^^^^ SECOND REPORT OF THE WELLCOME RESEARCH LABORATORIES r/l.^>dtl^ AT THE GORDON MEMORIAL COLLEGE KHARTOUM ANDREW BALFOUR, M.D., B.Sc, F.R.C.P. Edin, D.P.H. Camb., DIEECTOR Fellow of the Eoyal Institute of Public Health, Member of the Epidemiological Society, the Incorporated Society of Medical Officers of Health, and the Association of Economic Biologists, Medical Officer of Health, Khartoum, &c. Department of Education, Sudan Government, Khartoum 1906 r^gON^ f^ 33216 '.'^M ^l^O/VArMUS^- THE GORDON MEMORIAL COLLEGE AT KHARTOUM Patron : H.M. THE KIXG President : The Right Hojf. Lord Kitchexek of Khartoum, G.C.B., G.C.M.G., etc. Hon. Treasurer : The Right Hox. Lord Hillixgdox Hon. Secretary: Baldwin 8. Harvey, Esq., H7, Lombard Street, London, E.C. Committee and Tru.^tees : The Right Hux. Lmku Kitchexer of Khartoum, G.C.B.. G.C.M.G., etc. Sir F. Reginald Wixgate, K.C.B.. K.C.M.G., etc. {ex ojficio) Govemor- (reneral of the Sudan Alexander Falcoxer Wallace, Esq. {ex officio), (Tuveruor of the Bank of England The Right Hox. Earl of Cromer. OM.. G.C.B.. G.C'.^M.G., G.C.S.L, etc. The Right Hox. Lord Rothschild The Right Hox. Lord Revelstoke The Right Hon. Lord Hillixgdox The Right Hox. Sir Ernest Cassel, G.('.^I.(t., K.C.\'.0., etc. Hugh Colix Smith, Esq. Sir Hexry Craik, K.C.B. Hexry S. Wellcome, Esq. Sir "William Mather ^ Hon. Solicitor : Henry Turton Norton, Esq. Hon. Auditors : Messrs. Gerard A"ax de Lixde & Sox Director of Education in the Sudan, and Principal of the College : James Currie, Esq. s r A F F OF THK WELLCOME RESEARCH LABORATORIES, IDOG Director ANDItEW HALFOUH. M.D.. Ktc. ChemiM WILLIAM ItHAM, FTC, Etc. TraveU'n,., r.,th,>l„.,lsl owl Xninr.illM i'"i- Y'M^^ .. SHEFFIELD XEAVE, mi;. CI'.. Etc. Kconom !c Eiitoiiwloiiixt Assistants (Appointed January, 19015) Clerk MAHMOri) EFFENDI KHALIL r HAROLD H. KING ( (Appuiiite.l March, 1906) n\. n. FRIEDRICHS ■■y. A. GOODSOX, A.LC. Mr. F. V. TiiEOHALii. M.A.. etc.. has again aettil as Consulting Entomologist ami furnishes a chapter un Cnlieifhe, Human ami Animal Pests ami Vegetal Pests. -Mr. K. E. ArsTKX, of the British Museum, has rendered much valuable aid in the identification and ela-ssitication of Diptcra, and contributes an article on the IJiting Flies of the Sudan. CONTEXTS PAGE INTEODUCTION 9 MOSQUITO WOEK IN KHARTOUM AND THE ANGLO - EGYPTIAN SUDAN GENERALLY 15 Statistics of Mosquito Reduction — Work of Mosquito Brigade — General Notes — Cost of Operations — New Genera and Species. BITING AND NOXIOUS INSECTS OTHER THAN MOSQUITOES ... 29 Memorandum — Tsetse Flies — Biting Diptera — Bot-Flies — Myiasis — The Jigger — Ticks — Aphides — Plant Bugs — Fruit Fly — Locusts — Vegetable Parasites of Plants. ON SOME BLOOD-SUCKING DIPTERA FROM THE ANGLO-EGYPTIAN SUDAN COLLECTED DURING THE YEAR 1905, WITH DESCRIPTIONS OF NEW SPECIES. ERNEST E. AUSTEN ... 51 A SECOND REPORT ON THE MOSQUITOES OR CULICIDiE OF THE SUDAN. F. V. THEOBALD 67 New Genera, Species and Localities. HUMAN AND ANIMAL PESTS. F. V. THEOBALD 83 - The Maggot Fly — The Congo Floor Maggot — Stingless Bees — A New Pupiparous Dipteron — Forest Flies (Hippoboscidae). VEGETAL PESTS. F. V. THEOBALD 93 A H^MOGREGARINE OF MAMMALS 97 H. Balfouri — Cycles of Development — Schizogonj' — Probable Cycle in Pulex ■^.^ Cleopatrae — Flagellated Parasites of Fleas — Examination of Mites. A LEUCOCYTOZOON OF MAMMALS 110 L. Muris. CHANGES IN THE ERYTHROCYTES OF THE JERBOA Ill TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 113 Prevalence and Distribution — The Disease in Cattle — The Disease in Mules — Experimental Vv'ork — Prophylaxis and Treatment — Case of Human Trypanosomiasis — Pathological Anatomy of Trypanosomiasis — Conclusions. ROUTINE WORK 173 List of Examinations Performed — Notes on Communicable Diseases and Parasites. MISCELLANEOUS NOTES ' 179 Blood Examinations — Bilharziosis. REPORT OF THE TRAVELLING PATHOLOGIST AND NATURALIST De. SHEFFIELD NEAVE 183 Introductory — Route — Case of Human Trypanosomiasis — General Notes — Technique of Blood Examinations — Trypanosomes of Birds and Fish — Filarise of Birds — A New HaemamcEba — Diptera — Mosquitoes — Pathological Notes — Anthropological Notes — Conclusion. REPORT OF THE CHEMICAL LABORATORY. De. WILLIAM BEAM... 205 Introductory — Chemical Composition of Nile Waters — Milk Supply of Khartoum — Dried Milks — Sudan Grains — Salt — Limestone and Lime — Sudan " Gum Arabic " — Tureba — A Novel Use of Asbestos — • Ancient Gilded Pottery — Gunpowder made by the Khalifa — Benga, a Magic Powder — Iron Ore from the Bahr-El-Ghazal — Nyam Nyam Arrow Poison — A New Form of Hydrometer — Determination of Crude Fibre — Simple Form of Blast Lamp. LIST OF ILLUSTRATIONS 245 INDEX 247 12 E y. E INTRODUCTION rpHE First Eeport of these laboratories was issued in the autumn of 1904. It gave an account of the work performed during the first year of the institution's existence, tliat is to say down to the end of January, 1904. Since that period I think one can safely say that the record has been one of steady progress. Such, at least, is the case regarding the work performed. It has greatly increased botli in amount and variety but, fortunately, additions to the stafi' have rendered it possible to cope with the routine duties, while some eftbrts at research have also been made. In the First Eeport I foreshadowed the appointment of a chemist, and suggested that a trained collector and observer with a roving commission in the Sudan, would constitute a valuable addition to our forces and increase our knowledge of Tropical Pathology. The first post was in dxie course filled by the selection of Dr. William Beam, whose reputation as a chemist is widely spread, and who is especially well versed in economic chemistry. He commenced his duties on October 2nd, 1904, and there can be no doubt that Appointment his appointment has been amply justified. He has been kept constantly busy, and it is of a Chemist gratifying that the chemical portion of this Report bulks so much more largely. A special effort has been made to render the chemical research of as practical a nature as possible, as it is believed this will best meet the needs of a rapidly developing country like the Sudan. I would draw special attention to Dr. Beam's investigations on the river water of the country, and on its grains and salts. Work on gums has also been commenced. Like Egypt, the Sudan depends for its prosperity chiefly on the Nile, or rather, the Niles and their tributaries. Dr. Beam early began special analyses of the waters of the Blue and White Niles, and at the request of H.E. The Governor-General, these investiga- tions were ultimately extended to the waters of other rivers. They are not yet completed, but a good start has been made and some interesting points have already been elucidated. Again, the Sudan must in the future develop along agricultural lines, so that work on the constitution of its cereals is of interest and of considerable importance. At present its gum forests are the Sudan's chief asset and enquiry has shown that very little is really known about gums. Dr. Beam's labours may yet serve to place the trade in this commodity on a sound basis. It will, at any rate, probably demonstrate the excellence of several varieties of Sudanese gum. There has been much general work on water, milk, food-stufts, mineral deposits and natural products. It was a more difficult matter to fill the other post but, thanks to Mr. Wellcome's munificence and the interest H.E. The Governor-General took in the matter. Dr. Sheffield Neave was appointed under the title of Travellino- ^ ^ c» .Appointment Pathologist and Naturalist. Although it has been impossible to retain Dr. Neave's services of a Travelling for a second period of six months he has achieved a considerable amount of valuable work, ^aM°f'r'ii often under very trying circumstances, during the short period at his disposal.* This statement can be amply verified by a perusal of his appended Report. One of the chief reasons which made me urge his appointment was the rapid spread of Sleeping Sickness into the northern parts of Uganda, and the proximity of the Sudan to the Nile Province of that country. This led one to fear that, if Glof^ina palpaUs existed on the Upper White Nile in Sudan territory, the disease might spread and play havoc amongst the Baris, Dinkas • It is hoped that this division of the work will be continued at a later period. 10 INTRODUCTION Dr. Nfave's cxpniilion E<|uipmont supplied to llie ex(>cdilion of the Sudan Sleeping Sickness Commission Appointment of a clerk mill other tribes iiihiibitiiig that rugioii. Trnv I liml not fuuml tlic tly in tluso parts, hut my observations hud been very limited, and a thorough examination was most necessary. Tinit sneh was the ease was speedily provid by the news that Captain Greig of tiie Koyal .Society's Coininissiim in Uganda, Inid been deputed to travel iiortli and examine both banks of tile Nile not only in Uganda bnt in the Sudan. It so happened that Dr. Neave was able to meet him at Gondokoro and eo-operate with him. ('aptain Greig being pressed for time did not exteiiil his observations furtlur lliaii Uni-. 1 Ir. Neave made a more lengthy exploration and his results, being negative, coincide with those alreadv published by Dr. (}reig. Dr. Neave then nianhcd tliiough a portion of the ]5ahr-EI-(iliazal province finding (J. morsitaiiK present but no sign (if (i. ji(i/j>ali.i. In additidU, Dr. Neave made many bltiod exaiiiinatidiis and (liscovered new trypanosuiiu's in tisli ami lijnls. He aiso f(aniii (itiicr iilooil parasites which are tle.scribed and tigure.o,„|i,i„„ T 'T^"^" ^'-'l"i>o infection ,|>,ri„„ .M;„,,, ,„„, , , had been adopted ^ "'■ '•'"'• '"-'<"•••■ reduction n.ea^urc!, B L a e N l I".. 5.- I'LAK S o ZLt h B a.n 7.- ■"" " ""■'"" '""•■ ■'"'•• tc.v:;=";.r«" — -- -- ....,.- MOSQUITO WORK IN KHARTOUM AND IN THE ANGLO-EGYPTIAN SUDAN GENERALLY 17 MOSQUITO STATISTICS— KHARTOUM, 190i-190o~(conlinued). Continuation Fkom First Bepokt. Month Total Water Collections Infected Percent- age Infected Remarks A. A.&C. 1 C. S. Total 1905 February 658 19 19 2-88 March . . . 666 26 26 3-88 April 676 1 17 18 2-66 Auophelines found in river pools. May 666 2 3 33 38 5-70 Anophelines found in river pools. June July ... August . . . 666 666 680 1 1 1 ... 12 17 42 13 18 43 1-95? 2-70 ? 6-20 Statistics doubtful ; temporary inex- perienced inspector. Statistics doubtful ; temporary inex- perienced inspector. Usual inspection resumed. September 684 33 33 4-82 October ... 733 2 60 62 8-43 Heavy rains ; many pools ; coverings of wells washed away. MOSQUITO STATISTICS— KHARTOUM NORTH, 1904-1905. From Commencement of Operations. Month Total ' Water Collections Infected Percent- age Infected Remarks A. A.&C. c. S. Total 1904 March . . . 56 15 15 26-78 Prior to operations. April 55 10 10 181 Operations began this month. May 55 6 6 10-9 June 55 5 5 9-9 July ... 59 9 9 15-2 Rise due to increase in uuused wells and infection of leaking irrigation channels. August ... 59 6 6 9-8 September 59 6 6 9-8 October ... 59 2 2 3-4 Decrease due to wells being covered. November 59 3 3 3-9 December 59 4 4 6-8 1905 January February March ... 98 98 100 ... ... 5 4 6 .. 5 4 6 510 4-08 6-Op Town rapidly extending ; many new wells. April ... 103 5 5 4-85 Rain pools formed. May 98 4 4 408 June July ... August ... 100 100 110 1 3 2 7 3 2 8 3-00? 2-00 ? 7-27 Statistics doubtful ; temporary inex- perienced inspector. Statistics doulitful ; temporary inex- perienced inspector. Usual inspection resumed ; leaking irrigation channels. September 113 1 1 4 6 5-31 October . . . 115 1 1 4 6 5-21 Rain pools formed ; syphon pits in- fected. Statistics, Khartoum North 18 MOSgriTO WOIIK I\ KIIAIlTorM ASM) IN TIIK. \N(i 1,0- lUi YTTI AN Sl'DAN OKNEHALLY Simultaneous occurrence of Anoplielines and Malaria Diminution in cases of " fever " Schwcinfurth on the un- hcalthiness of iilil Khartoum !t will iif si'cii timf the town has ix-eii ki-jit in u fiiirly siit isfiic-tory stiiti-, and one vastly ilitVcicnt from that which usid to obtain. Anophclinis havf hei-n practiially abolished, though we are always liable to their recnrrence owing to outside infeetion, ami, latterly, they have been somewhat jiersisti lit. If, Imwrvrr, iiroiiijit measures are taken as soon as thev are found, they usually speedily disajjiieur. The only instances where they remained for some time occurred in Khartoum, when river pools were forming ami Mr. Newlove, the Sanitary Inspector, who has conducted the work with much energy, was absent on leave, and in Khartoum North. In tin- latter case the irrigation tdiannels of eertiiiu barracks were in a leaking condition, and in the pools which had formed the Inspector found the larviu of /'_iiirli>/>/iiiriix ro^liilis. He had the pools oilid, informed the person in charge of the occurrence, and received a promise tlml thr necessary repairs wouM be executed, I'lifDrtimatilw lir nlicil nii tliis jJinniisc aiiil did nut again visit tlie spot till tiic time came for his customary round. For some reason the work was not carried out, the Anojihelines bred freely, and what is remarkable is the fact that during this period several eases of primary malarial infection occurred amongst Egyptian soldiers in these barracks, all being nil n who liad luver been south of Khartoum. This sliows the importance of proper supervision. Inspection is often very hot and tiring work in the summer, and Khartoum North is diflicult to reach, but unless care be taken to see that instructions are reallv aiul correctly carried out, failure will frequently result. The simultaneous occurrence of Anophelines and malaiia is very interesting. The same thing occurred at an earlier period in Khartoum, Anoplielines were found breeding in small numbers, and at that time the solitarv case of primary malarial infection seen by JIajor Daiisey Browniing and nivself in Khartoum, during the winter of l!t04-0r), came under observation. It is not justiliable to make a definite statuiiieiit to the etl'ect that malaria lias decreased ill Khartoum, because no statistics are available whereby this can be proved, Jlalaria is a ut nnwekorne confirmation. The fast of Ramadan was followed by the feast of J?airam. The first lasteil four weeks, the latter one week. Hoth— and especially Bnirani — interfereccn in Fig. 7. MOSQUITO WORK IN KHARTOUM AND IN THE ANGLO-EGYTTIAN SUDAN GENERALLY lias been reduced to lialf-a-pint. Tliis is still much in excess of what is actually required to kill the larvffi. Two ounces have been found to be ample, but the larger quantity is employed because some is wasted owing to splashing, and because it admits of a film being formed which lasts for several days in the case of a well and prevents reinfection. Several interesting new facts have come to light. Thus, wells which are constantly in use are very rarely infected by Culices. It is the unused well that is the great nuisance, and very often the unused well is in the unoccupied and locked-up premises, and therefore difficult of access. Sometimes a used and unused well have been found alongside each other, the former un- infected, the latter harbouring eggs and larvffi. Sir William Maegregor, till lately Governor of Lagos, wrote me from New- foundland, asking if the depth of the wells some observations on this Unused and deep wells Fig. 9. — Develoi'Mknt of Mosquitoes. Larv.