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CLIMATE AND HEALTH
IN
HOT COUNTRIES
AND
THE OUTLINES OF
TROPICAL CLIMATOLOGY
A Popular Treatise on Personal Hygiene in the Hotter Parts
of the World, and on the Climates that will be
met with within them
BY
LIEUT.-COL. G. M. GILES, M.B., F.R.C.S.
Indian Medical Service (Retd.)
Author of
“A Handbook of the Gnats or Mosquitoes,” “Kala Azar,” and
“Beri-Beri,” &c., &c.
NEW YORK
WILLIAM WOOD AND COMPANY
MDCCCCV
INTRODUCTION.
A hundred years ago a prolonged residence in the
Tropics was regarded with well-founded horror. The best
the white settler in the lands of the sun dared hope for
was “a short life and a merry one,” but too often the
merriment was sadly lacking.
When Clive’s father made interest to get his son a
writership under “Old John Company,” and packed off the
troublesome lad to India, he probably regarded it as a last
resource, and felt much as if he had signed the youth’s
doom; but an age that hanged for sheep-stealing, or less,
was like to be stern in its dealings with its children.
We know now that what the father took for vice was
but evidence of the superabundant vitality of a genius, and
being one, Clive naturally possessed the originality to modify
his habits to his new surroundings, and so survived to
become an Empire-builder and hero. Nor was the case
exceptional, for looking back on the history of our great
Indian dependency, one cannot fail to be struck with the
high average ability of the few who survived to attain
leading positions.
Furlough to Europe was almost impossible, and the
hills were unknown, but in spite of this, many of these
seasoned veterans who had learned their lesson lived, in the
land of their adoption, to a green old age. But the rank
and file, who could not or would not learn, died off like
rotten sheep; and to this day it is the young and inexperienced,
who have as yet not learned to adapt and protect
themselves, who fall the readiest victims. At home it is,
I believe, generally recognised that at the age of 26 a man
is rather past his best from the athletic point of view, and
it is hardly to be supposed that he is not equally at his
fittest before that age, simply because he has shifted his
domicile a couple of thousand miles to the south; but so
fatal is the want of caution and intolerance of precaution
inherent in early manhood, that most authorities recommend
that, if possible, emigration to a hot climate should
be postponed till the age of 25. This obstinate determination
to carry to tropical parts habits of life suitable only
to the more temperate parts of Europe was carried in old
times to an almost incredible extent.
Now and again, in the guest-chamber of some native
noble’s house, one may come across quaint old paintings
and engravings which show our great grandfathers fighting
or playing cricket in exactly the same costume as their
contemporaries at home. No alteration whatever was made
in the soldier’s dress, and his officers duelled, drank, and
gambled in the same old Ramillies wigs that led such portentous
gravity to those charming discussions with the
enemy as to who should “fire first.” Even the earlier
files of the Illustrated London News show the same things,
and looking at these old pictures, the wonder is not so
much that many succumbed as that any survived. Even
in Europe the conditions of military service were terribly
unhealthy, and when transplanted to the Tropics the mortality
was such as to give to India and other hot countries
an evil reputation which they have not yet lived down.
The dire struggle of the Indian Mutiny led to the first
attempts to clothe and treat the soldier in a somewhat more
rational fashion, and since then great improvements have
been effected; but a great deal more remains to be done,
especially in the matter of utilising our recently gained
knowledge of the causation of malaria, before our military
statistics can be expected to show how little this evil reputation
is due to the climate itself, and how much has really
been caused by human misdirection. No amount of sanitary
improvement can be expected to render Bombay a comfortable
place of residence in the dog days, and apart from
localities at considerable elevations, where the climate is
really temperate, it is hopeless to expect that anything in
the way of actual colonisation can succeed in the climates
with which we are dealing; but with due care and attention
to sanitary laws, as modified by the altered conditions, there
is no reason why the rates of sickness and mortality should
be much more formidable than elsewhere.
In the following pages the writer has endeavoured to
put into popular form the principal points of personal
hygiene as applied to hot countries, and as they are intended
mainly for the non-professional reader, all technical
terms have been, as far as possible, avoided, and words in
popular use, such as germs, &c., have been substituted for
the more exact nomenclature of science. Should any of
his medical colleagues care to read a merely popular work,
they can easily supply for themselves, in place of these
vague, popular words, the more precise terminology in use
amongst ourselves.
The climates of the hotter parts of the world vary even
more widely than those of the temperate zone, so that it is
often impossible to offer suggestions applicable to all of
them; and on this account it is extremely important that
the intending resident or visitor to them should be able to
ascertain what is the exact nature of the climatic conditions
with which he will have to cope, so that it is absolutely
essential to include within the scope of a work like the
present some account of the climates of the various
countries included in the enormous area under consideration.
