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Updated: May 24, 2025
If, however, exposure to infection cannot be prevented, much may be done to strengthen the system to resist it. Firstly, note that there is a great deal in the food and drink of a family compelled to live in such a district. If they live largely on animal food, and drink alcoholic liquors, they will seriously add to the power of malarial influence.
The history of the latter, however, is unrecorded. The lands were in the main very poor and grown up in pine, or else, where the head-waters of a little stream made down in a number of "branches", were swampy and malarial.
Tompsett describes a necropsy made on a coolie child of nearly twelve months, in which it was seen that in the place of a kidney there were two left organs connected at the apices by a prolongation of the cortical substance of each; the child had died of neglected malarial fever.
If the child's surroundings cannot be changed and lie is subjected to the same conditions of possible reinfection, it may be a wise precaution, much like the prophylactic administration of quinin in malarial regions. If a child has developed a cardiac inflammation during any disease, the treatment is that previously outlined.
On my way to Jerusalem I tramped through a rich residential region where wealthy Armenians, Turks, and Russians dwelt luxuriously in beautiful villas looking over the sea. I had been sleeping out, for the road was high and dry and healthy, but at last, entering a malarial region, I began to seek shelter more from man than from Nature.
The weather was hot, and the swamp fairly stunk with the putrid flour and fermenting sugar and molasses; I was so much exposed there in the hot sun, pushing forward the work, that I got a touch of malarial fever, which hung on me for a month, and forced me to ride two days in an ambulance, the only time I ever did such a thing during the whole war.
Sheep and horses could not with safety remain longer in those warm regions, as then the fatal malarial blaauwtong begins there to attack sheep, and horse sickness becomes virulent as well. The high veldt, as said before, is exempt from that danger.
All of these worthies were patient and polite, but they displayed a malarial indifference to delay, and responsibility seemed to rest nowhere. During the day Alaire became bewildered, almost lost in the mazes of official procedure, and was half minded to telegraph for Judge Ellsworth. But that again meant delay, and she was beginning to long for home.
After dinner, when he lounged on the veranda, the headache and lassitude returned, and he listened to Jake's talk vacantly and soon went to bed. He knew he was not well, but while malarial fever was not unusual in the neighborhood people seldom took it in a virulent form, and as there was a good doctor at Santa Brigida he determined to consult him when he had occasion to visit the town.
Unfortunately, this is in the midst of a malarial district, and is consequently avoided by Europeans, except those whose official connections compel them to live here. Trincomalee, however, has some great advantages as a commercial port which cannot be ignored.
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