«, PupvE and Imagines. Both Culex and Anopheline larvae are shown, the former only possessing respirating sj'phon tubes. Fig. 10. — Egg-doat of Culex. The straight line indicates the level of the water. had any influence on the breeiling operations, as he had made point in the West Coast territories. In Khartoum the deepest wells do not exceed 30 feet from ground level to water surface, and C. fat'ujinifi seem to breed indiflerently up to that depth. The wells at Omdurman are much deeper. In one of these, at a depth of 70 feet, the larvaj of both C. faf'njdii.f and P. co-italix were found. It was an uncovered well worked by a pump, and it is remarkable that Anophelines were found in it, for there could be but little light ;it that depth, and as stated, P. costaU-s does not favour wells. So far it has not been possible to attack the mosquitoes in Omdurman. The area there is too vast, it is out of the way, few Europeans live in it, and the distance between it and Khartoum is, I think, too great for infections of the latter town from the former to occur with any frequency, save, indeed, when the inevitable steamer serves as an intermediary. Still the task should be undertaken, but it is largely a question of ways and means. Dr. Doty's recent investigations* go to support the view that the mosquito is not much of a voluntary traveller. It is worth noting that the wind very rarely blows from Omdunnan to Khartoum, ij\. from the north-west. The reverse is the ease in the summer, while in the winter north-east or due north winds prevail. Considerable improvement has resulted from having as many wells as possible covered over, permanently if a pump is affixed, with a movable wooden cover if the water is drawn by hand. Wooden covers are very liable to warp and split in tliis country, but they can be easily repaired. An attempt was made to procure covers of canvas or sacking fixed to barrel hoops, like those used with success at Bathurst.f In Khartoum they cost too much, chiefly because barrels are rare articles in the Sudan, and special flexible metal had to be * Brit. Med. Jour., Vol. II., 1905, p. 971. t Dutton. Report of the Malaria Expoditiou to the Oamljia, 1002, p. .30, Considerations regarding Omdurman Covering of wells and the introduction of pumps 24 MOSQUITO WORK IN KHARTOfM ANP IN THK ANQLO-EOYPTIAN SUDAN GENERALLY prociiri'tl, also iHriiusi' lul)our is hcttcr paid. Wind cost fonrp-iicf in Hatliiirst sictimllv cost three shillings ami sixiu'iicf in Ivhartoiini, uikI was not ^ooil at that ! It used to he the rule tinit anyone might sink a well practically anywhere in Khartuuni, iiiitl when he had finished witii it, hr left it na it was. This state of things has been altered. Now no one may sink a well for any purpose without submitting a plan, showing the situation of the i)roposed well, to the (loveriior. Such plans are imssed to the Medical Rfgistration of • ir i i r' weiu Otlicer of Health. The well may or may not be sanctioned, but if it is, the ownier is made to promise, under penalty for default, that he will either fill in the well when no longer wanted, if it is being sunk merely to secure water for building purposes ; or if it is intended for prolonged use, that he will aflix a cover to the satisfaction of the Sanitary Inspector, and that he will keep that cover in good repair. This has been productive of much benefit, though it requires constant watchfulness to see that the law is not evaded. The cost to the owner or user is not great, though in some cases it imiy constitute a hardship. The covers may be fixed, ami then stolen or maliciously broken. It is almost impossible to attain anything like perfection in this vexed question of wells, but every little helps. Public wells are all covered and most of them have pumps. When Khartoum possesses a proper water sniijily witli stand-pipes in the streets it is proposed to fill in all the wells save such as are re(iuired for the irrigation of gardens. If this be done C.juliijiiiis will find it very difficult to maintain a footing in the town. The Proposed rapid extension of Khartoum has recently necessitated the sinking of many new wells for future action . .... ^^. . l)Uilding purposes. Ihese have to be permitted, but one is sorry to see the site of the town honeycombed in this way. For a long time it was (lilficult to control the breeding places on the steamers, but in the autumn of 1904 the Director of Steamers and Boats issued more stringent regulations to engineers and native reises, and tlie nsuit was soon appaicnt. Steamer after steamer Steamers and arrived free from mosquito larv;e, Khartoum Nurtli became a more comfortable place of habitation, and the wells in the river zone of Khartoum were less frequently re-mfected. The engineers were taking trouble and carrying out the plan which had been devised for treating bilges both in tiie steamers ami in tlie sandals or barges they are accustomed to tow. The following arc the instructions which were issueil. Mr. Newlove devised the plan of oiling the wood holds in rotation. They had always been a dilliculty till this was done. Regulations for ^' ■^^'f"'"'' leaving Khaitouni tile bilge water in the various sections should be oiled steamers and by pouriiig petroleum oil the surface of the water aii//('/////'" .iijiKiiiiiiil/irniKi on till' .lur river and ('illm siiiiiiiiKisii at Meshra-El-Kek, on the Jiahr-El-tthazal. No .KiHnmiiin has been taken before or since in the Sudan, and the genus CHin had been represented only by C. ji/i(ira;iisis. ( '. xi/ikiiiiosh is probably a malaria carrier. Dr. Neave made a considerable collectinn, wliicli ini indnl two new eulices. These are described by Mr. Theobald. Jlr. Newlove obtained a vi'ry fair collection, in which occurred a fine ])Urple variety of < 'iili'.r lliii-iju'x, also secured by Colonel I'enton. Jlr. Newlove also collected s(jme larva- new to science, whicli have also been submitted to Mr. Theobald. Captain Hughes sent Culi-.i liir-iii/i/'nlfii" from Kl Obeid. where /'. nis/nlis seems common, and Captain Elisor and Mr. Crispin have shown tliat Xi<,ji,iniiieita, tmt no furtiur. Wiuii tiilmte is under discussion they are said to have killed quantities of eattle, sheep, goats, pigs, and dogs, specially when they first reai)peared. However, now they seem less numerous, and the Nuhas are not much afraiil of thciii. At Daheir I was tidd tlicre were very few there, whilst at Nying-Nying I was told exactly the reverse, and specimens were dillicult to procure. They haunt the rocks ami angal hedges near the villages, but animals can graze a mile or two away from them by day and lie brought in after nightfall with immunity. The fly is pnscut tiiroughout the year. 'I'lic tlv licit extends from a place called Kawaliii to about twenty miles soutii, and is only three or four miles in breadth. Outside tlie belt no tlics are to be found, an/"///"//(/(/'■, are, however, not lacking in the Sudan. The first t saw- was .sent by Colonel Talbot from Abu llamed, where at times it is a veritable terror. It is The • Kumei." knywn US the " Kunteb " and bites fiercely, though, fortunately, not dunng the niglit. It Simulidae Sand Hies The'Nimetla" Fig. 13. —Owl MlnCH(x I2di.-i Fig. !4."-Owl Midgr. Khartoum. Stomach gorged with blood. will follow its unfortunate victim several miles back from the river und renders out-door work impossible. The species has been identified by Mr. Austen as .S. (liiio.'a Hunter brought specimens from Shambe. These flies are filth carriers, like some of the Muscidce which, of course, are represented and are very numerous in certain places. Musca cloinextica is not often a great nuisance in Khartoum, though it is busy the moment the sun rises and often drives sleepers from the roofs. I have noticed that the hot weather in April soon kills ofi" these common house-flies. They are most aggressive in February and March. Of greater interest is Auchmeromyia luleola, the flv whose larva constitutes the now Congo floor .' . . * . ™aggot fly well-kno^\Ti Congo floor maggot. This fly exists in the Bahr-El-6hazal pro\Tnce, and specimens have been taken by Dr. Neave and Major Bray. The latter captured a pair in coitu. They exactly answer to the description given by Mr. Austen in the Liverpool Keport of the Trypanosomiasis Expedition to the Congo, 1903 — ^1904. Two specimens were recently sent me by Yusuf Eft'. Darwish, of the Egyptian Medical Corps. He took them at Mongalla on the eastern bank of the Upper White Nile. Specimens of the maggot have not yet reached me nor have I heard of it being reported as a nuisance or a cause of invaliding.* Bengalia depresm is also of importance medically {viih' Mr. Theobald's report, p. 83). Another interesting " find " was made by Mr. Crispin, who sent me a so-called tick from Lipotera a tame Ibex at Suakin. I regarded this as a MdopluKju^, an insect, which though a true ' If"' Dipteron bears no resemblance to a fly, yet is allied to the flat and leathery IlippohoKcidw on the ibex which are so common in the Sudan and are found on horses, mules, camels and dogs. It turned out, however, to be a Lipoptera, a closely allied form and apparently a new species (vide Mr. Theobald's report). I append a list of the Sudanese Diptera mentioned above and in Mr. Austen's special article (p. 51). MuscidcB Glossina G. morsitans. Bahr-EI-Ghazal, S. Kordofan and Upper Sobat (Abyssinia). G. palpalis. Bahr-El-Ghazal. Lado Enclave. G. sp. / Bahr-El-Ghazal. Southern part. Stomoxince Stomoxys sp? Upper Blue and White Niles. Musca M. domestiea and allied sp. General. Tjiieilia ? . . ' . . ^ . :- Not yet identified but probably numerous and general in distribution. Lompisomijia ) i j d Pyciiosonui P. putorium. Upper White Nile. P. marginale. Bahr-El-Ghazal. . * Quite recently Major Dansey Browning has sent me numerous specimens of the maggot from the Bahr-El- Qbazal province. 36 BITING AND NOXIois Iv^iKiTS OTHEU THAN MOSgL'ITOES • Bol" flies Non-biting diptera Jialir-El-(Jli;izal aiii-iii.i in tliu hiburatorii'S at Khartoum. 7'. ri rant US and sociits are also found on the Blue Nile. .iiic/iiiifriimi/iit A. luteola. Bahr-El-Ghazal. I'i'Imt Whitr Nile. TiilMiiiiiite ('/irijsi>j)s Chrysops (IistiiK'ti|H'uni.s. Hahr-EI-Gliazai ? TafHuiiiKf Tahanus dorsivitta or virgatus (Austen) „ biguttatus „ soeius „ fasciatus nilotieus africanus par gratus „ ditaMiiatus II(einii/i>/iiifii H. sp. nov. } H. pukhrithoraxi Beiianliii. B. depressa — really a new genus (Austen), Bahr-El-Qhazal. Pdiigotiiiice P. luagrettii. Blue Nile and Kassala. C'fiironoinuhr Ceratopogon ? sp. Khartoum. Piiiiii(ltzi Fig. 17. — Hoplistomerts Serripes, Fabr. ? S. Africa to Abyssinia and the Sudan Black, clothed, especially on abdomen, with short, golden yellow hair ; wing markings brown. Ticks Year by year the role of ticks in both human and veterinary pathology is shown Ticks to be of increasing importance. In the case of man, Spirillum Fever, the Spotted Fever of the Kocky Mountains, the Karapatti disease of the Zambesi and a fever prevalent in Persia and Beluchistan, have all been attributed to parasites transmitted by ticks. In all 38 llII'IN(i AND NOXIOUS INSECTS OIIIKU THAN MOSQUITOES Piroplasmosis in Caltle |)r(iliiiliility IMiickwiifcr Fi'Vor is also h liiniiiin piroplasmosis, whili' i-vidi'iice is now ai-i-uiiDilatiug to show tlial the rut tick ami not the rat Ilea, may hv thi- h^vuX in spreading phigue. Amongst the lower animals we find Texas or Ked-water Fever, Khodesian Fever or African Coast Sickness and Trans-Cancasian Fever in cattle, to be i:iirliiiii<-liiis /inliidix on the White Nile 1 .see that Hodges had previously described a similar infestation of these very mosfjuitoes in Uganda,* while the whole subject of the parasites of the Culicidie has been fully dealt with in an interesting paper by Dr. Leon Dye.f The trouble about ticks is that the same species are sent in again and again and it is difficult to get new varieties. The unskilled collector naturally mistakes the different stages in development for differences in species. As regards diseases conveyed by ticks, I liave never seen a case of human tick fever, nor has (h-ni//i>iiliirii.f iiitiii/iiitn, the tick said to be implicated in its spread, been sent me, but I am inclined to think that the disease must exist in the 15ahr-KI-(Jhazal I'rovinee. Quite recently I have found piro})lasmata in the blood of cattle sent nic from Berber by Captain Head, nf the Veterinary Department. I have not had time to study the parasite fully, but its apipcarance is shown in Fig. IS. It is very minute and occurs in coccoid, small ring, and somewhat flame-shaped forms, while as seen in the photomicrograph dividing (spore forms) are present. No extra-corpu.scular forms were seen. It is possible that the disease was introduced from Egypt, ami I am not certain but that the parasite is a new one. As stated, it is very small, and yet it does not answer to J', parviim. At present this brief • Hodges. Jour, of Tropicnl Mediriuc, 1902, Vol. IV., p. 20.3. f Arcliivcn de Parasitologic, l'J04, Vol. IX , p. 1. BITING AND NOXIOUS INSECTS OTHER THAN MOSQUITOES 39 mention mnst suffice. Ticks sent from Berber proved to be IIiinkniniKi jaundice of dogs occurs, and is probably due indirectly tu L'/iijiiiyji/i,i/ii.'< (rijiijifiHiii Malignant KdiKiitineus. I have examined female ticks taken, gorged wi Fig. 18.— Pikoplasmata i.n Mluml) of Cattle, x 137iS dia from cattle with trypanosomiasis, but I have never found try- panosomes in these ticks. The parasites were, however, far fruin numerous in the cattle blood. In Idood from mites taken from infected rats I have found try- panosomes alive 26 hours after the insects were removed from their host. The recent work of Skinner* has drawn attention to the possible association of //i/iiluiinim /iis minilii. and if successful, both the agriculturist ami the treasury would greatly benefit. In this connection I may record the discovery of a third species of preilatory huly-bird which is described by Mr. Theobald (p. 93). The only real effort to cope with the aphis in the Sudan appears to have been made by 5Ir. f'orbyn on the ]\\w Nile. He employed petroleum washes at an early stage of infestation and apparently with great success, as he states that the dura crop on the Government farm BITING AND NOXIOUS INSECTS OTHEK THAN MOSQUITOES 41 was saved. It is probable the mere vigorous washing was the eifective agent in clearing off the aphides. Petroleum itself is said to have no effect on them. I have found, and sent to Mr. Theobald, certain other aphides which were present ^^'^ Aphide on the bamboo in the south, and on diseased melon plants forwarded from Kamlin by Major Dickinson who takes a keen interest in these matters. Both, I believe, are new species. Some communications from Major Dickinson regarding his observations on the Aphis sorghi are here recorded. " I have noticed that the honey is almost invariably found on the upper side of the leaf ami the insect on the under side. In the few cases where the insect is found actually in the honey on the upper side, it can always be accounted for by its having dropped off a leaf immediately above. Is it known yet what becomes of the fly from December to the time of its appearance, viz : — in September or early in October ? As far as I can observe with the naked eye the first appearance of the pest is a faint covering of honey on the leaf of the plant. I have never seen any insect engaged in depositing tliis honey, nor have I been able to detect any insects in the honey itself, except as already mentioned, when they have apparently fallen from another leaf above. If the insect is hatched in the honey it seems that it must crawl round to the other side of the leaf while still too small to be seen with the naked <'ye. I have also fouud crowds of the fly in its crawling stage on a leaf that seemed to be perfectly dry. A great deal of this honey drips off the plants on to the ground. Is it possible that the insect may be bred in the ground from this honey and spread among the plants the following season ? The head of dura which I have sent you is the kind knowTi as Wwl Fuhil. It and two other kinds, Aiiiinn and Fiki MuMchi are said by the natives to be particularly liable to the attacks of the Asal fly and they certainly seem to be in a worse plight than some other kinds, such as Fetanta ; though I have not come across any kind yet on irrigated land that is not affected more or less. I think that this fly is in danger of becoming a very serious pest. If it cannot be hatched out before the end of September the ravages might perhaps be lessened by making the natives sow their crops earlier than they do now." Again and later, " I am anxious to hear whether you discover any trace of the Asal fly itself ini the infected cotton from Berber. I planted dura at wide intervals among the cotton on the Government farm here, and some of the cotton plants which are close to the dura stalks have the honey on their leaves, but I cannot find on any of them any trace of the fly itself. I do not think that the fly attacks the cotton plant, but if planted with dura a certain amount of the honey falls from the dura on to the cotton plant, and this perhaps may injure the plant by stopping up the pores of the leaves. I will be able to see whether it does or not later on. It does not seem that the plan of wide planting does anything towards mitigating the injury done by this pest. The dura planted among the cotton on the farm was sown ;dong each ridge at intervals of 10 feet, and the ridges themselves are rather more than a yard apart. Yet this dura is as badly affected by the Asal fly as the closely-planteil dura on the native sakias, and I have had to root up quite half of it." About the same time as the above were written a report reached nie from the Eahad stating that the kinds of dura known there as Fctarita and Mngml were infected. Xajjud was apparently immune. The only dura plants recognizable from these native names are Anilriijioijini cennnnn [Fcfiiritd) which yields a white grain, and Xnjjud or NaijoiH, which is the black and red variety. As it has been impossible to undertake much field work or to study the Aphis 42 IlITINO AND NOXIOUS INSECTS OTHKU THAN MOSQUITOES propirly, it is not iiii t-nsy iimttcr to iinswi-r nil Major Dickinson's queries. One ciin, liowiver, iisstTt tliiit forms are found on tlie lioncy-covcred surfaces. I liuvc discovered eggs in tliis situation as well as winged forms. liutli these are e.xtnniily niiiiutc and might easily escape naked-eye observation. The forms found on the under-surfaee of the leaf are usually apterous females, and the time of year at which they are found will proliaMy indicate wlictlitr they are parthenogeiietie females or engaged in oviparous or vivi|)an)us repniductiiJii. The life-history of Aphidi'S is so very coiuiilix and vit of such amazing iiitinst, and the .1. xonilii is such an important factor in cereal cultivation in tlir Sudan that I here take the liberty of inserting sonic extracts from Insects, Part II., Camliridge Natural Historv. hv Dr. David Sharj). '■ Thr inijiviihia! life fur sivcral gcnrratimis is rrstrictid to constant, or at anv rate copious, imhiliition of food, accomi)anicd liy an almost uninterrupted produetioii of young by parthenogenetic females, the young so produced Incoming rapidly (sometimes in the course of eight or ten days, but nn)re usually in about twenty days*) themselves devoted to a similar process; so tiiat in the comparatively slmrt ]m ridd of a few months the progeny resulting from a single individual is almost iniiunicralilc. This nniarkable state of afl'airs is accompanied by other peculiarities of pliysiology, with the result that the life-histories of successive generations become very diverse, and <'omple.