. The American journal of tropical medicine. any employment is shown. It isnoteworthy that only two patients had been engaged in farmwork. Two others were laborers and one a teamster. Occupations Home 5 Not stated 3 Farmer 2 Laborer 2 Factory 2 Teamster Machinist Plumber Teacher Sea captain Shoe-laster Laundryman Mill hand Store It may be said in conclusion that pellagra in Massachusettsshows no marked predilection for rural districts or farm laborersand that a not inconsiderable number of cases apparently developin or near Boston. According to the stage figures, pellagra is twice as frequenth


. The American journal of tropical medicine. any employment is shown. It isnoteworthy that only two patients had been engaged in farmwork. Two others were laborers and one a teamster. Occupations Home 5 Not stated 3 Farmer 2 Laborer 2 Factory 2 Teamster Machinist Plumber Teacher Sea captain Shoe-laster Laundryman Mill hand Store It may be said in conclusion that pellagra in Massachusettsshows no marked predilection for rural districts or farm laborersand that a not inconsiderable number of cases apparently developin or near Boston. According to the stage figures, pellagra is twice as frequenthere in women as in men. ELEPHANTIASIS Twenty-seven cases of elephantiasis were found in the hospitalrecords. There are no state figures. In 7 cases a note states TROPICAL DISEASES IN MASSACHUSETTS 511 that examination of the blood for filaria was negative. In 1 case,at the Carney Hospital, however, the cross-section of whatappears to be a worm was seen in a small vein or lymphatic. NUMBEROP CASES 24 23 ZZ £12019 18 .17IS151413IS1110 9 8765. AggS 1-10 11-20 31-40 41-50 51-60 SI-70 Diagram D. Showing age-incidence of pellagra from records of the Massa-chusetts State Department of Health between the years 1918 and 1921 on 58 cases. 512 GEORGE CHEEVER SHATTUCK The patient was a female telephone operator living in Quincywho had never been away from the north-eastern part of thecountry. For six years she had had swelling of the right legwhich, when the patient was admitted to hospital, extendedfrom ankle to hip. The Kondoleon operation was performed. Had the supposed worm been identified as a filaria, this wouldhave been the first case, so far as I have heard, to contract filari-asis in this \dcinity. That filariasis may be contracted here seems to have beenproved by finding a nocturnal microfilaria repeatedly in theblood of a woman on the service of Dr. C. T. Howard at theBoston Homeopathic Hospital. This observation was madevery recently and as the case will be pub


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Keywords: ., bookcentury1900, bookdecade1920, booksubjecttropica, bookyear1921