On this account the little book has been divided
into two distinct parts, the first of which is devoted to
personal tropical hygiene, while the second, which deals
with climate, is necessarily mainly a dry mass of tabulated
information, of which only the few pages devoted to the
country he proposes to visit is likely to interest the
individual reader.
The inclusion of information of the sort is, however,
quite essential, as it is by no means easily accessible, and,
as a matter of fact, scarcely exists, except in the form of
the official records of the various meteorological observatories,
so that when collecting data for the compilation of this
second part, or appendix, on tropical climates, the writer
was a good deal surprised to find that he was engaged in the
preparation of what is really a pioneer work on the subject
in the English language.
This being the case, it has been thought well to publish
these outlines of tropical climatology also in a separate
form for the use of the professional reader who may not
care to be burdened with a booklet on health treated from
the popular point of view; a step which has further necessitated
that the paging and indexing of the two parts should
be kept separate from each other, a plan which, in view of
the moderate dimensions of the book, might otherwise
have appeared rather superfluous.
LIST OF DRUGS, &c., MENTIONED IN THE TEXT.
Bicarbonate of soda.
Bismuthi salicyl., in tabuloids of grains x. each.
Book of litmus paper.
Boracic acid, in powder.
Calomel, in tabuloids of 1⁄2 grain each.
Carbolic acid, with sufficient glycerine added to keep it in a fluid condition.
Castor oil.
Castor oil with resorcin:—
| ℞ |
Ol. ricini |
℥viii. |
| Resorcin |
ʒii. |
| Mix, and dissolve the resorcin by standing the bottle in hot water. |
Citrate of potash.
Easton’s syrup, put up in a bottle marked to its dosage.
Ether sulphuric. This drug is too volatile for storage in the ordinary way in
the Tropics and so should be put up in glass capsules each holding a
drachm.
“Fever” or diaphoretic mixture:—
| ℞ |
Liq. ammon. acetatis fortior, B.P., 1885 |
ʒss. |
| Sp. eth. nitrosi |
♏xx. |
| Potas. nitratis |
gr. i. |
| Water |
to ʒii for each dose. |
| Dose.—To be put up in a bottle graduated to that dosage containing
8 oz. of the mixture, and taken diluted with four or five times its
quantity of water. |
Goa ointment:—
| Goa powder |
|
- |
āā ʒss. |
| Acid salicylic |
| Lanolin |
ad ℥i. |
Gregory’s powder.
Hydrochloric acid, preferably in the dilute form.
Opium, in tabuloids of 1 grain each.
The “Patna” drug is preferable as a sedative before the administration
of ipecacuanha.
Paint for “Dhobi’s itch”:—
| Liquor iodi fortior |
|
- |
partes æquales ad ℥ii. |
| Pure carbolic acid |
| Glycerine |
Perchloride of mercury, in tabuloids:—
| 1⁄40 grain |
|
- |
for internal administration. |
| 1⁄64 grain |
| 21⁄2 grain “soloids” for compounding an antiseptic
solution. |
Permanganate of potash, put up in packets of 2 oz. each, wrapped in waterproof
paper, for disinfecting wells.
Phenacetin; tabuloids of grains v. each.
Phenyle, “Little’s soluble.”
Pills for hill diarrhœa and similar disturbances of the bowel:—
| ℞ |
Euonymini |
|
- |
āā grain i. |
| Pil. hydrargyri |
| Pulv. ipecac. |
Pulv. hydrargyri cum creta, popularly known as grey powder.
Pulv. ipecacuanhæ, in tabuloids of 5 grains each.
Quinine sulphate (or hydrochloride) in powder. The cork should be fitted
with a small wooden cup, to measure 5 grains approximately.
Resorcin, in tabuloids of grains v. each.
Thymol, in tabuloids of grains x. each.
Tinct. camphoræ composita, popularly known as “paregoric elixir.”
INDEX TO PART I.,
CLIMATE AND HEALTH IN HOT COUNTRIES.
[For Index to Part II., “Outlines of Tropical Climatology,” see
end of volume.]
