ELEPHANT-POX.                                       315

serious and tedious. The bowels should be kept regular with mild
laxatives (see Formulae 23 to 28).

During convalescence tonics should be given, such as—

            Twice daily.

Also 8 ounces of country spirit twice a day.

(For tonics see Formulae 39 to 46.)

NOTE.—As this disease is more or less prevalent amongst the cattle in Burma
the symptoms are given for ready reference. The disease attacks cattle, sheep,
goats, pigs, etc., and man may contract it by drinking the milk of affected animals.
The vernacular names for the disease are (sha-na, kwa-na).

Symptoms.—Shivering fit, fever, smacking of the lips, discharge of ropy saliva,
vesicular eruption in the mouth, tongue, palate, gums, cheeks, sometimes also on
the udder and where the skin is thinnest; stamping of the feet, lameness ; the
eruption occurs in the form of vesicles around the coronet and between the claws.
It sometimes happens that only the mouth is affected, at others only the feet, but
usually both are involved. In sheep, goats and pigs the feet are more often
affected than the mouth.

Differential diagnosis—May in cattle be mistaken for rinderpest, but in foot-
and-mouth disease there is an absence of dysenteric symptoms, which are invariably
present in rinderpest. In foot-and-mouth disease the feet are nearly always
attacked, but never so in rinderpest. Both diseases may co-exist in the same
animal although this is rare.

                           ELEPHANT-POX.

This is a specific fever characterised by eruptions somewhat
similar to small-pox in man, but there is no evidence to prove that
it is communicated from man or vice versa. The eruptions begin
as pimples, then become blebs or blisters, with clear fluid contents.
Later the contents consist of matter. Finally they burst, leaving
sores which tend to scab.

Prognosis.—Good, especially in adults.

Symptoms.—Fever with its attendant signs as mentioned under
that condition and the eruptions above alluded to. I have seen only
one case, namely, at Pakôkku. This animal came in from the direc-
tion of Gangaw. He was reported sick immediately on arrival.
The mahout stated that the elephant had been out of sorts for some
days, when suddenly this " heat " eruption appeared ; also that the
animal was weak and listless. The elephant was in good condition,