Archives of internal medicine . -cular round cell proliferation. or imperfectly dressed, and were exposed to flies and bugs, which undoubt-edly acted as agents of transfer for the virus, for the disease was stampedout by surgical cleanliness and the use of dressings. The sloughingulcers of the lower limbs and other forms of ulceration are now morerarely found, except among natives and those who are living in the bushbeAond the pale of sanitary measures. On first view, then, it might seem rather extraordinary that an iso-lated case of Oriental sore should have been found, but it must be remem-b
Archives of internal medicine . -cular round cell proliferation. or imperfectly dressed, and were exposed to flies and bugs, which undoubt-edly acted as agents of transfer for the virus, for the disease was stampedout by surgical cleanliness and the use of dressings. The sloughingulcers of the lower limbs and other forms of ulceration are now morerarely found, except among natives and those who are living in the bushbeAond the pale of sanitary measures. On first view, then, it might seem rather extraordinary that an iso-lated case of Oriental sore should have been found, but it must be remem-bered that whereas in the Canal Zone within the limits of efficient sani-tation most tropical diseases have been wiped out, a different condition i. •?• T. DA RUM! 587 few are eve. .eoeivec, .to theU-Sf• ^ ?* ^«™ as c2::orro.°r:; :::„r:;r ^^>^ -^ -™^ -^-^^ in the southed .stat s It V277 .^ ?fll^s and sections „, tissue ^:^^^:^ZTT^parts „.o„,a ™,„„Med,, .vea, so»e ,„p,es o7 Ip o r^t. thnj!iFCe1°\tr!::„T *M% ° °^ » -™ ?« upper two ..e„^t. „..::s:.;: z^^:;r:;f r rsr^:^;--^- EPIDEMIOLOGY Carter states that age, sex, food, race, constitution and conditions play no part in the etiology. This is borne ont bv Manson.«rdLa^-ans expenence, the fonner stating that in Delhi, in 1864 k^ T * ?^ ^™P^»^ -^ «*rted with the ocal trTnsfl , r; *^* ^«*^^t ™- tends to be coltransfonnecl ,nto the louton. At Bagdad it is said that few escape Tn 10. Ma„.,on. P.: Tropioal Diseases, E,l. 4, N. Y., W™. Wood 4 Co. 588 THE ARLUlVEiS OF JXTEliXAL MEDIVIXE attack at particular times of the rear; visitors even for a few days arealmost certain to contract it. The disease is confined to certain endemic regions, as Delhi, Bagdad,Lahore, etc. Hirsch has noted a seasonal variation in that the disease ismost prevalent at the beginning of a cool rainy season, and in more tem-perate climates at the end of summer—fly season? LOCATIO
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