- Abdominal chills, danger of, and methods of protection from, 28, 32,
144-146, 149; infantile, 153
- Aerated waters—
- Cholera, safety of drinking, in outbreak of, 136; manufacture of, neglect of necessary
precautions in, 45-47; home manufacture of,
47-48
- Africa, Bilharzia prevalent in, 184
- Africa, South—
- Camping out in, 83
- Clothing in, 25; suitable head-dress, 170
- Sleeping sickness of, 164, 165
- Sunstroke rare in, 166
- mentioned, 113
- Air, disinfecting powers of, 162
- Aladdin’s Palace, 8
- Alcohol, 62, 147
- Allahabad, water supply of, 37
- Alum—
- Drinking water purified by, 43, 137, 138
- Injuriousness of, in baking powder, 59
- Rice, cooking of, used in, 60-61
- America—
- Head-dress in, 29, 171
- North, mosquitoes in, 101
- “American” cotton drill—
- Tent manufacture, for, 85
- Unsuitability of, for hot climates, 26
- “Anglo-Indian gauze,” 23
- Animals infected by plague, 156; sacredness of, in India, 156
- Ankles, protection of, against mosquito bites, 117
- Anopheles mosquitoes—
- Characteristics of, 102-104
- Eggs of, figure of, 95
- Larvæ of, 4, 97-99
- Nets protecting against, 124
- Antipyrin, use of, in malaria, 128
- Ants, white, 6, 14, 18
- Apples, avoidance of, during hot weather, 58
- Assam, 182; plan of houses in, 5; protection against leeches in
riding, 29
- Asses’ milk for feeding infants, 50,
152-153
- Australia—
- Bladder worm disease in, 184
- Head covering in, 29
- Tape worm parasites in meat in, 55
- Bacon fat, nutritive value of, 79
- Baids, or native doctors, 126
- Baking powders, ingredients of, 59
- Bamboo matting, use of, for building purposes, 5
- Bancroft, Dr., 100
- Barracks in India, advisability of protecting against mosquitoes, 122
- Basel Mission, Cannanore, fabrics manufactured by, 27, 28
- Beef tea, 62
- Bengali, 14, 145
- Benger’s food, 149, 154
- Bhindi, the, 58
- Bhisti (Mahomedan water carriers) unclean methods of,
38-39; character of, 39-40
- Bhraman, 138
- Bile, functions of, and relation to dysentery, 143
- Bilharzia, 184
- Bismuth, salicylate of, administration of, in infantile diarrhœa, 151
- Blackwater fever, 127
- Bladder worm, 183-184
- Blood-worm disease, 90, 93, 97,
183
- Blue pill, 150
- Boer felt hats, 170-171
- Boils—
- Perchloride of mercury lotion a preventive against, 178
- Prickly heat as sequelæ of, 177
- Bombay, 12
- Bottle feeding of infants, danger of, in the tropics, 151
- Brand’s extract, 142
- Bread, 59
- British Medical Journal cited, 74
- Buffalo milk, butter made from, 52
- Bugs, 115
- Bungalow, Indian, see under India.
- Burglars, precautions against, 68-69
- Burmah, 114; plan of houses in, 5; protection against leeches in
riding, 29
- Bushire, Subsabad Residency at, 8
- Butter, danger of germs in, 51-52; making at home,
52; buffalo milk for, 52; tinned, 52
- Calcutta, 12, 65, 123
- Calomel, administration of, in heatstroke, 176
- Campagna, Italian, 119
- Camps, choice of site for, 87; difficulties as to conservancy,
87-88; water supply for, 88
- Canal irrigation—
- Dangers of, 109
- Officials of, Government, protection of houses of, against mosquitoes, suggested, 122
- Cancer, 109
- Cannanore, Basel Mission at, fabrics manufactured by, 27, 28
- Cape Colony—
- Sunstroke in, rarity of, 29
- Tape-worm parasites in meat at, 55
- Ticks, protection against, in riding, 28
- Carbonic acid—
- Action of, on cholera germs, 48, 133
- Compressed, supply of, in steel cylinders, 47
- Castor oil, administration of, in malaria, 127-128; in dysentery,
147; in infantile diarrhœa, 151, 154
- Castor oil shrub, antipathy of mosquitoes to, 116
- Cawnpore—
- Tent manufacture at, 84
- “Twilled lining” manufactured at, 27
- Water supply of, 37
- “Cawnpore tent club hat,” 30, 169
- Ceilings, lath and plaster, non-employment of, in India, 17
- Ceiling cloths, defects of, 16-17
- Celli, Prof. A., plan of, for wire gauze protection against mosquitoes,
118-121
- Centipedes, 22, 115
- Cgaleka campaign, 57
- Chang houses, 5-6
- Charcoal, properties of, as fuel for cooking purposes, 64
- Cheese, 52-53, 79
- Children in the Tropics—
- Clothing of, 33-34, 117
- Feeding of, 76 et seq.
