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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 haematuric, although in the other forms of malarial fever they very rarely lose a patient.
But this subject requires scientific comparative observation on various parts of the Coast, for Cameroons is at the beginning of the South-West Coast, whereon the percentage of cases of haematuric to those of intermittent and remittent fevers is far higher than on the West Coast.
There is, I may remark, a very peculiar point regarding haematuric disease, the most deadly form of West Coast fever. This disease, so far as we know, has always been present on the South-West Coast, at Loando, the Lower Congo and Gaboon, but it is said not to have appeared in the Rivers until 1881, and then to have spread along the West Coast. My learned friend, Dr.
Beer has had what one might call a thorough trial in Cameroon since the German occupation and is held by authorities to be the cause in part of the number of cases of haematuric fever in that river being greater than in other districts.
The material he would have to deal with would be enormous, and in addition to the history of haematuric 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.
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