\ cvi les of series of generations diflering more or less from one another are passed tliruugh, tiie species finally returning to bi-sexual reproduction, and thus inaugurating aiintlier cvile of generations. Tlie surprising nature of these facts has in the last InO years caused an immense amount of discussion, but no sati.sfactory light has yet been thrown on 1inl>ly Diuch more rapid {ridr p. 40) Mr. Loimxliurj-'s remarks. — A.B. BITING AND NOXIOUS INSECTS OTHER THAN MOSQUITOES 43 falls, or when the supply of food is less in quantity, or after a period of deliberate abstention from food, sexual individuals are produced and fertilized eggs are laid which hatch in the spring, and the phenomena are repeated. In other cases these phenomena are added to or rendered more complicated by the intercalated partheuogenetic generations exhibiting well- marked metamorphosis, of kinds such as occur in apterous or in winged insects ; while again the habits of successive generations may differ greatly, the individuals of some generations dwelling in galls, while those of other generations live underground on roots. As regards the physiology of production of winged and wingless individuals there has been but little exact inquiry. Vast numbers of individuals may be produced without any winged forms occurring, while on the other hand these latter are occasionally so abundant as to float about in swarms that darken the air ; the two forms are probably, however, determined by the supply of food. The winged forms are less prolific than the apterous forms; and Forbes has noticed in Apliix iiiuiiH-niiHria, where the generations consist partly of apterous, and partly of winged individuals, that when the corn begins to flag in consequence of the attacks of the Aphis, then the proportion of winged individuals becomes large. The appearance of winged individuals is frequently accompanied by a peculiar change of habit ; the winged indiviiluals migrating to another plant, wliicli in many cases is of a totuUv different botanical nature from that on which the apterous broods were reared ; for instance, . l/*/a'.s imdl, after producing several apterous generations on apple, gives rise to winged individuals that migrate to the stems of corn or grass, and feeding thereon commence another cycle of generations. On the whole, it would ajipear tliat the appearance of winged forms is a concomitant of decreasing nutrition. It is a very remarkable fact that the sexually perfect females are invariably apterous, and this is frequently also the case with the males. It is also highly remarkable that the sexually perfect individuals are of comparatively small size. There are at least three kinds of males in Aphidae : — 1, winged males ; 2, wingless males with mouth well developed ; 3, wingless small males with mouth absent. We have already alluded to the fact that the mode of reproduction of Aphids leads to an unrivalled increase. This, however, is not due to the prolificness of the individual, which, in point of fact, appears to be considerably below the average in insects, but ratlier to the rapidity with which the young begin to reproduce. This has been discussed by Huxley, Buckton and others. The first-named naturalist calculated that the produce of a single Aphis would, in the course of ten generations, supposing all the individuals to survive, " contain more ponderable substance than five hundred millions of stout men ; that is, more than the whole population of China." It has since been contended that Professor Huxley's calculation was much below the mark. Although it is somewhat difficult to make a calculation dealing adequately with the actual facts, yet it is clear that the increase of Aphids is such tliiit, drawing as they do their nutriment directly from the plant in its growing state, in the course of two or three years there would be no nutriment available for other animals, except such as might be derived from plants not attacked by Aphids. The numbers of Aphidaj would be so great that they could not be expressed by ordinary numerical methods, and their increase would be actually limited onlv by the relations existing between different kinds of plants and between plants and Aphids. This result is avoided by the fact that Aphids are themselves the victims of a whole army of insect enemies. They have the numerous members of a special group [Braconidrc, AphiiUides) of minute Ili/ini-iinpteni to live inside their bodies, and manv Aculfntc IlymcHupfi'm depend entirely on the Aphidte as the source of food for their own progeny, '^phis Enemies of the 44 HITINO AN'I) NOXIOl'S INSKCTS OTHER THAN MOSQUITOES The Lmly-binis — Coccinelliilir — live on Apliiils ami (!occiils, an//• p. 95). No doubt it reijuires the same treatment as does . I. vy/om/oyn/* viilitfiliix, the bug of melons {viilc First Rcjiort). Some cotton pests have come under notice, amongst them certain of the Ccrcop'ulai or Frog-hoppers and a tiny beetle. Both Mrs. Broun and myself bred out a Dipteron from certain larvje which caused A Melon Fly great damage to melons and were sent us by Mr. Durant. The fly could not be identiiied here, but specimens of larvie, pupa?, and adult insects were sent to England, and Afr. Theobald describes it fully on p. 93. * Agricultural Zoology, 1899, p. 237. BITING AND NOXIOUS INSECTS OTHEB THAN MOSQUITOES 45 Locusts This year, 1905, the question of locust destruction has come prominently into notice. Locusts Various parts of the Sudan have been visited by swarms of these destructive insects and great damage has been done in some districts — notably about Kamlin and in the Berber Mudiria. Khartuum lias nut been exempt, and the whole question is a very serious one for Agriculturists. One took the opportunity of the visit of Professor Werner of Vienna to the Sudan, and enlisted his kind help in the identification of such specimens of Sudan locusts as had been collected. The following have been obtained : Acrida variabilis Schistocerca peregrina Aerida nasutus Acrydium aegyptium Pcecilocerca hieroglyphica Acrydium succinctura Phymateus Hildebrandti /Erotylus patruelis Gastrimargus, sp. ? In Khartuum the commonest species is PcecUocercn hieroijli/pJnca which haunts the Ilshar plants (Calotrojn-i j^i'ocera) while the swarms which visit us are usually composed of the yellow SchiMocerca pevegrina or the bro^\'nish-red Acridiimi atiiiptliim. I was requested to prepare some instructive notes regarding locusts and locust destruction and these are introduced in this article. They make no claim to originality save possibly as regards their arrangement, and care has been taken to include only simple and easily managed methods of prevention or destruction. The information was derived in part from the Sudan Instructions of 1901, supplied by the British Museum authorities, from French and American sources, and from various works and pamphlets on the subject. Locust Prevention and Destruction It is verv important that correct information be obtained regarding the breeding places Locust of locusts in the Sudan, having respect both to locality and season. It is also desired that prevention prompt preventive and destructive measures should be taken on the appearance of these destruction pests. The following items of iufurmatiun are furnished. From a study of these you should p^^^ ^f be able to educate some uf the natives so that they may help to furnish the requii-ed Memorandum information and be led to take an interest in locating the breeding grounds and destroying the eggs and insects. 1. Locusts are : — (o) Permanent ; (A) Jligratory. 2. Swarms uf locusts alight un the gruund fur twu pui-poses : — («) Tu lay eggs; (/-) To feed. 3. A locust dies as soon as its eggs are laid. 4. The eggs are laid in clusters in the soil, preferably in undisturbed land aiul where there is bush and grass. Moist land is usually avoided but the banks of water courses constitute favourite localities. 5. With their sterns the female locusts bore holes in which the eggs are laid. These holes look rather like the pits made by rain drops. 6. The presence of holes does not necessarily mean that eggs are present. It usually means that the locusts have been disturbed when laying, as when the act is complete the holes are carefullv covered. 46 BITINO AND NOXIOUS INSECTS OTUF.H THAN MOSQl'ITOKS 7. Tlif l)fst giiidi' to tlic ogfj;s is tlio presence of ilcail locusts lyiii^ on the ground. S, Tlu- igg clusters iire usually found iit a depth of two inches. 9. Flights and egg-luying may be expected after the rains. 10. Eggs, if not disturbed, are not destroyed by being covered with water. They will hatcli out when the submersion is over. 11. A single egg soinewhut resembles a grain of wheat in shape. The eggs in a cluster arc arranged in rows with grooves between them. 12. The numlxT of eggs laid by a well developed locust varies from 100 to IfjO. 13. The time of hutching varies from IT) days to several months, (h-pending on climatic condition and soil temperature. 11. WIkii tlic cg^s have been laid, a few well-grown locusts are said to remain behind to guide the young ones. Infornmtion is required on this point, and also as to tin- liiigth of time egg-laying lasts. In some places this is as much as (i or 8 weeks in the same locality. If). The young locusts are called " Hoppers." They roo.st at night on grass tufts, bushes, boughs, etc., and descend to the gnmnil before sunrise. 1(5. The "hopper" stage is said to last about 50 days. It terminates by tlic j)roduction of the adult winged insect, the " hopper " shedding a scale or sludl wliidi remains on tlie twig or leaf wliere the transformation takes place and which looks very like a live locust. 17. Locusts only migrate on account of insufliciency of food. Dkstuuctio'n The means to be employed niay be (lassed under five divisions: — ((f) Encouragement of natural agencies. (A) Destruction of the eggs. (<■) Destruction of the young or unfledged locusts. ((/) Destruction of the mature or winged insects. (e) Preventive measures. (a) Eiicoiirdoi'iiieiit ofWiifiiriil Ant'iicii'.i. — In the Sudan all tiiat coidd be done in this direction would be to protect the smaller birds. The destruction of hawks is advisable for this purpose. Fowls and turkeys are useful foes. It is wortli noting tliat the large monitor lizards (U «/•«««) feed greedily on locusts. (A) Dcslritctioii of till' Emix. — This is usually accomplished in five ways: — 1. Harrowing. 4. Tramping. 'J. Ploughing or spading. 5. Collecting. 3. Irrigation. 2. In the Sudan ploughing to a depth of 2 inches might be tried in certain localities. 3. Irrigation is only of use when the land can be Hooded for a few days, just at the time when the bulk of the eggs are hatching. 4. Turning animals loose on infected land is a useful method. Cattle, horses, sheep and goats mav be used in this wav in any area where they can be confine'. <'. Tomkiiiii per ]>r. .\'iil>iirit>). < '/i ri/Muj>K iliHliuctlpeuntK is closely allied to ('. KlliiiiinliailiK, Lw., originally dcscribeil from " Cufl'raria, " of which the Museum possesses specimens from the Transvaal and Mashonaland ; the difl'ereiiccs presented by the new species are as follows : — First joint of antenna more slender, of same thickness as second joint, instead of distinctly if aonly slightly swollen ; costal border of wing as far as stigma brownish (by transmitted light nearly same colour as stigma), instead of dark brown and continuous with transverse band, leaving stignui isolated ; outer margin of dark brown transverse band on wing nearly straight, with no projection to base of fork of third vein ; infuscation in basal cells confined to the tips, their bases, with exception of au extremely small aud scarcely noticeable fleck in each, entirely clear. Genus H.ematopota, Meigeu J/iriiuitujiotd jiitlc/irilhont.r, sp. nov. (Plate V.) ^, ^. — ^ (2 specimens), length llj to 11| mm., width of head 4i mm. H.Tmaioixjia ? (^^ specimens), length tl^ to 12 mm., width of head 3 to 8§ nun. pulchrithorax jRi'(lifis/i-l>rtiirn; t/ioro.r lonijiliuHiinllii miirki'd with ii brotul iiii'diiiii iji-fii stvlpe, very coitxplctious ill Kiuhiniiiiieil f.r(impleK, I'nl in ii'libed specimeun liinjcl)/ replaced by brown ; iibdoiiieii with uinnjiiis of segments and narrow median stripe, greyish ; tibia' with two yellowixh bandx; winijx brown, light markings whitish in ^, yellowish in ^. J, ^. — I/ead: greyish; face with a transverse brown stripe below antenme, less conspicuous in ^ ; first joint of antcnme conspicuously swollen, towards base lighter in colour and greyish pollinose. Thorax : median stripe broader and parallel-sided from front margin until just behind transverse suture, which makes a browu notch on each side; the stripe then narrows until near hind margin, when it curves outwards on each side ; each curve carries a forwardly directed tooth- like angular prominence ; sides of dorsum of thorax with greyish n'^icHKmJiMM'sTBs)'! markings ; pleune greyish ; scutellum greyish, with a rounded brown blotch Head and Thorax of i ^^ ^j^^jj gi,j^. usually conuected with the base but sometimes isolated. Tji-iIS : distal band on front tibiic sometimes absent or indistinct ; first joint of front tarsi usually narrowly v.llowish at base ; first joint of middle and hind tarsi, except tip, pale yellow. W'intis: stigma dark brown ; the usual conspicuous bnjwn patch undenieath it extends unbroken into first posterior cell ; discal cell largely brown, Init proximal third, a transveree mark consisting of two curves at commencement of distal tliird, and sometimes a more or less inilistinct mark beyond this pale ; the pale proximal third sometimes more or less filleii up with faint brownish nmrkings ; ends of both basal cells, and liases of first submarginai ami first posterior cells, largely [lale ; in the marginal cell beyond the stigma and extending into the first sub-marginal is a sijuarish pale area, enclosing a rounded or elongate brownish PLATE V flJ.E. TERZJ. H^MATOl'OTA PUr.CHUXTHOKAX. AUSTRIN S ( X 6) SOME BLOOD-SUCKING AND OTHEE DIPTEKA FKOJU THE ANGLO-EGYPTIAN SUDAN 55 fleck ; ;i sinuous clear mark extending from the under side of the end of the second vein, to the hind margin below the end of the main stem of the third vein, and a similar but shorter mark on the inner side of this, starting from the second vein and sometimes fused with the first mark just above the third vein, usually conspicuous ; for reinainhui u-ing-inarkiiiy the brown of tlu- groiin. SOME BLOOD-SUCKING AND OTHER DIPTEEA FKOM THE ANGLO-EGYPTIAN SUDAN 57 Tabunus tlioracbms, Pal. de Beauv., a species which is common in Uganda, and may therefore be expected to occur iu the Bahr-El-Grhazal, is closely allied to T. par, with which it agrees in the colouration of the body, and in the narrowness of the front. T. thoracinus may, however, be distinguished by its generally larger size (the average length of the female is 13 mm.) by its brownish wings, and especially by the front tarsi and tips of the front tibiae being dark brown. Tahanus jMr and T. thoracinus belong to a group of species (two or three of which, found in the Congo Free State and Abyssinia, have yet to be described) characterised by the yellow or ochraceous colour of the body, and by the narrowness of the front in the female sex. No males of these species are at present available for comparison, but since the eyes in the females are sparsely covered with minute hairs (often difficult to see when the specimens are not in perfect condition), while there is no trace of an ocellar tubercle, it is clear that, if thought advisable, the species may be assigned to the sub-genus Ali/loftis, Osten Sacken. Tahanus ditceniatus, Macq. (Fig. 22) 1 (1838), p. 126 ; Bezzi, Ann. Tabanus dita^niatus Tahanus ditceniatus (sic), Macquart, Dipt. Exot., I. Mus. Civ. di Storia Naturale di Genova, Ser. 2a, XII. (XXXII.) (1892), p. 184. Atijlotus nii/romaculatuv, Kicurdo, Ann. Mag. Nat. Hist., Ser. 7, VI. (1900), p. 165 (N.B. — This synonymy is^new.) The following is a description of the female of this species. — -^ (11 specimens), length 11 to 14 mm. Greyish-yellow ; a pair of con- spicuous shinimj /'lack (hits on f/ic front ; ahdotuen with three longitudinal hlackish or hrownish stripes on the centre one of which is a i/cllowish pollinosc stripe. Head whitish (vertex buff) ; the shining black dots on the front one above the other, the lower just above the angles of the eyes, the upper about the width of the front higher than the """" f.g. 22.-Tabanus d.t^n.atus, Macq. ? former; antenna3 ochraceous-buff. first Natal to the Bahr-Ei-ohazai. Head and thorax yellowish; abdomen ochraceous-bufF with dark brown, joint paler" underside of head clothed somewhat serrate longitudinal stHpes ; antenna yellow ; legs yellow ; front ^' i ' tarsi entirely, middle and hind tarsi, except at base, brown. with whitisli hair ; palpi white or yellowish white, clothed on outside with yellowish interspersed with minute black hairs ; eyes in dried specimens usually with a narrow dark transverse band on a level with lower dot on front. Thora-c : dorsum blackish, yellowish or greyish poUinose and clothed with short golden yellow hair. Abdomen ochraceous-buff, with a broad blackish or brownish median stripe (sometimes with slightly serrate edges) , and a similar narrow stripe on each side ; the lateral stripes are not in contact ^^^th the actual lateral margins of the abdomen, and all three stripes meet together at the tip; in tlie midille line, superimposed on the median stripe, is a yellowish pollinose stripe clothed with short golden yellow hair; this lighter stripe is really composed of a series of triangles with their apices truncated and directed forwards ; the dark stripes are 58 SOMK IlI.OOD-SUC'KINa AND OTIIKlt UIl'TKRA KHUM TIIK ANOLO-EOYI'TIAN SUDAN clotlit'il witli bliifk itiid till' iiiliiicdiaii ticlinici'diis-buft" stripes witli yi-llowish hiiir. Ventral sidf of iibdonifu pinkish ImtV, clotlud with [m\v ycllDwish hair. Lf, with median ^ircyish white longitudinal stripe bordered on each side with a dark brown zitj-xag stripe ; leys yellowish, front tarsi and tips of front tibia: dark brown, middle and hind tarsi brownish. 7'ti/Kiiins viriiiitii.t, noni. iiuv. (For rahitnnt ilnrm-ilhi, Walk., — nuiauii bis lectuni.) (Fig. 25) 7(j/«//i«)i (/orji/(iV/', jowls (part of head heneatli eyes)^ and dorstnn of thorax clothed with qoJden-ijeUow or vhitish i/elloic Itai)'^ irith an inverted cordt/fe jn/tch of black hair on dorsnn/ of tliorax in median line ; in both sc'es leqa blacky and icinf/s except their apices (distal fmrth or fifth) whollt/ dark hroirn. 