- Hill stations, advisability of sending to, 79-81
- House accommodation of, 6, 10
- Infants, see that title
- Treatment of, 81-82, 171
- China, washing of clothes in, 24
- Chittagong—
- Health of European residents in, 2
- Houses in, 2
- Chloral hydrate, subcutaneous injection of, in cholera cases, 141
- Chlorodyne, danger of, in dysentery, 146
- Cholera—
- Contraction of, through food fouled by flies, 48
- Conveyance of, 35-36
- Discharges in, infection from, 142
- Germ of, destruction of, in wells, 42;
prolonged action of CO2, on, 48; conditions of development of, 132; killing,
by boiling water, 133
- Infection, risk of, 132, 140, 142
- Melons causing, popular fallacy as to, 58-59
- Nursing of cases, precautions to be taken in, 140
- Preventive measures against, 134-139
- Symptoms of, 140-141
- Treatment, 141-142
- “Cholera belt,” 144, 145
- Chrysanthemum, unopened flowers of, mosquitoes destroyed by burning, 114
- Clay, beaten, as roofing material, 18
- Clerestory windows, 8
- Climate, influence of, in development of mosquitoes, 99
- Clothing in the Tropics—
- Children, of, 33-34
- European, 25
- Evening dress in India, 28; arranging, to protect against mosquitoes,
117-118
- Foot-wear, 31-32
- Head-dress, suitable, 29-30
- Principles of, 22
- Protection against mosquitoes, arranging as, 117-118
- Riding dress, 28-29
- Starched materials, unsuitability of, for hot climates, 26
- Underclothes, 22-23,
27-28
- Washing of, 23-25
- Women’s, 33
- Cod-liver oil, 79
- Cold baths, 67-68
- “Comforters,” baby’s, danger of, 74
- Conservancy—
- Difficulties as to, in camp life, 87-88
- Oriental plans of, 134; round worm disease due to lack of, 182
- Constipation, danger of, in tropical climates, 175
- Consumption, 74, 109
- Cooking, need for, and economy of good cooking, 62-63
- Cork as material for hats in India, 169
- Cornices, 15
- Corsets, inappropriateness of, in hot climates, 33
- Corrugated iron as roofing material, 6,
17-18
- Cows—
- Condition of, in Indian villages, 50
- Milk, drawback of, as infants’ food in India, 153
- Cucumbers, 58, 136
- Culex—
- Breathing arrangements of, 96
- Characteristics of, 102-103
- Eggs of, figure of, 95
- Larvæ of, 98
- “Culinary Jottings from Madras” (Wyvern), 54; quoted,
55
- Curry as food for children, 76
- Daniels cited, 95
- “Dhobi’s itch,” 24,
178-179
- Diarrhœa—
- Hill, 149-150
- Infantile, 150-155
- Relation to dysentery, 149
- Tomato skin, due to, 58
- Diet in dysentery, 148-149
- Digestion, partial suspension of, in malaria, 127-128
- Dill water, undesirability of administering, to infants, 74-75
- Dog, bladder worm in, 183-184
- Drainage, surface, plan to be followed near houses, 4
- Dress, see Clothing
- Drinking-water, see Water
- “Dungaree” material, 26
- Dysentery—
- Causation of, 33, 143, 141
- Characteristics of, 142-143
- Conveyance of, 35
- Germ of, 142
- Pathology of, 143
- Relation to diarrhœa, 149
- Treatment, 146-149
- Dyspepsia, 35
- Egg albumen—
- Infants, feeding, with, 154
- Meat extracts, in, 61-62 and notes
- Eggs, 56
- Egypt—
- Bilharzia prevalent in, 184
- Head covering in, 29
- “Elgin” helmet, 169
- “Equatorial Rowing Club,” 25
- Eucalyptus plant, antipathy of mosquitoes to, 116
- Euonymin, 150
- Europeans in tropical climates, immunity of, from native diseases, 180
- Fainting, 167-168
- Feet, swelling of, in hot countries, 32; footwear in the Tropics,
31-32
- Felt for hats in India, 169
- “Fever mixture,” 128
- “Field officer’s Kabul” tent, 85
- Filariasis, 93, 183
- Filters, danger of ordinary form of, 135
- Fish as food in hot climates, 56; tinned, 61; killed by mosquitoes,
94
- Fisher. Dr. T., cited, 74
- Flannel, wearing, next the skin, 22-23
- Fleas, 94, 115
- Flies—
- Danger of, to food supplies, 48
- Method of freeing tents from, 86-87; of freeing houses,
115
- Ophthalmia introduced through, 34
- Sleeping sickness, concerned in, 164-165
- Flukes, 184
- Foods (for particular foods, see their names, as milk, bread, meat, &c.)
