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RECORD OF CASES OF BLACK-WATER FEVER IN ASSAM.

    1st attack. 2nd attack.  
Tezpur Dist.
(1)
Dr. M.— .. August (?) 1897 .. Had been in Assam less than a year.
Lived on a very malarious garden
and had suffered much from fever.
Severe case with suppression of
urine. Death.
(2) Mr. O.—Assistant .. 1897 (?) .. .. Had been in Assam about two years
or less. Very severe case. Death.
(3) Mr. P.—Manager.
Age 42.
May 1901 .. June 1901 .. Many years in Cachar, Assam,
also in China. Suffered much from
malaria in garden upon which his
Black-water Fever occurred.
Had been resident there nearly
4 years. Severe attack with
one or more relapses. Recovery.
(4) Babu. Garden
doctor. Aged 33.
June 1903 .. .. Had been some 12 years in
Assam and the Duars. Had been
just under 2 years on the garden
where attack took place. Lived
within 20 yards of large coolie line
with an endemic index of 98 per
cent. During his attack enormous
acute enlargement of both liver
and spleen occurred, which sub-
sided 3 days after the hæmoglo-
binuria ceased. Recovery.
(5) Babu. Garden clerk September (?)
1903.
.. Was living on a garden that was in-
tensely malarious, and had suffer-
ed much from fever. Very severe
attack. Death.
(6) Mr. T.—Manager .. October 1905 .. Had returned from leave to
England just about two years.
Had suffered considerably from
malaria, especially for some time
prior to attack. Severe case.
Recovery.
(7) Chinaman .. Nov. 1905 .. .. Resident on same garden as last
case. Had been there under 2
years. Very severe case with
suppression. Death.
(8) Mr. H.—Aged 25 .. Dec. 1905 .. .. Had been out about 7 years, but
had changed gardens three times in
this period. Had suffered frequent-
ly from attacks of malignant ter-
tian malaria, and had an enlarg-
ed spleen at the time of attack.

227 H. D.

3M

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