62 SOME HLOOD-SUCKING ANP OTHEU nil'TERA FROM TFIE ANGLO-EGYPTIAN SUDAN Tin's spccii's tlius shows a striking sexual dim()r]iliism in the inarkinf^s of the l>odv. A curious iilpcrriitidn is, however, |iresenteil \>\ two t'riiiales in tlie Muscuin ciillectiim, t'nmi liie ]iahr-El-(}hazul, Fehruiiry, lOOf) {.\/oj„r //. //. /',/,/,.„, />.S.(>.),&ud tli, llawa-li Valley, Abyssinia, 1901 (A. A". I'fiixe), respectively, whieh actually have their abdomens spotted as in the male, though the spots in tlie ease of the Abyssinian specimen are somewhat more triangular in shajx' ; in addition, these two females also sliow traces of a patcli or streak of yellowish hair in tJic median line on the second and fifth abdominal segments. Judging by the number of specimens of the two forms received up to the present time, in the Anglo-Egyptian Sudan feniaks with jjule hair on head and thorax would appear to be more etimnion than those with goldeii-yeilow hair on these |)arts. The same variation is seen in females from Uganda, and u female from Natal (Umfiili River) in tlie Museum collection also has the hair on luail and thorax distinctly palti- than in otiier females from the same colonv. As already mentioned, 'ruhinni." /liiiulttifii.i was met with in the Bahr-El-(ihazal in February of last year by Major U. 11, IVnton, who also found the species at Kodok in 190U ; other specimens were taken by Major (i. Dansey Browning, R.A.JI.C, on November 6th and 7th, 1905, on a steamer on thr White Nile near Kodok, and at Molub. Additional examples from the White Nile have been forwarded to the Museum by JIajor H. N. Dunn, R.A.M.C. ; Captain S. S. Flower, Superinteudent of the Zoological (iardens, Cairo (March 20th, 1900, " from about lat. 11.0° N.") ; and the late Captain H. E. Haymes, R.A.M.C. (" on boat on Nile, 30 miles south of the Sobat River)." The range of '/'. hiijuttufiis extends from Cape Colony to the Aiiglo-Egvptian Sudan and Abyssinia ; the species also occurs further to the east in the Peninsula of Aden. In West Africa (Northern Territories of the Gold Coast and Northern Nigeria) there exists a form with pale iialjii. wliirji is possibly t'lititled to subspecific rank. Tabanus fascuilus niloticus 7',i/,iii,iit ki»it ^fiitission of Trusti-fs n/ Hrilish Musnim. $, $. — $ (2 siK'cimi'Us), Ifiigtli 17 I til 18^. mm. $ (SI spi'ciiiu'iis), U'ngfh Ki^ to 17 mm. ; wing-expanse not exceeding 36 mm. Tiitrmi ocllliicfoiis ; ti piitc/l i>J hriUidiitly ir/ilfr lunr iit Imsf of iriinj on rilc/i aide, iiinl anolhiT mill liinji'r /iiitr/i ii lilllr Miiiiil litis, /u'linr jniKlrrior iDiiilf of //lorii.r ; li'i/s Iddrk, frinit lihiiv sirollfii, eitpeciaUii in ^; wingn willi liiisi>, tiro trinixrrrsf /iinu/s^ mul roa/nl /larihr us fur ii:i uftjier liiinirh of third vein, or (dmosi to ti/i, In-oini. //"Ill Diiinge-ochract'oiis, ilotlicii witli similarly coloured hair; antennie and last joint of palpi (except Itasc of latter) lilackisli ; third joint of antennie long and narrow, Imt little cxpamlcil at liasc. Tliora.r entirely without markings ; in $ clothed with orangc-ochraceous hair, ill '} with short Mack liair above, and longer orange-ochraccous hair on sides and lielow. Hull, rrs : Iciiul) yellowish - white, stalk lirnwiiisli. Aliiliniiru clothed above with short ochraceons- rufous hair, in the case of the ? inter- spersed with black hairs in median area towards tip ; sides of fourth to seventh segments inclusive marked with a squarish black patch, clothed with black hair ; posterior angles of these segments clothed with silvery-white hair ; eighth segment entirely black : ventral surface — a black patch on sides of third to sixth segments inclusive in f and third to lifth inclusive in $ ; last two segments in $ and last three in $ mainly black ; hind margins of third to sixth segments in $ and third to seventh in ? whitish. Lefin: hind tibia; fringed with black liair mi inside ami outside. W'iiiijs: first transverse band terminates on fifth vein and runs across proximal half of both basal cells, learimi n rh'iir spot at tlu'ir nfrrmi' l>ii.fi>.. 302 : ,/.,-. for lull syuoiiyiuy. In November IQlIf), this spi-cit-s was loiind by Major G. Danst-y Browning, R.A.M.C., to be common on the Jur Hivi-r, liaiu-EI-Ghazal (Long. 8'' 2' N.), at ortlnre. Pijnionoiiia iiKirijiiKtlr is " a tliic'k-set, stoutly built Hy, with orangc-buff-colouri'il face, and sliining, nu'tallir iijuiu-iiurplr (U- metallic green body, recognisable at onee liy llie dark brown trout border to the wings." * The species is distributed throughout Trupieal and Sub-Tropical Africa, and is also abundant in the Transvaal and Natal ; eastwards its range ini hides Arabia, and even extends as far as Quetta. MJCTVU — Fig. 29— Pycnosoma marginalr, Wied. 9 Tropical, Sub-Tropical, and S. Africa, and eastwards to Quetta. Face, orange-bufT: front, ochraceous-rufous ; body, metallic plum-purple or metallic green, with dark bands on abdomen ; legs, black ; wings with a dark brown basal patch and stripe along fore border. Pycnosoma lyiitovium, Wied. (Fig. 30) Muscn piiforin, Wiedemann, Ausser- europiiische zweifliigelige Insekten, II. (1830), p. 403. I'^ciioKnma putorium, Auiiit'n. Annals and I\Iagazine of Natural History, Ser. 7, Vol. XVII. (March lOOti), p. 303. This common West African species, which is found from Sierra Leone to the Congo Free State, was met with by Col. G. I). Hunter, D.S.O., in May, 1905, on a boat on the White Nile, a few miles north of Melut, and also to the south of Lake No. Fig. 30.— Pvcsosoma putoru-m, W'icd. ? Sierra Leone to the Congo Free Stale and the Egyptian Sudan. Body metallic blui%h-green. la<^t two itegmpnt<* of abdomen bras!iy ; transvente bands dull blue-bl.ick. • Austen, Journnl of the Roynl Army Medical Corps, loe. eit., p. 13. 67 Report on Econobiic Entomology /o « Fred. V. Theobald, ]\I.A. Vice-Principal and Economic Zoologist to the S.E. Agricnltural College ; President of the Association of Economic Biologists of Britain ; Foreign Member of the Association of Economic Entomologists, Washington, U.S.A., etc. PART I Second Report on the Mosquitoes or Culicidte of the Sudan Several mosquitoes new to the Sudan have been collected during the past year, including a representative of a new genus and three new species. The males of three species described in the last report have also been found. A slide has also been sent of some aquatic larvae which were said to be preying on the mosquito larvse in pools. This cannot be reproduced, nor can the larvae be identified. Some are young Dragon Flies (Odonata). The new genus described here comes near Stegomyia and has been called Quasistegomyla ; the species much resembling the East Indian Stegomyia snttellaris (Walker). Another new species is placed in Mansonia, but I am not sure if there are not traces of flat scutellar scales, if so, it must be excluded from that genus and must constitute the type of a new one. The species new to the Sudan but previously known in Africa are CilJia squamosa, Theobald ; Cule:i, luteulatn-alis, Theobald ; Culex hirmdipaJjus, Theobald ; the males of Myzonnjia nlli, Theobald, and Uranotania balfoiu-i, Theobald, are described, and two other new Culex, named Culex ruhinotus and Culex nectvei. j^deomyia squammipenna (Arribalzaga) should have been included before as it was recorded in my Monograph in 1903, and now Colonel Penton, P.M.O., has found it again. Dr. Balfour has also bred Culex tiyripes of Grandpre. There are probably a great number of Sudanese Culicidai, but they must be systemat- ically collected and bred and their larva; and pupa3 kept, so that they can be properly described before we shall make much progress in the matter. Damaged material is useless, so are larvaj if we do not know the adults they give rise to. Genus Anopheles, Meigen Syst. Beschr. I., 10. (1818) Mono. Culicid. I., p. 115 (1901) and III., p. 17 (1903) Auopheles welleowei, Theobald. First Kept. Gord. Coll. Well. Labs., p. 64 (1904) weUcomef Fresh specimens of this species have been taken by Colonel Penton on the Jnr and at Meshra. It has also occuiTed in the Aden Hinterland, specimens having been sent me by Captain Patton, I.M.S., who, however, does not agree that they belong to any species. I can only say that they are the same as the specimens I described from the Sudan. The male has not yet been found. 68 REPORT ON ECONOMIC ENTOMOLOGY Myiomyia nili groy tlu Genus Mvzomyia, IMinicliiucl. (Guassia, Thcubahl) Myzomijiii nili. Tlioi)l>al,l. First It.pt. Gmvl. ('..ll. \\\W. Lalw., p. (56 (1904) The female of tliis speiies was desirilnil in tlic last rcjiort. No niiiles Imil then been found. Three hiive since been sent iiic by Dr. JiiiUour, but no more females, tliere is no doubt, however, as to the species. .\fiili\ Head brown with bright grey sheen, the median upright-forked scales creamy lateral ilark brown, a nuMlian tuft of grey scales between the eyes; antennie bright oehreous brown with deep brown verticiilate hairs, the long apical segments brown, tiie large basal segment deep brown ; proboscis long and tliin, iliij) bitiwn, the scales closely appressed ; paipi (Fig. 31, A) witli tile last two segments swollen, the apical one ends bluntly aiiiniinatc and is about half tlie Kngtli of the penultimate ; tlic palpi arc Innwii except the apr.x on which there are grey scales, there are also golden browii hairs on tlie last two segments ; clypeus brown ; there are also two bright golden chiette projecting between the eyes. Thorax deep brown with a greyish sheen, the deep brown also appearing as indistinct lines on the grey area ; in front projecting over the head is a tuft of long, narrow-curved grey scales, the surface of the thorax ornamented with golden curved hair-like scales and scanty golden brown bristles; scutellum brown, paler at tlie edge with numerous pale golden brown border-bristles ; metanotuni brown ; plcune oehreous brown. Abdomen brown with u median darker line, shiny, with pale golden hairs. Legs deep brown, thin and long, with traces of pale areas at the apices of the tibiie ; fore ungues une(]ual, the larger uniserrated, the smaller very minute, simple, looking like a second spine to the larger one ; mid and hind equal and simple. Wings mostly black scaled, with three creamy white costal spots spreading on to the first long vein across the subcostal ; the scales are also pale on the base of the fork-cells and at the cross-veins, also on the lower branch of the fifth and on its stem and on the sixth; fringe duskv, traces of pale area at the lower branch of the fourth anil upper branch of the fifth; first fork-cell considerably longer, very little narrower than the second posterior cell, its stem about two-thirds the length of the cell ; stem of the second posterior longer than the cell by about half the cidTs length ; mid cross-vein a little nearer the apex than the supemunierarv, the posterior not (juite its own length nearer the ba.se than the mid cross- vein. Male genitalia (Fig. 31) with the claspers (<■) euivcd apically where they are slightly swollen, a longish median process between the two lias.il lobes with three broad swonl shaped chictie on each side, near the apex (n). Length. 3 to 35 mm. IJahiUit. Lado. (Sheffield Neave, Esq.) Time of capture. February. OOservationn. Described from three perfect males. Fk:. 31.— MvzoMviA NILI, Tlieob. A Male palp ; B Process on m.'ile genitalia ; c Clasper. EEPORT ON ECONOMIC ENTOMOLOGY 69 The females were taken at Jebel Akmet-Aga on the White Nile, also on the Middle Sobat. Myzomyia funesla Cellia squamosa Miizomi/ia funesla, Giles. Hand Bk. Mosq., p. 162 (1902), Giles ; Mono. Culieid. I., p. 178 (1901), and III. p. 34 (1903) ; First Kept. Gord. Coll. Well. Labs., p. 68 (1904). Dr. Balfour writes that this common African species has been taken in numbers on the Blue Nile. Colonel Penton also took it on the Jur and at Meshra. Genus Cellia, Theobald Mono. Culieid. III., p. 107 (1903) Cellia sijnamosa, Theobald. Anopheles squamosa, Theobald Mono. Culieid. I., p. 167 (1901) and III., p. 109 (1903) This Anopheliue has been taken by Colonel Penton, P.M.O., at Meshra, in the Bahr- El-Ghazal. It has been recently sent me from Godokoro as well, by Dr. Aubrey Hodges. It also occurs over Uganda, Mashonaland, and the Transvaal. It was originally described from specimens taken in Mashonaland by Mr. Marshall and in British Central Africa by Dr. Daniels. This Cellia is very marked and can at once be told from the other member of the genus found in Egypt and the Sudan, viz. C. pharosnsis (Theob.), by its black colour and white markings. There are white scales on the thorax, three white lines on the pleurae, and black, bronzy and ochreous scales on the black abdomen, which has also black lateral tufts of scales. The dark scaled wings have three prominent, and two small basal white costal spots, and the legs are mottled and banded with white. I have not yet seen a male of this Cellia. It will probably be found all along the Nile. Genus Myzoehynchus, Blanchard Comp. Rend. Hebd. Soc. d. Biol. No. 23, p. 795 (1902) Mono. Culieid. III., p. 84 (Theobald) Milzo)-h>pu-hus paludis, Theobald. Repts. Malarial Comm. Roy. Soc. Eng., p. 75 p^'""*'" (1900); Mono. Culieid. I., p. 128 (1901) and III., p. 86 (1903) ; First Rept. Gord. Coll. Well. Labs., p. 70 (1904). This species has been taken in abundance by Colonel Penton on the Jur and at Meshra during the past year. It is evidently common in the Bahr- El-Ghazal. Myzorhynchus A— -1 V^^^l Genus Quasistegomyia, uov. gen. Head (Fig. 32, a) clothed with flat scales ; palpi short and spatulate in the ^ ; clypeus with a distinct carina and lateral prominences. Second segment of the antennae much larger than the following ones. Mesothorax (b), with narrow-curved scales of two sizes and with two pronounced areas of flat scales before the scutelluni (((), one on each side of the bare area in front of it; scutellum (c) with flat scales. I. -■ K^r* ( B.- .C'Cr, "^ L.- Fig. 32. — Quasistegomyia unilineata, n. sp. A Head; b Mesothorax; 5 median silvery line ; a Flat scaled area of the mesonotum ; c Scutellum 70 REPOKT ON KCONOMIC ENTOMOLOGY AlxluiiU'ii mill legs HDnmil. W'inj^s dciisi'ly scuIimI, witli long, struiglit, nitlu'r broad, liiu'iir Kcali's. luiil short, liroiiil, Hal, niciiiiin ones; the liniiiclu'S of tin- fifth long vein iiciirly as long as till' sttiii ; tiic fringe loii^, thr iiK'diaii sizeil scali-s ajipari-utly all crossiug the largo ones ; costal bonier spiny. The "^ palpi are apparently eomposed of three segiiii'iits, the basal one very siiiull ; the seeond smaller than the third, whieh is as long as the rest of the palp, swelling apieally, the apex triineated, ami on tin- inner side are two slight notches (Fig. 38, it). In Stegoiiiyia they are the same size apieally, tapering to an abrnpt acute end (a). This genus comes close to Stegoniyia, but difTers in (1) the marked flat scales on the mesonotum, (2) the wing scales, and {'^) in the peculiar ^ palpi and also in (4) the swollen seeond nnteunal segment. The only species yet found occurs in tiic Sudan. Quaxistegomyia unilineut:\vv space in fnmt of tiic scutelluni, numerous, irregularly placed, broadish narrow-curved scales, and on each side of tluni near the scutelluni a large patch of Hat black scabs; the whole niesonotum is very bristly, the chictie large and black; scutelluni ochreous with Hat white scales ami with a few (3 '!) black border-bristles to the mid lobe ; metanotuni dusky black ; pleune dark brown with flat white scales. Abdomen black with dusky black scales, each segment with a more or less narrow band of white scales which are most pronounced laterally. There are also very prominent large white basal lateral patches, separated from the abdominal bands; posterior border-bjistles small, very pale golden. Legs black, bases and venter of femora pale grey to white ; metatarsi and first two tarsi of all the legs basally banded with white ; in the fore legs the banding of the second tarsal. Clypeus black with a distinct A. Kig. 33. I'alpi ami ba-al ?«cj;incnt>of antcnnii; ut Str^0$nyia a^titeUarii, Walker (a and a), and of Qutuiitfgottiyia ttniliMfata, n. ^p., li and b EEPORT ON ECONOMIC ENTOMOLOGY 71 almost imperceptible (hist tarsi of liind legs absent). Ungues equal (simple?). Wings rather densely scaled vvitli lung lateral, rather broad, scales, and with short broad median ones, first sub-marginal cell longer but scarcely any narrower than the second posterior cell, its base about level with that of the second posterior cell, its stem about two-thirds the length of the cell ; stem of the second posterior cell nearly as long as the cell ; posterior cross-vein sloping towards the base of the wing, about three times its own length distant from the mid cross-vein ; the branches of the fifth long vein very long, the cell being nearly as long as the stem ; fringe long and dense, especially at the apex where the scales are broad and sword-shaped ; the median sized fringe scales slope across the long ones. Length. 3'5 mm. Habitat. Bahr-El-Ghazal (Major Bray). Time of appearance. September (1905). Observations. In general appearance this species is just like the Stegomyia Scutellaria of Walker. It was nearly placed on one side as such, but luckily the flat scales on the mesonotum at the sides of the bare space in front of the scutellum were noticed. The median silvery line also shows a central, dark, thin line, not seen in the Eastern species, nor are the two small thoracic spots. There are also marked peculiarities in the wings, palpi and antennas, so that it must clearly be placed in a new genus. The specimen bears a note, " bred from a tree," presumably from a larva taken in a hollow tree. It is said to be a very irritating species. The hind legs were too damaged to describe. The specimen was collected by Major Bray. Stegomyia scutellari.-i (Walker) is also a tree and bamboo breeder. Fig. 34.