- Bad, consequence of, 35
- Changes in, producing infantile diarrhœa, 150, 151
- Cooking of, disease germs destroyed by, 48
- Dealing with, precautions necessary, 48-49; unclean methods of natives,
51, 59
- Infants, of, rapid deterioration of, in tropical countries, 150
- Tinned, 61-62
- Forest officials, government protection of houses of, suggested, 122
- Fruit, 58-59;
- tinned fruits, 61
- Gardens, danger of, in malarious places, 2-3,
109; watering of, in India, 109-112
- Gauze, metallic, protection of houses by means of, 68-69,
118-123, 166
- Gauze bags, mosquitoes destroyed in, 113
- Ghi, 111
- Gnats, see mosquitoes
- “Gnats or mosquitoes,” 114
- Goa powder, application of, in Dhobi’s itch, 179
- Goat’s milk for feeding infants, 152-153
- Gram, tops of, as a substitute for spinach, 57
- Graphic, 170
- Grassi, Prof., 90
- Gregory’s powder, administration of, in infantile diarrhœa, 151,
154
- Guinea worm, 183
- Haffkine’s plague protective emulsion, 160
- Hands, swelling of, in hot climates, 32
- Hankin, 131, 137
- Haqims, or “native doctors,” 126
- Heat stroke, 174-176
- Hill diarrhœa, 149-150
- Hill stations—
- Children, advisability of sending, to, 79-81
- Sickness in, prevalence of, 81
- Himalayas, prevalence of diarrhœa in, 149
- Hindu repugnance for meat, 60
- Hindu kahar, reasons for employment of, 38-39
- Honduras, plan of houses in, 5
- Hookworm, 181-182
- Hornets, 115
- Horse sickness, prevention of, Mr. Power’s experiments, 113
- Hospitals, plague, 160
- Houses in tropical countries—
- Chang houses, 5-6
- Cooling, after heat of the day, methods of, 69-70
- Flooring, materials suitable for, 15
- Indian bungalow, ground plan of, showing well placed doors and windows, 7; sketch of common
type, 10; plan showing adaptation of Celli method of wire gauze protection, 121,
122
- Light, question of,
9-10, 60, 69
- Materials appropriate for building, 14-15
- Plan, suggested, for house of moderate dimensions, 20-21
- Plinth, construction of, 3-5
- Principles of building, epitome of, 19-20
- Roofing materials, 15-18
- Rooms, height of, necessary, 11-12
- Site, suitable, choice of, 1-3
- Storeys, number of, desirable, 4-5, 12
- Ventilation of, 6-9, 13,
68-69
- Verandahs, function of and building of, 10-11
- Wire gauze protection of openings, method of, 118-123,
166
- Hutchison, Robert, M.D., on “Patented Food and Patent Medicines,” quoted,
61-62, notes
- Hydrochloric acid, 161
- Illustrated London News, 170
- Incense, mosquitoes driven from houses by burning, 114
- India (see also names of places)—
- Animal life in, sacredness of, 156
- Bhistis, the, character of, 39-40
- Bungalows in, ground plan of, showing doors and windows well placed, 7; sketch of
common type of, 10;
- plan of, showing Celli method of wire gauze protection, 121, 122
- Calls, hours for paying, 172
- Children in, reason for frequent feebleness of, 10
- Clothing in (see also title Clothing)—
- Evening dress, 28, 117, 118
- Tussur serge outer garments, 29
- Cotton fabrics manufactured in, 27
- Gardens, method of watering, 109-112
- Head-dress, suitable, in, 29, 169-173
- Houses in, non-employment of lath and plaster ceilings in, 17
- Infants in, 73
- Kitchens in, appliances for and superintendence of, 63-64
- Meat in, tape-worm parasite found in, 55
- “Mutton Clubs,” 54
- Natives, tact required for management of, 158-162
- Outfit for, obtaining, in England, 26
- Plague in, 155 et seq.
- Prisons, medical officers of, 148
- Sleeping sickness, fly concerned in, found in, 165
- Swimming baths in, disuse of, 67
- Tent life in, 83-88
- Tent making industry in, 84
- Washing of clothes in, 24
- Water supply—
- Carriers, Mahomedan and Hindu, methods of, 38-39
- Precautions to ensure purity, see under Wells
- Infants—
- “Comforters,” dangers of, 74
- Death-rate high in Tropical Climates, 150
- Diarrhœa among, 150-155
- Dill water, danger of, to, 74-75
- Disorders of, treatment of, 74-5
- Feeding of, 75-76,
150-154
- Fresh air, need for, 73-74
- Hot climates for, advantages of, 73
- Milk for, 50; on voyages, 51
- “Infants’ Food,” 74, 75
- Inoculations, protective, against plague, 158, 160
- Insect pests, destruction of, 115
- Internal worms, 179 et seq.
