enormous, and in addition to the history of hæmaturic he would be confronted with the problem of the form of fever which seems to be a recent addition to West African afflictions, the so-called typhoid malaria, which of late years has come into the Rivers, and apparently come to stay. This fever is, I may remark, practically unknown at present in the South-West Coast regions where the "sun for garbage" plan is adhered to. At present the treatment of all white man's diseases on the Coast practically consists in the treatment of malaria, because whatever disease a person gets hold of takes on a malarial type which masks its true nature. Why, I knew a gentleman who had as fine an attack of the smallpox as any one would not wish to have, and who for days behaved as if he had remittent, and then burst out into the characteristic eruption; and only got all his earthly possessions burnt, and no end of carbolic acid dressings for his pains.
I do not suppose this does much harm, as the malaria is the main thing that wants curing; unless Dr. Plehn is right and quinine is bad in hæmaturia. His success in dealing with this fever seems to support his opinion; and the French doctors on the Coast, who dose it heavily with quinine, have certainly a very heavy percentage of mortality among their patients with the hæmaturic, although in the other forms of malarial fever they very rarely lose a patient.
But to return to those preventive measures, and having done what we can with the air, we will turn our attention to the drinking water, for in addition to malarial microbes the drinking and washing water of West Africa is liable to contain dermazoic and entozoic organisms, and if you don't take care you will get from it into your anatomy Tinea versicolor, Tinea decalvans, Tinea circinata, Tinea sycosis, Tinea favosa, or some other member of that wretched family, let alone being nearly certain to import Trichocephalus dispar, Ascaris lumbricoides, Oxyuris vermicularis, and eight varieties of nematodes, each of them with an awful name of its own, and unpleasant consequences to you, and, lastly, a peculiar abomination, a filaria. This is not, what its euphonious name may lead you to suppose, a fern, but it is a worm which gets into the white of the eye and leads there a lively existence, causing distressing itching, throbbing and pricking sensations, not affecting the sight until it happens to set up inflammation. I have seen the eyes of natives simply swarming with these filariæ. A curious thing about the disease is that it usually commences in one eye, and when that becomes over-populated an emigration society sets