- Larval siphon of Theobaluinella siATiiii'ALris, Roiidani. Genus Theobaldinella, Blanchard. Theobaldia, Neveu-Lemaire Comp. Kend., d. Ss. d. 1. Soc. Biol., 29 Nov. (1902) Mono. Culicid. III., p. 148 (1903) Theobaldinella spathipalpis, Eondani Dipt. Ital., Prodro., I. (1886) ; Mono Culicid. I., p. 339 (1901), and III., p. 151 (1903) First Eept. Gord. Coll. Well. Labs., p. 73 (1904) This species has been found again in the Sudan, and Mr. Willcocks sends me many from Egypt. Larva; and pupae have been foimd in Khartoum, and are described here as they have not previously been examined and figured. The specimens are badly mounted so that only a few characters can be given. Theobaldinella spathipalpis 72 UKl'OllT ON Kl'ONOMlC KNTOMOLOGY Culcx hirsutipalpis Tlu' larva when nititiirc is 8 mm. long. 'I'ln' liciid is ln-iglit clu-stnnt lirowii, with Muck I'Vi's and hand across tlic nape, not so wide as tlic tlioi-a.\. Tliorax and alHlonicn gnn-nish-hrown ; sijilmn ln-owii. 'I'lic antciiuiL' (Fig. S.*), n) arc simple and tuhular, and end in a short spine or two ; on the side towards the apical half is a three-rayed bristle, in a line between the antenna- are two-median single bristles, and one on each side composed of three rays; projecting from the front of the head are two Hat cnrved spines ending in three digit-like processors (b) ; the clypcus (c) is ai iitcly triangular, the bases are ..iai..i iM.,..ii chAr.Tcier»of /■*»<^/,//w//,ii/,./*,>,.//>,i. K.,,,..,,M •■^howtlie two pale thoracic spots A l.arviil siphon; a 1 ^pinc of >iphon: a '1 of coml> : li Anterior region of head ; c C'lypou» ; \, Arucmia ; K An anal plate of larva ; f .\iiiil pLitc o( pupa ; SCefl HI HlOSt SpeCimeDS. c Sijihon of pupa. This Culex was originally deseribeil from .Alashonaland, it al.so occurs connnonly in Coast, and is probably existing all over Africa. the Transvaal, Gambia, noM PLATE VII m ^S ^^ *^s ~v« ^^ ■"^^!7^ ■^^^^ '*^ Sf^iT^ ''"^whraw >5 ^^ Stegomyia scutellaris, Walker ? Quasistegomyia unilineata, n. &p. ? Myzomyia niH, Theobald c? Mansonia nigra, n. sp. ? Cellia squamosa, Theobald ? Wings of Sudanese Mosquitoes 6 Culex luteolateralis, Theobald ? 7 Culex hirsutipalpis, Theobald ? 8 Culex palHdocephala, Theobald t? 9 Culex neavei, n. sp. ? 10 Culex rubinotus, n. sp. ? 71 HEl-ORT ON ECONOMIC ENTOMOLOGY Tile tlionix is bniwii, ((ivcrccl witli clic|) golden lirowii scales, anil some pale ereaniy ones, the latter usually form two mon- oi- less distiiut spots on the mesonotum, there are also paler seales in frnnt of tlic seutellum, over llu- mots of the wiiij^s, three rows of hlack bristles anil numy over the hase of the wings. The prohoseis is deep hrown at the husu and towards the end, the middli' forming a liroad pale hand, the extreme apex is testaceous. Tile ahdomen is brown with basal semi-circular median yellow patches und basal lateral white spots. The legs brown, the segments with apical and basal pale bands, except the last tarsal in tile fore and mid legs, which are all dark brown. rngues in female all equal and simple. Ill the male the proboscis has a narrow nicdiaii pale band; the jiaipi are brown, longer than the proboscis by nearly the last two scgiueiits, apical scgim iit acuminati' with a narrow yellow apical band an iinri. Culex Iulcii of the ycljuw and black vein scales is slightly diflferent. Tile species can at once be told from any other known iSudauese mosquito. Tlie liead lias naiTow-curvcd golden scales in the middle, flat ocjireous and dusky ones at the sides; the proboscis is black and the palpi orange sealed at the base, black at the tip. The thorax is deep black with a iiroad line of lirigllt orange-yellow scales on each side of the mesonotum, there are also a few scattered gold scales amongst the narrow dull brown liiiis tliat adorn the middle of the mcsouutum. The abdomen is black with violet nilretions and with basal creamy K.r.. 36.--CULKX LUTHOLATKKAL.s, Thcob. ? yellow bauds to ths segments, and also small lateral basal spots. Legs dull ochreourt with brown scales, unhanded, but the base and venter of the femora are oehreons; fore and mid ungues equal and uniserrated, hind equal and simple in the female. In the male the fore and mid ungues are unequal, both uniserrate, hind ei]Ual and simple. The wings, in the type, are clothed with black and yellow scales, black on the costa and PLATE Vni Enlarged Wing Scales 1 Stegomyia scutellaris, Walker ? 2 Quasistegomyia lineata, n. sp. ? 3 Myzomyia nili, Theobald , and from tlic luxt allied species by the hind metatarsi and tibiie being the same length, ami by the ditlerences of the palpi and antennaj shown in Figure 37. One specimen shows the stem of the first sub-marginal cell slightly longer than the rest. The scales on the basal lobe of the antennie I have not noticed before in any true Culex. The species appears to be eoMiinon. and may easily be confused with C. riridis and the other allied species described liere. Culf.r ruhinotuK, n. sp. *-■"'" Head browni with dull golden scales, creamy at the sides. Proboscis, palpi and antenna% brown. Thorax, bright reddish-brown with scanty narrow-curved blackish scales. Abdomen clothed with deep blackish-bro^Ti scales and with traces of apical creamy-white lateral spots, no basal bands. Legs yellowish-brown clothed with dusky brown scales; liind metatarsi longer than the hind tibia;. 9 Head brown witli small narrow-curveil dull golden scales, some rather long; iilack upright forked scales and Mack bristles, pale creamy flat scales laterally ; clypeus brown with an apparent median transverse sulcus indented in the middle ; palpi (Fig. 37, A 1) denselv scaled with deepbrowni scales and with numerous deep browni bristles, base testaceous, the scales being scanty ; proboscis deep brown, swelling apieally. Thorax bright reddish-brown, with scanty, small, narrow-curved blackish scales (somewhat denuded) and with black bristles; scutellnm the same colour with similar ihirk scales, posterior border-bristles of the mid lobe, six in number, three on each side with a wide median space ; nietanotum, pale ochreous brown ; pleura', pale ochreous with a few flat dusky scales and siniill curved bhick cli;e1a'. Abdomen clothed with deep, dusky, blackish-brown scales, with ti-aces of apical lateral creamy spots; basal segment testaceous with a median patidi of black scales from which proceeds a line of a few dull brown (dia-fa-, numerous other longer ones proceed from the nude part of the segment ; posterior border-bristles dull golden-bro«ii, long at the sides, shorter in the middle ; venter with many pale creamy scales. Legs unbanded. yellowish brown, covercfl with dusky brown scales, the ground colour showing through basally ; ungues small, equal and simple ; the hiutl nietatai-si a little longer than the hind tibise. Wings with the fork-cells rather short, the first sub-marginal cell much longer and narrower tlian the second posterior cell, its stem about one-thinl the length of the cidl, its ba.se nearer the base of the wing than that of the second posterior; second posterior cell EEPORT ON ECONOMIC ENTOMOLOGY 79 wide, the branches turning out ut the apex, its stem about two-tliirds the k-ngth of the cell ; cross-veins large, the mid longer than the supernumerary, about the same length as the posterior one, which is distant from the mid nearly twice its own length ; scales at the apices of the veins somewhat broader than is usual in Culex. Halteres with pale stem and fuscous knob. Length. 4 to 45 mm. Habitat. Lualas, Upper White Nile (Sheffield Neave, Esq.). Time of Capture. January. Obsei'vations. Described from two females. The species is very marked, the bright reddish-brown thorax contrasting strongly with the dark unhanded abdomen. The thorax in both specimens is slightly denuded, but what scales remain are distinctly black and small. The structure of the second posterior cell is also characteristic. The abdomen shows (very indistinctly) apical lateral creamy spots. The female palpi are composed of four segments, the three basal ones are small, the apical one is as long as the basal three and ends bluntly ; the apical segment is spinose, the penultimate has one long and several small chstae, the antepenultimate has two long and some small ones. Culex viridis, Theob. Mono. Culicid. III., p. 212 (1903) First Report Gord. Coll. Well. Labs., p. 73 (1904) A female and two males which resemble the type in all characters. C\i\e\ viridis There are no structural differences from the type. They resemble specimens I have seen from Gambia and Uganda. The abdomen is unhanded, otherwise the species looks at first much like Culex fatigans, Wied., or Culex pallidocephala, Theob. It has been recorded from Uganda, Gambia, Sierra Leone, and before from the Sudan (Fii-st Report, p. 73). The pleura are very green just as described in the type. The colour was not due to verdigris showing through the pale grey pleura as I at one time thought. The rich green pleura? are very characteristic of the species. The female palp and second antennal segment show the difference between the two allied species and viridis, which I undoubtedly placed all as one in the previous report. Culex pallidocei^hala, Theobald First Report, Well. Labs., G. C, p. 73 (1904) The female only of this species Cuiex has been previously recorded. Several males have recently been taken, from one of which the present description is drawn up. ^ Head deep brown, with narrow-curved grey scales, with a median dividing line, numerous up- right black and ochreous forked pallidocephala Fig. 38. — CuLE.\ pallidocephala, Theo. d" 80 REPORT ON ECONOMIC ENTOMOLOGY Mansonia (?) nigra scales and some black bristles; palpi iluskv brown, almost Mack almiy the two apical segments and on the apex of the antepenultimate, traces of a pale band (very narrow) towards the base ; hair-tufts deep brown ; proboscis deep brown, thin. Thorax mudi as in the female, l(Ut the scanty ornamentation not so distinct ; plcunr pale with imlistinct patches of grey scales. Abdomen deep brown, hairy, the segments witli tiasal white lateral spots, the last segmi'Ut with a basal whit*' band, posterior border-bristles pale golden, short ; lateral hairs very long, golden brown ; basal segment testaceous, with two ])roniinent tufts of black scales. Owing to scanty sealing the abdomi-n appears to be basally pale banded. Legs deep blackish-lirown, unbanded ; the coxjo analpi of nearly (M|iial length. The vein scales on the apices of the veins rather broader than usual. First subniarginal cell longer and narrower tlian the second posterior cell, their bases about level ; stem of the first subniarginal rather less than half the length of the cell ; stem of the second posterior not quite as long as the cell ; posterior cross-vein nearly twice its own length distant from tlic mid cross-vein. I.i'uijtli. 4 mm. Habitat. Upper White Nile. Observation. Described from three nudes. Two have been dissected. Tlic male genitalia are very marked, otherwise the male might be mistaken for Culex riridis, Theobald. The iiale i)leura' difl'crs from the female tyjie in which the pleunc are dark, but the latter effect is undoubtedly due to the body being filled with blood. The pale scaled head and scutellum should easily separate it without microscopic examination. Genus Mansoni.\, Blancliard Comp. licnd., Ilebd. Soc. d. Biol., 37, T. liii., p. lUlO (UJOl) Mono. Culicid. II., p. 173 (1901) Mansonia (?) nigra, nov. sp. Thorax very dark brown, with dark brown and golden scales forming an irregular ornamentation. Proboscis black, with a narrow white band towards its ba.se. Abdomen black, with narrow, somewhat irregular, white bands and a few scattered white scales KiG. 89.— Ci:lkx pallidocrpiiai.a, Theob. S Left side of genitalia EEPORT ON ECONOMIC ENTOMOLOGY 81 and golden bristles. Legs deep blackish-brown, with some of the segments with narrow white basal bands, and a few scattered pale scales over the larger segments. Wings with very deep brown and white scales. $ Head deep bluckish-brown, clothed with rather broad pale narrow-curved scales on the occiput, smaller narrow-curved golden ones around the eyes and pale upright forked scales, the sides with grey and black flat scales. Proboscis black scaled with a narrow white band towards its base, and a few white scales here and there on the apical part ; palpi rather swollen apically, clotlied witli deep lilaek scales, and with two irregular narrow bands of white scales on the basal half ; clypeus black ; antennas very deep brown with brown verticillate hairs ; basal segment deep black \\'ith grey sheen around the summit, and with some small flat creamy scales. Thorax deep blackish-brown, clothed with narrow-curved, bronzy-brown scales and irregularly ornamented with broader narrow-curved golden scales, with broadish narrow-curved white and black scales at the siiles, just before the roots of the wings; a marked pale area in front of the roots of the wings, and pale scales on each side of the bare space in front of the scutelluni, nnich denuded, deep blackish-l)rown with curved pale golden scales on the mid-lobe, with, apparently, a few Hat pale ones basally, side lobes with a few flat black scales ; metanotum deep brownish-black ; pleuras deep brown, with small flat creamy scales. Abdomen densely clothed with flat black scales, with irregular apical, very narrow bands of white scales, the last few segments with traces of median lateral creamy patches, and a few scattered pale scales over all the segments. Legs black scaled, the metatarsi and first three tarsi of all the legs, with narrow white basal bands, and a few pale scattered scales on all the femora and tibia; ; ungues equal and simple. Wings with large black and white Mansonia scales, those on the sixth vein large and irregularly heart-shaped ; posterior border scales of the fringe large, with long apical serrations, continuations of the scale ribs ; first sub-marginal cell longer and narrower than the second posterior cell, their bases nearly level, stem of the first sul)-marginal rather more than one-third the length of the cell ; stem of the second posterior rather more than two- thirds the length of the cell ; posterioi- cross-vein about twice its own lengtli distant from the mid. 7-7 1 o Fin. 40. — Mansonia nigra, n. sp. 2 jciKjtli. ±6 mm. ^ Hahltat. Sudan, Bine Nile (Mr. Friedrichs). Ohxi'rrafioiis. A very dark species, looking almost black, witli paler markings. The wing scales present a slight modification in certain areas to the true Mansonia type, but most are normal. Those on the sixth vein are very large and irregularly heart-shaped. Unfortunately the scutellum was partly denuded, but as far as I can detect there are 82 REI'OUT ON ECONOMIC ENTOMOLOGY a fow lint 8calus on tlic latunil lobus left iiiid a IfW at tlio base of thu iiiiil lulio, if tlu'se are in their normal position tlic species must form the type of a new genus. As there were some other detached scales on the scutellum, clearly head scales, it may be that the flat ones are also stray ones from another part of the body. The species is very marked, but the exact generic position must be left pro lem. Dr. Halfour, who sent the specimen, pointeil out that there were bluish-purple and green scales laterally on the abdomen. I eouM not detect these, probably owing to fading after death. Genus iEDEOMYi.\, Theobald Mono. Culicid. II., p. '218 (19U1) ACdivtinjia mjuammipeiiita, Arribalnaga Mono. Culicid. II., p. 219 (1901) itdcomyia This (juaint iEdinc was taken some years ago by Dr. Loat on a snu\ll lake eight miles squammipennn r i i i 11(1111 ( loiidokoro. It lias since been taken by {lolonel IViitoii, I'.iM.U., on the Jur river, a tributary of the Bahr-El-Ghazal, in November. This .^dine can In told at onre by tlie Mansonia-likc wing scales. The thorax is brown, witii scattered creamy scales, which become white at the sides and behind ; the scutellum is ochreous with black scales on the side lobes, ochreous ones on the mid lobe. The brownish alidoiiuii has two patches of cicaiiiy scales on the apices and two patches of white scales on tlic base of tlie segments, the apical segments are often all yellow sealed. The legs are mottled ami banded with creamy, purple and white scales, the apices of the mid femora having dense tufts of dark scales. The wings have mottled yellow and deep purple-brown scales with normally three white costal patches, the two mivith minute black spots which, as a matter of fact, are really spines.) When mature it reaches half- an-inch in length. The larva .sent by ])r. Balfour, described here, is evidently iiniiiature being only 8 mm. long. The cephalad area has two blunt processes, each of which bears a sniall blunt niannnilliforni process. The two mandibles which project ventrally, are very thick, curved and biaik, there being apparently a serrated basal plate to each one. The first segment has on the dorsum short brown thorn-like spines on the anterior moiety, the posterior area being nude, and there are also two lateral pairs of short jiapilla'. At the base of this segment is noticed a small reddish-brown spot on each .side ; the second and third .segments have short dark spines on their anterior moieties, especially pronounced on the second ; the third, fourth, tiftli and sixth segments have many similar spines all over them, the seventh has verv much smaller, paler and scanty ones, the eighth and ninth have none. The anal segment bears two gronjis of s])ira(des, arrangeil three in each group ; tiiese are all curved, the two outiT ones outwards, the middle curveil towards the outer one ; spiraeular areas brown. The segments are deeply constricteh brown. marKins of abdominal segments dark brown; legs same color .'IS body ; wings brownish. BEPORT ON ECONOMIC ENTOMOLOGY 85 apparently often selected when hanging uut to dry, so imieli su tliat in certain parts of Africa it is dangerons to wear woollen clothing next to the skin. Fuller mentions that it is averred that the flies lay their eggs upon bedding. The sharp ovipositor seems to point to their being able to lay their eggs directly in the skin. The eggs when laid in the former position hatch out rapidly, and the larviE bury themselves under the skin. They at first produce a boil or swelling which leads to inflammation, which becomes most painful owing to the accumulation of excreta and the rasping movements of the spiny maggot. Occasionally this throws the patient into a violent fever. In one case, recorded by Fuller, a child under six months had between twenty and thirty maggots taken from its scalp. In the majority of eases, Fuller states, the scalp seems the part most subject to invasion. They are, nevertheless, frequently found in the nose, back, chest, arms, buttocks and legs, and one case is recorded where the maggot occurred in the finger of a baby, and in two cases in the scrotum. Mennell says that he believes that " if undisturbed, the larvaj emerge in the course of about a fortnight." Information on this point is given by Fuller, who was informed by a correspondent that he " noticed a maggot fly in his tent on the Tuesday of one week, and on the following Saturday suffered from an itching in the arm and chest. On Monday the spots had taken the form of blind boils, with a black speck in the centre of each. A week later maggots measuring one-third of an inch were expressed from the boils. The fly observed was caught and UvIikj magijoU extruded from the abdomen when squeezed." I have added the italics as this statement seems to point to the fact that the fly is at times viviparous. Infection may take place either at night or during the daytime. The adult is very sluggish in nature and does not move about on windy days. Mennell has had the flies settle on him in the daytime and found them very difficult to drive away, but easily killed when thev settle. Pupation fakes place on the ground just as in the (JEstrldcc After the maggot leaves the skin the wound heals rapidly if treated with antiseptics, but a very pronounced scar remains for a long time. Besides man, Bemjalia depressa attacks dogs, rabbits, and other animals. BiBLlOGEAPHY 1. Fuller, C. : The Agricultural Journal of Natal, Vol. IV., No. 21, p. 656 to 658, Dec. 20 (1901). 