- Ipecacuanha, administration of, in dysentery, 147-148; in
diarrhœa, 150
- Ismailia, malaria at, 107
- Italy—
- Children of, diet of, 79
- Malaria in, prevention of, 118-119
- Mosquitoes in, survival of larvæ of, during winter months, 100
- Villas in, “ideal models for tropical climates,” 113
- Jæger materials, 23
- Jellies, disease germs cultivated in, 43
- Jungle, avoidance of, in choice of dwelling site, 2
- “Kabul Tent,” 85
- “Kamarband,” 144-145
- Kidneys—
- Function of, suspended in cholera attacks, 141
- Strain on, from excessive meat eating, 60
- Kitchens, Indian, appliances for and superintendence of, 63-64
- Koch, 131
- “La Martinière,” Lucknow, 80
- Lablab bean, 57
- Lahore, tent manufacture at, 84
- Lamb, unsatisfactoriness of, in hot countries, 54
- Larvæ, wintering, breeding of, 101
- Laurence Military Asylum, 80
- Laveran, malaria research work of, 90
- Lentils, 60
- Lettuces, avoidance of, during cholera outbreaks, 135
- Light—
- Disinfecting powers of, 162
- Exclusion of, in tropical houses, 9-10
- Plague germs destroyed by, 156
- Protection against mosquitoes, as, 100-101,
116-117
- Lime, clearing of water supplies by, 43, 137,
138
- Lime not to be used in combination with perchloride of mercury, 162
- Liquor ammoniæ acetatis, administration of, in malaria, 128
- Liver functions, disturbance of, in dysentery, 143, 146
- Lobán, 114
- London, business hours in, 65
- Lucknow—
- Historical residency ruins at, 14
- “La Martinière,” 80
- Water supply of, 37
- Lumbrici, 180
- Macaroni and cheese, children’s dietary, in, 79
- Maclean, Prof., cited, 89-90
- Madras, 64
- Mahomedan countries, water carrying in, 38
- Maize cobs, mosquitoes driven out of houses by burning, 114
- Malaria—
- Causation, early theories and research work as to, 89-91
- Cold baths, relapse induced by, 67-68
- Parasite of, life history of, 91-92,
105-106
- Prevention of, 28, 106 et seq.
- Quinine, value of, in treating, 104,
125-129
- Seasonal prevalence of, 104, 105
- Site of houses in reference to, 1-3
- Spread of, danger of single case in helping, 104-105,
125
- Temperature, influence of, in development of, 92
- Treatment of, 125-129
- Malay, house materials in, 14
- Malay Archipelago, 114
- Manson, Sir Patrick (F.R.S.), research work as to malaria causation, 90
- Mashak, 38-39
- Massage in relief of cholera cramps, 141
- Meat (see also mutton, veal, &c.)
- Cooking, need for thoroughness in, 55-56
- Extracts, nutritive value of, 61, and note,
62
- Hanging of, 54
- Indian “mutton clubs,” 53-54
- Preservation of, by sulphur fumes, 55
- Quality of, obtainable in hot countries, 53-4
- Tinned, 61
- Meat juice, feeding infants with, 154
- Melons, 53, 59, 136
- Mercury, perchloride of, administration of, in dysentery, 147, 148;
in infantile diarrhœa, 151; lotion, application of, in prickly heat, 178
- Mexican sombrero, 171
- “Miasma,” 89
- Midges, mosquitoes distinguished from, 93
- Milk—
- Asses’, for feeding infants, 50,
152-3
- Boiled, digestibility of, 49-50
- Children’s diet, in, 77
- Cholera conveyed by, 132
- Cows’, as food for infants in India, 50, 75,
153; sterilisation of, and need for, native ignorance and frauds as to, &c., 49,
51
- Disease transmitted by, 49
- Dysentery, in, 146, 149
- Goats’, as food for infants, 50, 75-76,
152-153
- Puddings of, disease germs cultivated in, 48
- Quality of, testing, 51
- Sterilisation of, 49
- Minced food for children, 77-78
- “Moon-blindness,” 13
- Mosquitoes—
- Anopheles, see that title
- Biting animals, method of, 94
- Breeding, situations favouring, 101-102
- Culex, see that title
- Danger of encouraging, near dwellings, 2-3
- Disease carriers, as, 22, 93
- Eggs, depositing of, 94-95; diagram of various forms of,
95
- Food of, distinction between male and female as to, 94
- Geographical distribution of, 101
- Habits of, 93-94
- Larval existence, duration of period of, 98, 99
- Life history of, 94 et seq.
