Publisher's Synopsis
Excerpt from The Prophylaxis of Malaria: With Special Reference to the Military Service
The decrease of malaria in the Army has been brought about largely by measures directed against the mosquitoes transmitting the disease, and the protection of man from the bites of these insects. Quinine prophylaxis has probably had but little to do with this re duction, as the use of this method has been very limited. Neither has the control of treatment by microscopic examinations of the blood and the treatment of carriers and latent infections operated to any extent in reducing the disease in the Army, as these methods have been very little used, and it is believed that had these methods been widely employed the reduction of malaria would have been much more marked and much more rapid than it has been.
The methods of prophylaxis adopted in different localities must vary with the peculiar conditions present in each region, and com mon sense must be used here as in every other procedure for the prevention of disease. High- own theories must give place to a calm study of the situation and the means most applicable and best adapted to fighting the infection. Under some conditions we mav be able to practically eradicate mosquitoes, while under others this measure may be impossible, and quinine prophylaxis will have to be substituted, together with measures for the protection of man from the bites of mosquitoes. In many, if not most, localities the best results will be secured by the combination of several prophylactic measures, and I am not at all in sympathy with those who insist that either upon the destruction of mosquitoes or the prophylactic use of quinine alone we must depend for success in the prevention of the malarial fevers.
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