2. Theobald, F. V. : Second Report on Economic Zoology, British Museum (Nat. Hist.), p. 112 (1904). 3. Mennell, F. P. : Proceedings of the Rhodesia Scientific Association, Vol. IV., Pt. 1., pp. 7-9. 4. Peringuey, L. : Transactions of the South African Philosophical Society, Various. The Congo Floor Maggot [Auchmcromyia hiteola, Fabricius) A specimen of this fly was taken by Dr. Sheffield Neave, in the Sudan. The fiv is Auchmeromyia well known and is widely distributed in both tropical and subtropical Africa. Its interest lies in the strange habits and blood-loving propensities of the maggots of the fly which have been recently shown by Drs. Dufton, Todd and Christy (Reports of the 86 UKl'OUT ON KCONOMIC KNTOMOLOOY TrypuiiosDniiiisis Kx|)cana brcccarii Gribodo (enlarged) A Enlarged apex of tibia; n Wax cutting organ at apex of the first tarsal segment ; c Ungues and pulviUus to the hive as Mr. Brown HK UKl'OUT ON KC'ONOMIU KNTOMOI.OOY Fig. 44. —Apex ol' Antcnnii of MclipPHa ^rvrcftrif Gribodo (enlarged) t)l)si'rvc(l. At this fiitrimcc scvrral nf tlusc [li^'iiiy Ixis iirc .statiunol to net as scntini'ls. ,)A7iy(o/;(( _/((.<(•/(•»/.(/.( proiliici'S a |jlcii.siiiit lii|uiil lioiicy, tn tin- (xtciit of alioiit two (|uarts ill inch lU'st. They l>itc furiously wlicii disturlMil. A large iiuiiilicr of s|iicics occur iu America — Hates t'liuml no less than forty-tivi — tiie largest i)eiiig half an inch in size; tlie snuilletit one-twelfth of an inch, am! he says "these tiny fellows are often very troublesome on account of their familiarity ; they settle on one's face and hands, and in crawling ahunt get into the eyes ami mouth or up the nostrils." The Soiitli AiMnican Siianianls call tJKiu '■Angelitos" (little angels) hecau.se they do not sting. These Melipoiiiv^ nevertheless, cause great annoyance to man. In a [lajx'r on Jices, liy Riley (Insect Life, Vol. VI., p. HtjO) we learn that the MrH/KiiKr construct cells of a dark unctuous wax in regular combs and are somewhat imperfectly hexagonal. They are, liowever. in single horizontal tiers, separated and supported by intervening pillars, more like the n<'sts of the social wasps, and tin- cili is sealed after the egg is laid upon the stored food, just as in the case of solitary bees. The honey is stored in moilitieil Hask-shaped cells, -auA oidy one (jueen is allowed to protluce eggs. Sir Alfreil Moloney, writing from British Honduras to Professor Kiley in 180;^, said, " a considerable industry might be locally developeil in tlie wax." The species referred to was Mi'lijidim j'lixcicii/'dii, Smith. The species from the Sudan have been named by Colonel Bingham, one of the chief antiiorities on Aculeate Hymenoptera, and he informs me they are MelijiiiiKi Inrcciirii, Gribodo (Ann. Mus. Viv. Gni., XIV., p. 840, 1871)). This bee described from Abyssinia. There was also a single speeiuien (jf Mill/iiiini nixjfoia, Mayrette (Ann. Mns. Civ. Grn., XXXIX., p. 27, 1898) The structure of the hind legs is verv marked (Fig. 43). '^^^^^ Fig. 4.S.— I.ipoptera ibicis (n. sp. ?) Front of head yellowish brown; thor.-ix, median area . . II of head, and ba-T of .ibdomen brown; rcm.iinder of was originally abdomen dull yellowish or brownish, with median row of shining brown patches ; legs yellowish brown. V yellowish brown ; n brown ; u dull yellowish or brownish Kipopler.! ibici.s .\ I'l IH'AIIOlS DllTKUON /.ijiiiji/irii 1/iirl.t, nov. sp. (?)* /•'riiiiilf. Deep brown, with testaceous brown legs. Head wider than the anterior, narrower than the posterior part of the thorax, deeply sunk into the thorax. Antcnnii' completelv imbedded in the sucki'ts with three teriiiiii;il bristles, the me(|ian slightly the longest. The two |)lates forming the sheath of the proboscis short and l>liiiit, terminating in several short and two lateral long bristles; eyes narrowly oval, between them on each side • This m»y Ix: L. ehnleomelnun, Speis, fuuud at Sunkin, on Ibex and dtwcribcd iu 1904, but without i-uiii|uiriiii; tlu' fiKit with this «|)Cfic» it is uot ijossililo to sjiy. A series in the Uritish Mnsunm from l\vx at Suakiii 1i:ls uut iK'eii named. EEPORT ON ECONOMIC ENTOMOLOGY 89 a -, Fig. 46.— Ungues and bristle of hind leg of Lipoptera ibicis n. sp. a Ungues ; c basal process ; b and ^1 bristle are two groups of three, equidistant thick spines, two ocelli on the basal region of the head. The thorax is narrowed in front, widening out posteriorly ; the prothorax is a small plate extending across the thorax, openly wedge-shaped posteriorly. The mesothorax is the major area, and has numerous long thick needle-like spines ; it has a distinct humeral swelling over the mesothoracic legs. In front, just behind the prothoracie legs, are two swellings, somewhat ragged or irregular apically, the remnants of the wings. The scutellum is uni-lobed with apparently six large black bristles on the posterior border. The whole of the thorax is fused into one piece. There is a distinct median and transverse suture. The abdomen is oval, deeply indented apically, the apical segments being enclosed in .i pit formed by the prolongation of the anterior segments as two blunt processes on each side. The whole abdomen is covered with thick, black thuru-like spines, which are particularly long on the apices of the lateral lobes ; the small imbedded apical segments have fine hair-like chcetie. Anterior legs with the short thick femora spinose ; the tihite with a few fine hairs and a strong internal apical spine ; basal tarsal segment spinose, the rest hirsute ; ungues much curved, thick, the inner edge finely serrated with a large blunt basal process ; the median process short and thick, with hairs on each side, terminating bluntly ; mid legs very similar but shorter and thicker than the fore and the ungues thicker ; in the hind legs the tibiae are also spinose and the ventral tarsal spines are more pronounced than in the anterior legs, and the ungues are less curved, and the median plumose spine is acute Lfii'ith. 4 to 4-5 mm. Mule. Three ocelli present. Thorax narrower and smaller than in the female, the scutellum relatively larger and three lobed, and the spines on the thorax are fewer. Abdomen more rouiiiled apically than in the female, and the external genitalia (Fig. 47) are prominent and consist of two chitinous lateral valves with the penis projecting between. The ungues are rather shorter and broader, and the median bristle is thin and acuminate with a few hair-like spines pointing forwards on each side. Length. 4 mm. Locality. The Sudan, Eed Sea Province. Ohservatioiin. This Pupiparous dipteron was found by Dr. Crispin on an Ibex. It resembles MelopIuiyHa but does not belong to that genus on account of having ocelli. The IJpoptents* are winged at first but their wings are cast when they take up their abode on their host. In this species the areas to which the wings are attached are very marked. The male has quite a ilitt'erent shaped process between the ungues to tlie female. The description is drawn up from a male and female mounted in xylol balsam. It is closely related to fJiniptcni cervi, Nitzsch, but differs from the specimen I have. Fig. 47. — Lipoptera ihicis n. sp. Male genitalia The geuus is usually called Lipopte«a, but it should uudoul»tcdly be Lipoptera a;> yiveu by Siebold aud Loew. 90 KEl'OUT ON KCONOMIC KNTOMOLOOY 1 1 ippoboscidor 'rill. l'"oi;i.sT KiiKs (Hii>i>i>lii>sriilii) ov Tin: Sihan and KcivrT Four sntrii's iif //i/'juit'osiii uccnr in tlif Sinlaii :iiiiim, //. riiiiirliiiii, Ijcacll, //. iiiniiihilii, Ja-iic1i mill //.Jiuiiiilllniil, lil'lll-ll. Tlusc II its liiivc all siiiiiliir liabits, lieing partially imrasitic on animals. Tlii-y have (at least, tlirei- of tlu-ni) a very wide distribution. Till' sjn'cies found most frequently on liorsi'S, asses and unilcs, //. <■0 but thev niav be connected in some cases with the pi:i'AKitM<.f//. ..i«- * . ' r/lHit dissemination of Trypanosomiasis. Dark brown The Spotted Forest Fly {/liji/i reddish to dark brown ; light markings of ImmIv. \'rllow mm Fig. 49 m^^tr €iL Fig. 52.— Hirp. maculata THORAX I.tffht markinK^ pale yellow ; rem:tuitler rcddUh ■ brown nr brown. PLATE X 1^ --. __ - iU^^^^ ■-=: ^^^^^ '" ■ '^jfSf- * y -.^ ^^1^^^^^^^^^^^^^^^^ •^ Wings of Hippoboscid^e 1 Hippobosca francillo 2 H. camelina. (Magnified seven times.) 3 H. maculata. 92 HKI'OUT OS KCONOMU; KNTOMOLOOY 'I'lic |)(ig f^pidiT FIv ( //. i'niiirilliiiii Iji'iicli {=riiiiiii is miirh larger than the preceding, and can also lie distinguished liy its seutellar markings. This species has also beeu sent nie from the West Coast (Seuegainbiii). Fi^. ^3. -I'nKUCs, pulvilli, etc., of Hippohoscidte K Itiftpflbinca cnmftitia ? ; n\ fcathcr-brislle ; u //. macutata ? : h, h\ and h2 feather-bristle ; ( and i I pulvillu> ; r H.taniMa ? ; (/feather-bristle; r And t\ pulvillus ; l» H.fguiHa\ yandyl feather-bristle ; £ pulvillus of ? ; ^-I of <^ The •■ featlier-liristle " between the ungues in //. ruiiifHiiii is simple except at the base, not spiny as in the others, nor can I detect the pad-like pulvilli seen in the rest. The diflferences are very marked in the claws and central processes, as shown in the figures (x 1! (■ and II, Fig. 58). The pii|)aria of all these four species are jilaced amongst the hairs of the host. They are all very similar in form (Fig. 50). The color is deep brown when mature. The markings on the scutellum are constant in all the Northern African specimens I have seen, but according to Austen they are variable, so cannot be relied on to separate the species. Tlii' (igiires of the wings and the feet will, iiowever. sntlice to separate them, and I have invariably been able to do so niy.selt by the seutellar markings. REPORT ON ECONOMIC ENTOMOLOGY 93 PART III Vegetal Pests Notes on some Vegetal Pests Several interesting vegetal enemies have been collected by Dr. Balfour. These include a new (Jutton Pest — a small Halticid beetle — known as Ni.wtni imifoDiiis of Jacuby. A land or shield bug (Li/(jiru.-< niiUfnrig, Fab.), which does much harm to dura, is also briefly reported, and a new dipterous enemy of midons, which is likely to prove a serious pest. The Cotton Aphis of the Sudan will be described later. It proves to be the same as that founcsts of every possible description. Those that attack Dacus, sp. fruit are the most difficult to cope with of all, and unfortumxtely they are easily distributed from country to country. Thus we find the Mediterranean Fruit Fly (Ci'ratiti.i cajntafu of Wiedermann) even in Australia where it is reported as doing miTch harm in Western Aus- tralia, etc. This pest has also been dis- tributed to South Africa where it is the source of much loss to fruit growers in the Cape and Natal. This fruit fiy attacks a great variety of fruits ; apples, peaches, nectar- ines, guavas, persinnnons, etc. The Apple maggot ( '/'rnjif/n pvmonclla, Walsh) is another which occurs in America where it does much harm. The Mediterranean Fruit Fly is most dc^structive of all known species, for in Bermuda it entirely stopped the ! cultivation of peaches ; in Malta it has been most harmful to oranges. For a time it did so much damage in the Azores that one-third of the oranges sent to London were found to YH Fig. 54. — The Melon Fruit Fly i^Dacns, sp.) : yellowish ; BY - bright yellow ; SO = slaty grey : Y = yellow ; B - brown ; DB = deep brown ; PY = pale yellow. 94 REPORT ON ECONOMIC ENTOMOLOGY ho unsound. Tlic Queenslnnd Fruit Fly (/>'/'».< li/ronl, Froggatt) also does much damage. Closely related to it is the Guava Fruit Fly ( Dtieun piKulll, Froggatt^, which attacks Guavas in new Caledonia, and the South Sea Fruit Fly (Triijiflu niiinfr, Froggatt) which is fouml in bananas from tlic New Iltliridi's. A well-known species, Ifucun I'trniijiiirii*, attacks fruit in India. Now we have to add another species attacking the melon in the Sudan. The larva- were sent to Dr. Balfour ami to Mrs. IJroun liy Mr. Durrani, and the (1y was bred out by them. Dr. Halfour sent me the laboratory specimens. This insect comes very near to Froggatt's species, /funis ti/roni, the Queensland Maggot Fly, but it is quite distinct. The genus /hirw, differs from Crnil'itit, in having a less reticulate basal area to the wings, and from Trypcta in having the wings unadorned witji dark anas over their Fi^;. .''.''. -TiiK Mklon Fkiut Fi.v {Dactts sp.) A Larva (enlarged five limes) ;_ y Jacoliy as his species described from Sierra Leone. It probably occurs widely over Africa. No notes were sent with the insects except that they were damaging cotton. 97 A H.«MOGREGARINE OF MaMMALS* H. Ralfouri (Laveran)l While carrying out work in connection with trypanosomiasis I have liarl occasion to make nnmerons examinations of the bloud of the jerboa or desert rat (Jacnhis jcrnlnx, or./, (jonloni, as I believe it has been renamed). (Fig. 57.) Mr. Butler, Director of the Game Preserva- tion Department, whom I consulted, was not certain as to the species. It is worth noting that the hair pads of the hind feet are of a uniform browmish-white colour. In the first blood examined I was surprised to see that a large proportion of the red blood corpuscles harboured an unpigmented and non-motile parasite. In the stained specimen it was at once apparent that we were dealing with some kind of trophozoite. Sixtv-twd jerboas liave up to the present been examined, and in all of them, with the exception of two adults and three very Species of Jerboa Fig. JS7.--Jhkbo.^ ok Deshkt Rat (.\t)uiit Two-Thirds Size) young animals, one of which was newly born, this parasite has been fomid. The bluod of two fcetal jerboas yielded a negative result. Specimens were sent to Professor Laveran, who at once declared the parasite to be a hiiemogregarine, and has Icindly iiiforined me that the discovery is one of much interest. The Appe.\r.\nce of the Parasite The trophozoite in the fresh blood appears as a pale, hyaline, homogeneous body, slightly curved and with rounded ends (sausage-shaped), lying either apparently free or in the renuiins of a red blood corpuscle. Occasionally one finds it broader at one end than at the other, and the latter is then bent upon itself for a short distance. The erythrocyte may be represented only by a bow uniting the two poles of the parasite, just as it is sometimes seen * Part of this paper appeared in the Journal of Tropical Medicine, and I am indebted to the Editors of that journal for their kind permission to reproduce it here. t Laveran. Cumptes rendus des seances de I'Acad. des Sciences. Vol. CXLI., p. 295, 1905. 98 A H.F.MOOKEOARINE OF MAMMALS Dimensions of pamsitr ill tlif cast' of niiiliirial crescents. \Vlnii tlie reel cell is reco}j;iiisiil)le it is fouii in length, and from 14 to 2H /I in breadtli. The number jiresent has been found to vary considerably. There nmy be six or seven, or even more present in each mi<-roscopic field (Leitz oc. 4, oil inna. ,'..th), or onlv a few may 1m- found in the wlmli- Mood smear. Appearanrr on staining Diffcrrni forms Staixino tiik Pahasite On staining by the lieishman-Romanowsky or the Gienisa niethoil in exactly the same way as for malaria protozoa, the structure of the parasite becomes at once apparent and tlie shape, as described above, well detined. (I'late XI., Fig. a.) A large oval nucleus, constituting, as a rule, about one-third of the organism, is seen to be present, sittnited generally in tin- cmtrc of tlic parasite and stntching right across it, so that there is a deep blue staining area (the nucleus) in tiie middle, and a faintly staining blue area with a rounded end on either side. Sometimes, but infrec|uently, forms with a ta|)ering doubled-over end, i.i\, a "tail" flexeil on the body, can be demonstrated. (Plate XL, Fig. l>.) Occasionally but lanly. and tlun nsnuiiy under special conditions, spherical chromatin dots may be fouml in one or other of these pale polar areas. In stained preparations one often notices that no vestige of the red blood corpuscle which originally harboured the parasite remains, but it is quite common to find parasites with portions of the red-staining erythrocyte adhering to them. All that may lie present is a thin. rid. curved line stretching from pole to pole across the slight concavity of the parasite. The corpuscles are often mucli deformed an) Free forms of trophozoite, one being of the typical haimogregarine shape with flexed tail. In the centre is a vermicule form from the peripheral blood, (f) Free forms from a liver smear. {. 