- Light and heat, tolerance of, 100-101, 116,
117
- Malaria, relation to, 90, 92, 93
- Midges distinguished from, 93
- Myzorrhynchus sinensis, figure of larvæ of, 97
- Nets, patterns of, 87, 123-125
- Panoplites, figure of eggs of, 95
- Perpetuation of the species, maintenance of, during winter months,
99-100
- Protection against—
- Breeding places, destruction of, 108-112
- Dress, modifying, as a protection, 117-118
- Gauze bags, by means of, 115
- Houses, precautions to be taken in, 113-115
- Italian method of protecting houses, 118-123
- Light—a protective agent, 100-101,
116-117
- Ointments, &c., by means of, 116
- Rainy season, prevalence during, 102, 104,
125
- Stegomyia, see that title
- Travelling, incapability of, 100
- Mutton, 54
- Myzorrhynchus sinensis, figure of larva of, 97
- Naini Thal, water supply of, 37
- Naphthol β, administration of, in infantile diarrhœa, 151
- Natal, head covering in, 29
- Natives of tropical countries, unclean habits of, 63-64,
181
- Neem tree, leaves of, mosquitoes destroyed by burning, 114
- Negroes, 145
- Nettle-rash, 77
- Nuttall cited, 95
- Oatmeal porridge, 79
- Onions, 58
- Ophthalmia, protection of children from, 34
- Opium, administration of, in dysentery, 146, 148
- “Pandemic waves,” 131
- Panoplites, diagram of eggs of, 95
- Paraffin, use of, in destroying mosquitoes, 108,
110-112
- Paregoric, administration of, in infantile diarrhœa, 151
- “Patent Foods and Patent Medicines,” Robert Hutchison, M.D., quoted,
61-62, notes
- Persia—
- Ankle boots in, 31
- Houses, system of ventilation of, 8-9; ground plan of European Bungalow,
9; double verandahs for, 11
- Persian Gulf, clothing in, 25
- Phenacetin, use of, in malaria, 128
- Phenyl for disinfecting against plague, 161
- Pith, suitability of, for Indian sun hats, 29
- Plague—
- Animals affected by, 156, 157
- Conditions favouring spread of,
155-156
- Evacuation of infected sites, 159-160
- Infection from, 157, 163
- Low civilisation, a disease of, 155
- Prophylaxis against, personal, 156-157; public,
157 et seq.
- Pomfret, Bombay, 56
- Pork, ptomaine poisoning due to, in hot countries, 54
- Potassium, permanganate of, water supplies purified by, 42,
137, 138, 139
- Poultry, fattening of, in hot countries, 54
- Power, Mr., 113
- Prickly heat, 23, 34, 66,
177-179
- Protective cordons, value of, in plague outbreak, 161
- Ptomaine poisoning from eating pork, 54
- Pugaree, 30
- Pulses, food value of, 59-60
- Pumpkins, 58
- Punjab—
- Houses in, plan of building, 9; sketch of common type of bungalow, 10;
materials of native dwellings, 14
- Northern, clothing in, 25
- mentioned, 6
- Punkahs—
- Combining use of, with that of mosquito net, 123-124
- Height of rooms giving adequate swing for, 11-12
- Protection against mosquitoes afforded by, 123
- Pulling, art of, 71
- “Puttialla” breeches, 28-29
- Pyjamas—danger of short coat, 28
- Quarantine, value of, in plague outbreaks, 161
- Quicklime, drinking water purified by, 137, 138
- Quinine—
- Disinfectant action of, 125-126
- Malaria, in treatment of, 101, 125-129
- Rain water, bathing in, for prickly heat, 177-178
- Rainy seasons, prevalence of mosquitoes during, 102, 104,
125
- Rajputana, 6
- Rats attacked by plague, 156, 157;
destruction of, as a protective measure in plague outbreaks, 160-161
- Resorcin, administration of, in infantile “wind” attacks, 75; in diarrhœa,
151; in dysentery, 147
- Rheumatism, 109
- Rice, cooking of, 60-61
- Rodents, see Rats
- Rome—
- Business hours in, 65
- University of, 118
- Roofs—
- Materials suitable for, 15-18
- Sleeping places, as, 12-13
- Ross, Major Ronald, F.R.S., research work on malaria causation, 90
- Round worms, 180, 181
- Salads, danger of, 58
- Sambon cited, 95
- Sand dunes as sites of houses, 2
- Santonin, round worms expelled by, 181
- Scandinavia, mosquitoes in, 101
- Science Siftings quoted, 74
- Scorpions, 22, 115
- Scurvy—
- Infantile, due to sterilised milk, 49
- Vegetable food, prevented by, 57
