diagnosis and treatment of ankylostomiasis and makes difficult any correct allocation of morbid conditions to the causative disease.
The work of the Commission being wholly determined towards treatment and education, it may be repeated that the educative and statutory powers of the local sanitary service have to be depended on for the devotion of attention to the causes of diseases complicating ankylostomiasis, notably to water supplies and malarial conditions, no less than to the establishment of more intimately domestic sanitation.
I have, &c.,
ANGUS MACDONALD, Medical Officer in Charge.
Blination.
Mount Moritz Goujave Birchgrove
St. Dominic's Head Office
Total...
Institations
Grand Total.
Total Treated.
101
II. TREATMENT.
Occasion of Treatment.
Rosult of
Treatment.
208 116 67
199 161
250 150
802 189
87
་
839 Second,
1119
7 | | 411
Third.
Fourth.
Recovery.
Failed to Report
Other.
Nature of con-
venience.
Improvement
Boggested.
85 20
87 26
18 148
82
7
1,152 78 08 79
6
Trented till on red.
11!1
1 1 1 1 1 1
HI, Lectures and DemonstrATIONS.
The Honourable
The Colonial Secretary,
Grenada.
GRENADA.
INTERNATIONAL HEALTH COMMISSION.
Ankylostomiasis Campaign.
Report of the work conducted during the Quarter ended the 31st December, 1914.
I. EXAMINATIONS.
Number Infected with
Total
Infected.
Situation.
Mount Moritz Gonyave
192
B.robgrove... St. Dominic's
228
240
Head Office
€24
EEEEE Number Examined.
A. duodenale.
Houk worm.
168 229
94
812
Total
1,505
814
1 1 1 1 1 1
148
115
298
28 402
44
814
29 822
55
N. AmericanuL
38 Ascaris
188
176
60
1 117
6 128
Oxyuria.
888 Trichuris.
a-ala Strongyloides.
|1མ། | །ཁ
Taenim (var.)
11
Entamoeba.
Blatino.
Other Parasites.
With Hookworm.
|| 11 |
| | | | |
Home Report.
Improvement Effected.
Improvement bins to be recorded, but acourte figures are not yet avail- able for
"cure and "improved sanitation."
30
Number.
fituation
Nature.
Attendance.
$7
Schools throughout Granada.
Hookworm Disease-
4,467
Nature.
Cause.
Treatment.
12
Treatment Locations-
Mount Moritz.
Gouya
St. Do Mic's.
Birchgrove.
Total
69
Percentage
Infect. d.
158
188
182
116
218
140 281
812
8141,879
All Infections.
862982 With Hookworm.
89932
All Infections.
74
91
50
97.
56
97
97
500 52.5 88
Sluation,
60 94
N.B.-1. The percentage infection is based on actual number of individuals
the other figures refer to number of examinations. examined;
2. The proportion of general parasite infection, which is 94 per cent., represents a minimum, seeing that examination of a specimen is not pursued beyond the discovery of ankylostoma.
Number.
Prevention.
General Hygiene. Hookworm disease and sanitary prevention, with demonstra- tion of specimens. (micro- scope, etc.)
ĮV-LABORATORY WORK.
1. Examination of Fæċes.
Hookworm.
Infection Found.
T
IT
A. duodenale
N. Americamus.|
Ascaria.
Field ...
881
50%
Head Office
624
812
Total ...
1,505
814
Oxyung.
516
77
480
298
22
402
==
11
44
1 Do
814
29
822
55
2
T
| |
1
| |
[ !
2,400
6,857
Total Infection,
502 812
819
560
8141,879
PUBLIC RECORD OFFICE
Reference :-
mmmmm.C.O. 885
24 PUBLIC RECORD OFFICE, LONDON
ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO
102
2. Blood Examinations.
Number of Examinations.