79S. t C. R. Acad. Siitiici-s, Vol. CXLl., p. 295, 1905. PLATE XII « g ti' C^^ - . ^..<>' .»> *f5 ^ "* % ^ <7> #•1 » •• ^ ^ / RicnARD Mdir Development of //»■// '.Kiiia Baljoiiri in the Liver. C IN THE L,v:K Cltl °' SCHUOGONV. CVTOCVSTS ANO M.KO.O.THS Gic/nsa Stain I'lG. l.-.M.M' OK Africa sfiowing British Possessions and the Boundaries of the Anglo-Egyptian Si dan A H.EMOGKEGAKINE OF MAMMALS 101 The nucleus, it may be said, stretches completely across the body, entirely separating the anterior from the posterior moiety. The broadest part of the parasite is towards the posterior end of the nucleus. 2. In most cases a third stage can be readily demonstrated. This is chiefly seen in tile liver and kidney, organs where the circulation is slow, and will probably be found also in the bone-marrow and brain. Indeed, some smears of the bone-marrow have shown what were probably empty cytocysts. In thick smears from the liver and kidney well-defined cysts are found, the walls of which are apparently formed by the remains of cells of these organs which have been destroyed by the parasitic growth. These cysts vary much in size. The largest I have noted occurred in a liver smear and Cytocysts and " " . 11.1 merozoites measured 396 /x by 336 ^. A common dimension appears to be about 224 p, by IBS i^, but many smaller cysts occur. It is usual to find some of these cytocysts empty, or at*the most containing a little ^'^§^ °^ residual protoplasm, but a certain proportion are found to contain merozoites, readily recognisable by their shape and nuclei, and somewhat resembling the trophozoite stage in the blood. Their nuclei, however, are compai'atively small, and in many cases the merozoite appears to be longer and more pointed at the ends than the endoglobular trophozoite. Early schizont forms also occur, in which the protoplasm contained within the cyst wall has not become differentiated and stains more or less uniformly. Sometimes darker-staining portions indicate the future nuclei of the merozoites. When complete division has taken place some residual protoplasm remains behind, and the whole condition is very like that which has been described by Labbe* in the case of Kari/ol/jsux laccrtarum . Sections of the liver stained by the Giemsa method show all stages of the schizonts. Mitosis of the nuclei and the formation of daughter nuclei are well seen. Appearances very like those presented during the schizogony of some of the Coccidia, Resemblance notably Adelca ovuta, are exhibited and the whole condition from the invasion of the liver to the Coccidia cell to the bursting of the cyst and the freeing of its contents can be traced. By what channel the hepatic cell is invaded has not as yet been determined, but it is probably through the capillaries. (Vide infra.) The interesting appearances presented by these liver sections (Plate XII.), which were kindly prepared for me by Mr. Richard Muir, of the Pathological Department, University of Edinburgh, from embedded tissue which I took home \\ith me, have been further studied in sections prepared and stained in the laboratories. These sections were stained, by haematoxyliu and eosin, by the Giemsa and Leishman methods, and by Heidenhain's iron- "'^' ^^"^"""^ hsematoxylin process. Ordinary free forms of the hfemogregarine such as are met with in the peripheral blood could be seen, and on one occasion I found such a form lying in close apposition to the nucleus of the endothelial cell of a capillary, which observation probably indicates the channel of invasion. As regards development the earliest appearance seen is that of a large, pale-pink (Giemsa or Leishman stain), body of an oblong or nearly spherical shape occupying a cavity which has been formed in a liver cell. The body varies in size. One which was measured gave the following dimensions : Greatest length, 12 fi ; greatest breadth, i.e., at nucleus 7'5 n. Another measured 12 /n x 6 /i. The nuclei of these bodies are small and spherical, centrally-placed, and stain chromatin red. They are found to be undergoing mitosis. I believe these bodies to be trophozoites which have become enlarged • Arch. Zool. Exp. ct Gen. (3) ii. 1894. 102 A H.KMOOnEOARINE OF MAMMALS iuxl .swiillcii |>ri(ir to ilivisimi. As a n-siilt of its iiicri'iisc in sizi- within tin- liciiutit- cell, a snntll cyst is fornifd n\ tin- i-xpcnst- of tlu- sulistanci- of tlif cell, tlic nncleiis of which ^cts |pushiil ti) line siilc. Till' wall of this cyst, foiincil from the compressed cell |iroto|iliism. licconics Very well dcfincii, and as a rnle a space is left hctweeii the liody and the cyst wall. What I lielievi' to lie the next stage is evidenced by the presence of one or more cnrveil bodies in these snnill cysts, together with what I take to he the remains of the original hoily from which these ciirvcil forms iiavc been derived bv a jiroccss of micliar division. (Plate X 11.) 'rilese cUrMil fiiriil.-i rather rcseliiliji' the trophozoites of tile blood, but tiiey diti'er from these latter in having small sjiherical nn( lei, often seen nndergoing mitosis, and in the fact that as a rnle they are more curved and somewhat lai-ger. 'I'liey were found to measure from !• fi to Id") f, in length by 'A ft in breadth. They arc often somewhat club-shaped and their cytoplasm stains a bluish-purple and their nuclei take on a chromatin reil colour. What I think represents the residual cytoplasm of the mother body is usually seen as a pale pink, non-nucleated spherical nuiss lying in the concavity of one of tiie.se curved forms. (Plate XII.) It rather suggests a so-called polar body and is not seen when more than three of the curved forms e.vist in the cyst. When several of tlie curved forms are present one finds that they are lying at dilt'erent levels. Thus only two nniy be visible at first, but on focussing either up or down a third comes into view lying, it mav be, across the otiier two. J)ivisiou has evidently taken place in different planes. The stage which follows is that of the undiflcreutiated .scliizont. (I'lalc Xil. A more or less spherical mass of protoplasm, staining a dark blue colour, is found lying in the cyst, which has become larger. Cysts at this stage, often measure 12 /i in diameter. The contained scliizont nia.ss varies in size and is often about 8 ft across. Differentiation takes place, evidenced by the appearance of nuclei which arc seen studded, so to speak, all over the schizont mass or arranged round its periphery. (Plate XII.) When the latter is the case a very pretty appearance is exhibited. Tiie cyst is found to have undergone further enlargement, connnon measurements at this stage being 2"i'5 /» to '2h-^ n in greatest diameter. Sometimes no space exists between the substance of the hepatic cell and the dividing mass. In such cases the cyst wall is ill-defined. As a rule, however, liotli unstaiiu'(l space and wall arc widl marked, while the nucleus of the hepatic cell has citlier wIkiHv vanished or has liecoiin' nnuli llatteueil out and in conseiiuenee has taken on an oblong or spindle shape. Very little of the liver cell is left, and in the next stage, that of division resulting in the formation of the mcrwzoites, it is common to find it represented merely by the cyst wall which is often thicker in some parts than in others. The final division is seen at several different stages, and it appears to be complete, no residual protoplasm being left. The nierozoites all present the same ai)pearauce and are much the same size. (Plate XII.) Those which 1 have measured were abiuit (i ft in length by p.')/! in bnadtli. They stain a [lale red m- |iiid< aii.l tlnir nunilvM hy Khhani M uir /rem original skftihei by A. /V.) (ft) Colonir r.iiiit-i- ; iitiot;iituil. (A) Vcrii)ii'ulc and ainul;i: fi)rin> ; unslaiiiiil. (() Vcriiiiciilc, llaMi-Uaicrt and either fu^nl^ ; LrishtNan stttin, (*/) Colonic radit'c ; l.eithman stain. (r) Posterior \\.\xx of inid-Kul •diowing ain'cbuUc t>ccuiniiit{ trarisfornicd iiitu llaKcllatctl |i>rtn>. Sumc of the latter arc in pruccs» (.f di\isi..i. Lv ri--.iMn. (y) An iinsi.ij' .'•dfnrni. (/) An uii^t.ti rIaKL-llated form. (4j All uiikt.ti: .., .LH >ecn tii the pu^icriur |»urtion xti the niid-^ut. It apiiruxiiniiiL-s tu the typical form uf a lla:nK>i;rei;arinc. A HiKMOGREGAKINE OF MAMMALS 105 usually Pnlc.i: dcupatrcv (Eof/ischilil),* und I have dissected and examined the internal organs of engorged fleas taken from infected animals. At first my observations were limited to the stomach of the flea in which at first I only found the trophozoites which had been sucked up Possible stage • ' in Hea With the peripheral blood, and which I was able to stain in smear preparations. Some blood containing eudoglobnlar trophozoites was placed in the acid citrate solution devised by Kogerst to simulate the conditions present in an insect's stomach. Though kept in this medium for over 48 hours at room temperature, no change took place in the parasites, save that tlieir cytoplasm became more granular. Later, on two occasions, in the Malpighian tubes, I found bodies identical in appearance with the free trophozoites of the parasite. In one tube, only a few were present, the other contained a large number. It was quite easy to distinguish them and they appeared to have undergone no change beyond a liberation from the ervthrocvtes which originally contained them. I do not think they indicated any stage in a developmental cycle, but believe they were merely undergoing a process of elimination. The flea may have been a male. The sex was not noted. Probable Cycle of Development in the Flea At a later date a more systematic examination of fleas by means of fresh dissections aiul stained parafiin sections was conducted and is still in progress. The results, so far, have Results of flea been most interesting as not only has a true cycle of development apparently been found, but bodies resembling very closely those described by Schaudinn]: in the supposed development of Hi(ltcriduim d(niileirs}.-//i in C'v'/r,'.' /);}j/(7« have been encountered. A very brief mention of what has been noted must suffice. A flea ^ was dissected thirty hours after removal from its infected host. After pressure had been made on the cover glass there were found lying free, close to the termination of the rectum, spherical forms, vermicules, rosettes of vermicules and tiny flagellates. It looked as though these had been squeezed out of the alimentary tract of Forms of flea the flea. (rt) Spherical (gregarine) forms. These at first suggested altered trophozoites, were small and indefinitely granular. They were not numerous. (Plate XIII., Pig. /*.) (h) Vermicules. These were small, contained retractile spots, and in several instances showed at one extremity an accumulation of what looked like pigment in active motion. This was cut off from the body of the vermicule by a slight constriction, and the whole appearance markedly resembled certain of Schaudinn's diagrams. (Plate XIII., Fig. h.) Some of the vermicules were united end to end, and some possessed short flagella. Many were in active vibratile motion. Forms somewhat swollen at one end (club-shaped) were also noticed. (Plate XIII., Fig. h.) ('■) Rosettes. These were very remarkable consisting as they did of clumps of vermicules in a state of very active vibratile motion. They varied much in size and in the number of vermicules which formed them, and resembled nothing so much as crowtled clusters of tiny petals. It is possible that these " vermicules " were really flagellated forms, the flagella being very minute. (Plate XIII., Fig. a.) * The Hon. N. Charles Rothschild, F.Z.S., has kindly identified this and other species of fleas which have been seut him from the Laboratories. t " Lancet," Juue, 3rd, 1905. X Geueratious uud Wirtwechsel bei Trypauosuma uud Spirochaete. Arbeit aus dem Kaiserlicheu Qestmdheit- samte. Band XX., Heft 3, 1904. Trans. Brit. Med. Journ., London, 1905, Feb. 2oth, p. 422. 106 A H.KMOnHF.r.AItlNE OF MAMMALS Mcasurt'nienls of vcmiiculcs and flagellates Kic. 69.— CouoslB KAUlttL (x 2000 diam.) Possible explanations of appearances observed (s(iiiic or tr\ |i:iiii>|ilasiiia I y|ir. Fliigfllit cillicr at oiic or both imhIs, wen- clrarly visible, ami tlicy wcrr in a state of very lU'tivc viliratile nuitioii, tlioiigli tliev ili. iihIHiki , which, though liriiiiariK a parasite of fowls, is known to attai'k niamiiials and even man. In the female tlir cliclicera' were seen to be in the form of l(jng thin stylets (Fig. 60). I proceeded to dissect these mites and their larvaj, no very easy task, at lea.st when tluir diverticula are gorged with blood. If a nute is dissected imnicdiattly after it has been feeding on its infected ho.st the blood whii h has been sucked up presents no differences from that in the jerboa. In other words, the trophozoites, either free or still contained in the erythrocytes are to be seen. If such blood be citraird and kcjit for twenty-four Fii;. 60.— MiTK OF Jkkmia ( X 42 diam.) A H.EMOaREGARINE OF MAMMALS 109 hours or more, either at room temperature or in the incubator at 37° C, no change results. If, however, sonic tinit^ elapses, say twenty-four hours, hcforc the mite lie I'xainineil, numerous vermicnle forms are sometimes found in fairly active motion, together with many unchanged trophozoites. These vermicules bend themselves from side to side and also progress amongst the altered or disintegrated blood corpuscles. They do not exhibit the "euglenoid" movements shown so markedly by the free vermicules found iu the jerboa, but mertdy glide about. On staining it was noticeable that their cytoplasm was quite free from chromatin granules, though it stained a pale blue as in the "jerboa" vermicules. This agrees with the characters of the vermicules from the louse described by Christophers. On the other hand, from measurements I have made, I hud these "mite" vermicules just about the same size as the '•jerboa" vermicules, whereas Christophers found the "louse" vermicules distinctly larger than those present in the gerbil. I have now examined a considerable number of mites both gorged and ungorged, and at various times after feeding, and have carried out a few experiments similar to those conducted by (Christophers with lice, but [ have not so far been able to absolutely satisfy myself that cyst formation occurs. One is apt to be deceived, as large cysts, looking to the naked eye like minute white spheres, are sometimes obtained from the mites, and on examination these cysts are seen to be packed with spherical bodies. The latter, however, appear undoubtedlv to be some form of fat cell. They are highly refractile, somewhat resemble large oil globules, and their Possible stage contents dissolve on the addition of ether. Once, and once only, in a case where no large cyst was seen, I found small bodies like cysts and apparently containing crescent-shaped forms, the whole appearance being rather like Fig. 16 in Christophers' monograph, which illustrates zygotes containing sporozoites. There was, however, nothing so definite as the well-marked cysts found in the flea, and I am not inclined to lay any stress on this observation. I kept the slide of citrated blood from the mite for sixteen hours in the hot incubator at 37° C, and thereafter could not find any of these cysts (?) in the preparation. Captain Cummins, to whom 1 showed them, agreed that they resembled Christophers' illustration. A fact of interest is that, in one case on examining comparatively fresh citrated blood expressed from a mite which had fed five hours before on a jerboa with a moderate infection, I noticed several large vermicules dragging small clumps of red cells after them, there being a distinct interval, possibly bridged by an invisible gelatinous thread, between the narrow extremity of the vermicules and the corpuscles. Continuing to watch one of these vermicules I saw it start curious rotatory movements exactly like those Christophers describes in the case of the vermicules derived (?) from the sausage-shaped bodies in the small cysts found in the louse. I watched it for quite a long time. As a rule it was the parasite itself which rotated, using the red cells as a fixed point on which to turn. After a time motion ceased and the vermicule changed in shape, becoming swollen at one end. Many ordinary free trophozoites were also present in this blood in which no vermicules could be seen after it had been kept all night at 37° C. These results, though by no means conclusive, are somewhat suggestive, and I believe the mite may yet be found also to serve the part of an intermediate host. Latterly I have been unfortunate in not being able to secure jerboas with large infections of the h£eniogregarine. Given a good ease, it is possible that one might find the same cystic stage as Christophers has described for 110 A H.KMOOREOAniNE OF MAMMALS Dillerences from //. gfrhlli (Christophers) //. iifr/illll in tho louse ( nfniintopi>ni.i Strphrnxi), iind wliirli I have seen in tlie (lea in the case of //. Iliilfiiiiri. As the ji'i'lida is niictiirnal I tliou^lit it \\i\\ to c hlniiirciiiii mie iliiring the niglit, anil at unee examine its hhxiil and oi'i^'ans. 1 [ailiil to liii>l thi' virniienle fni'in. m- anvtliinfj; l)nt tlie free and eiidoj^hiliular tni])li()Zoites. It slionid lie said that to the lial<( il i Ve there is nil linill'id aji|iea|-anie pl-esentid hv anv iif the viseera. 