- Sea water bathing for prickly heat, 177
- Silk as wearing material in the tropics, 23
- Singapore, 25
- Sleeping arrangements in the tropics, 32;
- outdoor, 124
- Sleeping sickness, 93, 164-166
- Small-pox, 163-164
- Smoke, mosquito destruction by means of, 113-115
- Snakes, poisonous, 22
- Solah hats, 29-30,
169-170
- “Soothing Syrups,” 74
- Soups—
- Disease germs cultivated in, 48
- Tinned, 61
- Soy bean, 57
- Spinach, 57
- Spine, protection of, from sun’s rays, 30-31
- Sprue, 150
- Stagnant water, danger of, in malarial countries, 101, 102
- Starched materials, unsuitability of, for hot climates, 26
- Steel girders—
- Chang houses, for, 6
- Substituting for wooden beams, advisability of, 15
- Stegomyia—
- Characteristics of, 102
- Eggs of, figure of, 95
- Family of, 97
- Stimulants, use of, in malaria, 128-129
- Straw, damp, mosquitoes driven out of houses by burning of, 114
- Subterranean chambers in extreme heat, 13-14
- Sugar in children’s diet, 77
- Sulphur fumes—
- Meat preserved by, 55
- Mosquitoes destroyed by, 114-115
- Plague, disinfection against, by, 161
- Sulphuric acid, effect of, on the cholera germ, 137
- Sun-dried bricks, properties of, as building material, 14-15
- Sunshades, 33
- Sunstroke, 29, 166-174
- Swimming baths, disuse of, in India, 67
- “Swiss Cottage Tent,” 85
- Symes, Dr. J. O., cited, 74
- Symmonds, Mr., of Rosa, 124
- Taikhana, 13-14
- Tape-worms—
- Danger of, from uncooked meat, 55
- Life history of, 183
- “Tatties,” description and use of, 70
- Tea for cleansing teeth, 45
- Temperature limits within which malaria can be developed, 92
- Tents—
- Construction of, principles to be followed in, 84-86
- English and Indian makes, 83-84, 86
- Terraced roofs, suitability of, in tropical climates, 18
- Thatch as roofing material, 15-16
- Theobald, Mr., cited, 95
- Thermantidote, description and use of, 70-71
- Thread worms, 180-181
- Thur dal, 60
- Thymol as vermifuge, 182
- Ticks, 94
- Tiles as roofing material, 17
- Timber, drawback to use of, in tropical buildings, 5-6,
15
- Tinned provisions, 61-62
- Tobacco, mosquitoes destroyed by fumes of, 114
- Tomatoes, 58, 136
- Total abstinence and health, 62
- Train inspections, value of? in plague outbreaks, 161
- Trees, avoidance of, in choice of dwelling sites, 2
- Trousers, arranging, to protect against mosquitoes, 117, 118
- Trypanosomes, 164, 165
- Turban, the, 30
- Tussur serge for outer garments, 29
- “Twilled Lining” suitable for underwear in tropical climates,
27-28
- Typhoid fever—
- Contraction of, through fly-fouled food, 48
- Conveyance of, 35
- Hill stations, endemic in, 80
- Vaccination, importance of revaccination, 163-164
- Veal, unsatisfactoriness of, in hot countries, 54
- Vegetables, 3, 56-57,
61
- Ventilation—
- Hats, of, 30
- Persian Houses, in, 8-9
- Tents, of, 85-86
- Thatched roofs favouring, 15
- Tropical houses, in, 6-8, 13,
68-69
- Verandahs, roofing materials for, 17
- Vermin, building materials harbouring, 15, 16
- Voyage to the East, clothing for, 26
- Water—
- Aerated waters, see that title
- Boiling of, for drinking purposes, need for, and for personal superintendance
of, 44-45,
133, 135
- Contaminated, consequences of drinking—need for personal supervision of supply,
35-37, 131, 132
- Filtering, danger of, 44, 135
- Hill diarrhœa due to mineral matter in, 149
- Indian towns, supply to, 37-38
- Sources of supply—
- Rivers, 43
- Springs, 43
- Wells, see that title
- Washing of clothes, 23-25
- Wells—
- Methods of becoming infected in India, 134
- Purification of, methods of, 42, 43, 88,
134, 136-139
- Reliability of, 40-41
- Wet-nursing in the tropics, advisability of, 151-152
- Women in hot climates, 71-72;
- suitable head-dress for, 171-178
- Wood, see Timber
- Woollen materials, washing of, 23
- Working hours in the tropics, 65-66
- Worms, internal, prevention of diseases caused by, 179 et seq.
- Wyvern, “Culinary Jottings from Madras,” quoted,
54-55; cited, 64
- Yellow fever, 93, 95, 97,
102