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PUBLIC RECORD OFFICE

Reference :-

C.O. 885

23 PUBLIC RECORD OFFICE, LONDON

ALLY WITHOUT PERMISSION OF THE BE REPRODUCED PHOTOGRAPHIC- COPYRIGHT PHOTOGRAPH-NOT TO

Year of Issue. 1895.

1897.

1899.

1902.

1904.

Year.

10

In 1894 of 163 post-mortems J. H. Conyers and C. W. Daniels. Ankylostomum duodenale was present in 47 per cent. of fæces, of which 60 per cent. was East Indians and 36 per cent. blacks.

Seven deaths directly attributed to it, and in 15 cases gross pathological lesions were present.

They remark that where latrine accommodation was increased on gold diggings there was a great improvement noticed. They also say: "The obvious means of prevention of the disease is the use of latrines and destruction of fæces."

W. F. Law refers to the treatment of ankylostomiasis in the Estates Hospitals. He lays stress on the importance of examining the stools before treatment so as to avoid using thymol where no good could come of it. He speaks of the presence of Ankylostomum duodenale amongst the coolies arriving in 1896, and further investi- gates the matter in 1897. He states: "The fact is, therefore, now proved conclusively that we are regularly importing this disease from India, and though it does not follow that this Colony was necessarily free from it in former times, yet there is no doubt that it is increasing owing to its being regularly imported." He advocates:-

(1) Proper efficient latrine accommodation should be put up in every estate and village in the Colony, and measures taken to compel those who are unwilling to use them to do so.

Year of Issue.

1907.

1908.

(2) Rain water for drinking purposes should be supplied to

every range of labourers' houses.

1910.

He remarks that this plan has already been put into operation on some estates in the Colony and has effected considerable improve- ment in the health of its labourers.

C. P. Kennard. Examined the stools of labourers on one of the healthiest estates in the Colony, and found Ankylostomum duodenale ova present in 28 out of 49 cases examined. Of the 28 cases 19 were in good health and no signs of anaemia; 9 showed slight anaemia.

A. T. Ozzard. States that in any case of true ankylostomiasis, ova of Ankylostomum duodenale will be found after the first course of treatment and in many cases after the second and third course. He describes the life history of Ankylostomum duodenale.

C. P. Kennard. Emphasises the catarrhal condition of the intestinal tract in Ankylostomum duodenale infections.

P. H. Delamere. Notes pigmentation of the tongue in relation

to Ankylostomum duodenale infections.

C. P. Kennard. Gives notes on 300 cases of ankylostomiasis in his district; the youngest was a coolie child aged three years. He mentions the re-infection from newly-arrived coolies.

1902

1902

1902

A

1903 1904

1905.

"Arno

Ship.

1911.

11

Ankylostomum duodenale in hospitals. He publishes comparative returns for 1902, 1904, and 1905 (which are tabulated later).

age.

Resident Surgeon, Public Hospital, Georgetown. Draws atten- tion to the increasing number of cases of ankylostomiasis admitted into the Public Hospital, Georgetown, from villages and gold fields.

K. S. Wise. Ankylostome worm found in patients in Public Hospital, Georgetown, from the age of three months to extreme old Report of Mortality Commission, 1906. Paragraphs 87, Ankylostomiasis." We are satisfied it is a very potent cause of ill-health in the Colony amongst East Indian immi- grants and also amongst the black and coloured population of villages and other country places."

88, 89:-

10

Efforts are being made, with marked success, to combat this disease on sugar estates," and "we are of opinion these efforts must be extended to the population non-resident on Estates." "It appears that the disease is increasing in the Colony, especially in the villages."

"Its spread can be prevented by the adoption of measures of sanitation.”

Q. B. de Freitas. Eucalyptus oil and chloroform give much the same results as beta-naphthol.

J. Ottley Notes occurrence of ankylostomiasis at Peter's Mine and Puruni District.

A. T. Ozzard. Notes the insanitary condition of villages as compared with estates. "And one can readily understand how easily ankylostomiasis is spread by such insanitary conditions," and urges that villages be compelled to erect latrines.

Duncan and Minett. Report on Dr. Barnes's suggestion to use chlorine water in the treatment of ankylostomiasis.

British Guiana Branch of British Medical Association.

The foregoing is an abstract of the literature published in this Colony as regards ankylostomiasis.

The dates quoted refer to the year of issue of the British Guiana Medical Annual in which the article appears.

Government Public Health Department,

Georgetown.

Section 2.

REVIEW OF THE HISTORY OF ANKYLOSTOMIASIS IN BRITISH GUIANA. Year of Issue. 1887.

No, tested on arrival on Batate.

|Ankylostomum duodenale

1888.

prosent.

1900.

33

14

83

28

32

25

40

24

66

44

May

Forth

11

"Erne " "Elbe "

"

Note one preparation only of one stool examined, so that the percentage of infection is probably higher. He mentions" ground itch."

Hon. J. E. Godfrey, Surgeon-General. Report circulated amongst proprietors, attorneys and managers of sugar estates re ankylostomiasis, and made a strong appeal for the treatment for

1901.

93811

Dr. Ozzard appears to have been the first to draw attention to the large number of ankylostomes detected in the post-mortem room at Public Hospital, Georgetown.

The Hon. Surgeon-General on 2nd February, 1888, issued a circular" To all Government Medical Officers re ankylostomiasis.

Resident Surgeon, Public Hospital, Georgetown. In Annual Report for year 1900-01 draws attention to prevalence of disease throughout East Coast, Demerara.

The Hon. Surgeon-General. The apparent increase was in a great measure due to more care being taken in diagnosis.

Circular by Hon. Surgeon-General, 14th December, 1901 :--

"Disease has been proved to exist in every part of Colony and is extending to an alarming extent."

Symptoms, diagnosis by means of parasite, and treatment given. An appeal to Estates authorities is made for provision of micro- scopes.

B 2

12

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