'I'lir spleen Seems never to lie enlarged, and, as far as ean he told, the liver does not apiiear almornial. Neither do the uninvaded hejiatie eells present any pathidogieal eonditioTi heyond a slijj;ht degree ul elondy swelling. 'I"he vessels and capillaries are usnally full of Idood. Fnrtlier, it iniiy he stated that nunierons free forms (tropliozoites or nierozoites) (Plate XI., Fig. <•) are, as a rnle, present in smears made from the liver, kidney anil hone-marrow, and to a less extent in those from the spleen. Once in the hone- marrow 1 notiiid parasites which had lucii liikiTi ii]i hy the large iiiononuelear leucocytes. (I'late XL, Fig. <). Several gerliils have heen inoi-ulatid from infeited jerhoas hut al\va\s with negative resnlts. Professor liaveran writes nie to say tliat lie lias now found the same parasite in jerboas (./. orictit free t'ornis were seen, and |)r. (irahani Sniitli's* paper on a new blood parasite of the mole ap|ieared. The |ih(itoniicrot;raphs of int'ectcd mole's lilood presented an appearanee preeisely similar t(i wliai had heen seen in llie lildiid nl jriliiia-;. ! ihi w I'rorissin- Laveran's attention to this, and he replietl that he regarded Dr. (rraham Smith's preparations, some of whicli he had seen, as mendy containing a pseudo-hiemanneha, and that he saw no reason to alter his opinion reganling the Mood eoiiditioii in the jerhoa. I also wrote to Professor Nnttall on tile sidijeet, lint have not iieard IVdiu liini. It is dillienlt to aeeoiiiit for the free dots and rods wliieli have eviilently escaped from infected erythrocytes, init at present one need not enter more fully into the mattei-, wlii( h. huwever, is of some interest, anil seems wurthv of mention. FlQ. 62. — Chascks in kkvtiikocvtks of jrkboa (X 833diam.) .lourii. Hyififnc, tlcf. 19li.''>. PI.ATK XIV r U ( r ^ / i. a « - • >i rf O KtcBj^HD Uotn TKVrANOStl.MIASlS (d) T. nanum. the cittlo tryfxinosonic of the Sud:u). (fi) T. K*^'"^*>*^'>'*<^' from hI(K«J of monkey itKK:iil:ited from the I'g.incla boy, Wariea. (c) IrrcKutar formn nf the trypano-wmii of mule> .-is seen in the blood of the gerbil and monkey. Note ihe chromatin granules. the small " t.ulfn.Ic" fnrm. ;ui(l the "shadow" form. (t/) DeKcneraiiil and vactii>late-B treated by chrysoidine and the hjiMMl scrum "f water-burks. («•) Spirilla found in the n-t-iric ami inioiina) lesions. From ^JLstric ulcer in a dog. (_/") •• Kuddy " forms of tr^patUisome found in the gastric le>ion in an inoculated jerboa. (c) Torula (yca»l-ccll»). apt to be mistaken for I-cishman-l>onovan bodies in st^uned preparations. From >>tomach of an inoculated ierboa. LriihmaN Stnin A'i x 1000 diam. 113 Trypanosomiasis in the Anglo-Egyptian Sudan* I.— Prevalence and Distribution II. — The Disease in Cattle In the British }[eilmiJ Joiiriial of 26111 November, 1904, I published a preliminarv note on the above subject. This article referred to the fact that I had found trypanosomes in the blood of a donkey from the Bahr-El-Ghazal, that Head f had discovered similar parasites in mules from the same region, and that in smears from the blood of Shilluk cattle .vliich he had submitted to me for examination I had found these flagellates. Since that paper appeared, a considerable amount of information has been obtained, and a good deal of research work has been carried out in the laboratories, upon what is a very important subject in a country like the Sudan. The following are the chief points to which I wish to direct attention : — 1. The prevalence and distribution of trypanosomiasis in the Sudan. 2. The presence in cattle of a small trypanosome which Laveranj has declared to be a new species, and which he has named T. nunum. 3. The question as to whether equines, or at least mules, are liable to a double infection by two different species of trypanosomes, or are the hosts of a T. Jimorjilnnn or dimorphon resembling that which aflfects horses in Senegambia.§ 4. The great frequency of hajmorrhagie ulcerative lesions of the stomach in trypanosomiasis ami their significance, also the comparative frequency of intestinal ulceration. 5. The occasional presence of spirilla in these gastric lesions, both in the blood clot adherent to the ulcers and in the ulcerated surfaces. 6. The action of chrysoidine as a therapeutic agent in trypanosomiasis. 7. The therapeutic action in trypanosomiasis of the blood serum of wild animals (big game) whose habitat is in trypanosome-infeeted areas, a line of research suggested by Dr. Sheffield Neave [ride infra). I. As Begards Prevalenrr (did Distribution. — There can be little doubt that in the Prevalence and Southern Sudan, that is to say, in the region south of the tenth parallel of latitude, trypanosomiasis exists to a very considerable extent. An illness known to be due to the bites of tsetse flies, and affecting donkeys, horses, mules, and possibly camels, has been recognised in the Bahr-El-Ghazal province since that distant region was visited after the reconquering of the Sudan. Expeditions have experienced considerable losses in transport •'^5^°'^'^"°" . . ' ' with the tsetse animals from this cause. Again, and more recently, sick and emaciated animals have been fly coming from the Upper Sobat district, and especially from the neighbourhood of Itang, a station on the Baro River in Abyssinian territory. This is explained by the discovery of a tsetse fly-belt between Gore and Gambela Fig. 11 (p. 28) and the disease will do much to hamper the trade with Abyssinia which is largely conducted by means of pack mules. Old records also speak of animals dying from fly bite on the upper reaches of the Blue Nile, but accounts are so vague, both as regards the nature of the illness and that of the fly •Portions of this p.iper have already appeared in the " Journal of Tropical Medicine," the ".Journal of Pathology and Bacteriology," and the " Edinlnirgh Medical Journal." The Editors of these journals have kindly permitted their reproduction hero. t Journ. Comp. Path, and Therap. Edinburgh and Loudon, 1904, Sept. •30th. t Comp. rend. Soc. de Biol. Paris, 190.5, Feb. 24th. § Duttou and Todd, First Report of the Trypanosomiasis Expedition to Senegambia, 1902 ; Liverpool, 1903. H Ill THYPANOSOMIASIS IN THK ANft I,n-F.(i YPTIAN Sl'PAN Trypanosomcs in birds anil lisli Investigations on the White Nile T. nanum, the cattle trypanosonic Siiiij tti ciiiisc it, tlial lui ililiiiitc concliisioii ciiii lie narlicij nj^aniiiij^ tlic privaliiicc iif trvpiiiiosiiiiiiasis in tliiit rt'j^iini. No cuscs liavc Iktii sent me from tlic liliic Nile iiroviiices, allil I liavr Mot Irciivcil saiii|ilis iif (srtsr lliis frmii llnsr [lalts, liiir snli tliilri liitwrell Ivosciri's anil Wad .Miilani, wlici'f the river is iiiore or less liordircij liv Imsli ami forest. In the Nortliern Suilan, tlie rej:;ion of sandy wastes, as pointeil out in tlie preliminary note, trypanosomiasis Inis not been foinid to exist, Imt no fi;reat nnmlier of examinations liave been nnide, ami investigations upon frogs, lizards, and a large iiuiidici- of liiids have yet to be condueted. Captain Head, of the Veterinary Service, however, informs me that he has examined the blood of a large number of cattle an, Mnrirh, t The recent discovery of (1. murnilniix in Soutlicrn Kordofnn prolnlily cxplnins the prevalcnec of tsetse disea.-"*; in this dintrict. PLATE XV <■: >-<• -^ ^; -.1. C.I *3 ^■ittr ^>, P. I fit Sk s.«a«i^-^ Rk;HAKD ilDIR Okuinaky and altered fokms of Bloou Plates from Peripheral Blood of (.'attle Some of these, in stained preparations, are apt to be mistaken for parasites as they possess chromatin dots and n)a\- simulate flagellated bodies. Lfishinan Stain X 1000 liinm. TEYPAN'OSOMIASIS IX THE ANGLO-EGYrTIAN SUDAX 115 successive passages tlirougli animals, tliat I liave bci'ii able to study the parasites tif tlie disease in nuiles. The cow from Blelnt was also brought to Khartoum, and will be again mentioned in due course. At Taufikia, a monkey [Cercojiifliefiis sd/iaits), a bat. and a black and white crow were examined, with negative results. Out of three sparrow-like birds examined, two showed halteridia in the blood. It is difficult to base any conclusions on such limited observations. The trypanosomiasis of cattle is a chronic disease* to all appearance, and it will be some time before its prevalence is correctly gauged. In eqnines the malady appears to be common in the Bahr-El-Ghazal, where G. mnrsitaiis is found, and probably exists to a considerable extent on the Upper Sobat, wdiere, as stated, it is quite possible that (t. longlpcnnix exists. On the mules at Taufikia large numbers of a species of Stomxvya were found, biting fiercely, specially in the evenings. No opportunity of properly examining these flies was afforded. In one, which was dissected, no trypanosomes were found, but several hours had elapsed before its stomach contents were examined. One may here refer to human trypanosomiasis which so far has not been encountered within the confines of the Sudan,* though, as previously noticed, Dr. Neavef found Leishman-Donovan bodies in the spleen of a boy coming from Meshra, in the Bahr-El-Ghazal. This is of especial interest in the light of the subsequent discovery of G. paljialis in the Bahr-El-Ghazal province and the Lado Enclave, albeit Meshra is hundreds of miles away from these infected regions, and the relationship of Leishman-Donovan bodies to trypanosomes has not yet been definitely settled. At Taufikia I found that the Sudanese battalion was being recruited to some extent from Uganda, and discovered that twelve men had come from Kampala, close to Entebbe, a centre of the disease. Some of these men exhibited enlarged cervical glands. They were tested by blood examinations, glanil puncture and, in one specially suspicious case, inoculation into a monkey [Crrcopithccna), but with wholly negative results. Later they were sent for observation to Khartoum, and were re-examined, but no trypanosomes were found. The presence of these men at Taufikia, however, served to draw attention to what was undoubtedly a source of danger. Recruiting from Uganda was at once abolished by order of the then Principal Bledical Officer, Colonel Penton. Captain GreigJ has shown that the country immediately south of Gondokoro is not of the kind likely to harbour G palpalii, but later information has been obtained by Dr. Neave and is included in his report, together with his own observations on the Tapper White Nile and between Shambe, Eunbek, Tong and Meshra-El-Rek. II. Thr Diseaac in Cattle. — Cattle trvpansomiasis has been studied at Khartoum, Melnt, t,, ,. • J- ' ' 1 he disease in and Taufikia. The disease appears to be of a chronic nature, the principal symptoms being cattle extreme anaemia, especially visible in the blanched, glistening conjunctival surface ; weakness, emaciation, ninning from the nose, and, occasionally, dribbling of uriue. The last condition , , , . . Symptoms IS probably dependent on muscular weakness. Fig. 63 gives a good idea of an animal suffering from the disease. Notice the dull, listless, half-closed, and sleepy eye, the prominent ribs and hip bones, and, what is rather constant, the atrophic line in the shoulder hump. In the later stages the head is held low, and towards the end there is complete collapse, the animal lying down and refusing to rise, the skin cold, the coat roughened, urine and faeces passed involuntarily, and the respirations noisy and rapid. At this stage the animal * It is important to note that Todd mentions the occurrence of a case of Sleeping Sickness in the Lado Enclave. Thompson Yates and Johnston Labor.itories Report Vol. VI., New Series, Part II., Liverpool, 1906. t Brit. Mod. Jour., London, Vol. I., 1904, May iSth, p. 1252. X Lancet, London, Vol, I.. 19li5, Fcl). 25th, p. 5-34. iir. TltYPAN'OSOMIASIS IN THK. ANTiI.fl-Kri YPTIAS Sl'DAN iiiiiy tiiki' fodil, mill, iiiili'i'il, failure of apiictitc ilocs not at any time seem to lie ti symptom, ('an-fnl cxamiiiafioii failcil to ilctcct enlarged j^lands towards the root of tlie iieek, but one is apt to lie deceived liy feeling tlie siiliiiitaiieons, ^^elatinous exudation wliitdi is found to FlC. 63.— SlllLLi X ()\ l-l'KIM. hti'iM (' exist post-niurteni. The first ox from which specimens were obtaiuid died some fifteen miles from Khartoum. Smears of the peripheral Mood, liver, and spleen were submitted to me by Captain Head. In all of these I found the small trypaiiosome, since named 7'. iniinnii by Fio. G4. .Stomach of Ox, >howinK ulcerated patchc* of mucous membrane Professor Laveran. Captain lleml also lironi;ht in sonic of tlic eerebro-spinal fluid, which WHS centrifiiged, and in the sediment streptococci, possibly due to contamination, and altered and anmboid forms of the parasite, were found. The latter rcscndded those described by TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 117 Pliiiimer aud Bradford* iu bonu-marrow in cases of nagana, and by Castellanif as occurring in the cerebro-spinal fluid, in sleeping sickness. They were few in number and stained feebly. A somewhat pear-shaped, flagellated form was the most striking. The second ox also died at a distance. In smears made from its blood trypanosomes were fairly numerous. The stomach, which had been placed in spirit, was the only organ brought to the laboratories. Attached to it was a small piece of omentum. On opening the stomach a very curious condition of pigmented ulceration was disclosed, affecting the mucous Gastnc . --iii-i, ulceration membrane (Fig. 64). Scattered about were dark areas with thickened edges raised above the surrounding mucous membrane. The surfaces of these areas were flat and slightly depressed, and consisted of what was afterwards found to be altered blood clot. No smears ■were made from these areas, but sections were cut and examined. Beyond a severe bacillary invasion aud the appearance of considerable erosion and destruction of the mucous membrane, nothing was found. The following are my notes on the condition : — "Exatnination of Ahomasnin nr Fourth tStomach — Cardiac end. — Nothing noticeable externally. In a small piece of attached omentum there are two enlarged glands about the size of peas, rounded, elastic to the touch, purple in colour externally, and deep purple on section. The mucous membrane is of a uniform dark slate colour, no eccliymoses are present, but there are some dark patches, possibly due to post-mortem changes. Studded over the surface of the mucous membrane are spots of intensely black pigment (Fig. 64). Each of these, in most instances, seems to surround a tiny punched-out-hole, and the pigmentation is most marked in the central depression. A few black granules can, as a rule, be squeezed out from the central pits. These granules were found to consist of altered blood. Where the patches are more advanced, they present the appearance of ulcerations. Most of these are more or less circular and depressed, but some are in the form of ulcerated streaks, and all are intensely black. In addition there are a few patches of superficial pigmentation in which there is no ulcerative process. Central 2>ortion. — -The condition is very similar, but the patches are larger, some of the ulcerated " streaks " being f inch in length. In one or two places the ulcerations appear to have healed, leaving depressed and whitish scars surrounded by areas of slight pigmentation. Pyloric end. — Nothing noted externally. The mucous membrane shows a general pigmentation of the surface in the form of little circular shallow pits with pigmented walls, the pigmentation being very slight. In addition, pigmented ulcers, similar to those previously described, are present in considerable numbers, and in some instances a regular plug of the black material fills up tlie ulcer and rises above the surface of the mucous membrane. There are also present the superficial pigmentations already mentioned, some of which are associated with slight erosion. Where the ulcers are marked, their edges are thickened. The ulcerative process and the pigmentation are confined to the mucous layer. In no instance does perforation seem to have occurred. Size of largest ulcer, f inch by I inch." At the time I did not think that these ulcerations, which rather recalled the lesions produced by the swallowing of a corrosive poison, were in any way connected with the trypanosomiasis. Since then I have had reason to alter that opinion, as will be seen when we consider the experimental work with the trypanosomes of mules. Captain Greig, whom I * Brit. Med. .Jouru., Loudou, Vol. I., 1903, Juue 20th. t Journ. Tropical Medicine, Vol. V., 1903, p. 167. ll"^ IKVrANOSOMI ASIS IN Till'. ANdhO-KOYl'TI AN SIMIAN met Oil liis way to Kiij^laiid froni U^aiiila, iiifor il im- tliat lir liail rcci'iitly finiiul a siiiiilui- foiiilitioii iif iilcciatioii ill tin- stoiimclis of natives ilcail of sleeping sickness. Ilf lias il(S( rilicil aiiil lijiurcil tliis conilitioii in liis report to tlie Koval Soeiety.* The third ox is that shown on pa<;e IKi, Fig. (JM. 'Die lilooil was taken at Khartoum on .■>(Mh Oetoher, ami as iriaiiy as two trypanosonies were foiiml in some (ields. The animal was kept ami well fed. (hi Itli NovenibiT fresh luid stiiined blood films were exiimined, but no parasites eouhl 1" di iiionstrated. Thereafter, though the Mood wiis centrifuged and examined, und though the animal was sulijeeted to four days' partial starvation, trypanosonies were not again found. Eventmdiy, as the owner wished to slaughter the ox, it was exehiinged for o.x No. 4, wliieh was exaniinev KIikhI. liiit none was present. The fwces were slightly tarry in eoiisistcnee, ami this and their colour suggestecl the examination. l)n 4tli Deeeiiilier the ox was found to lie in extremis. Trypanosonies were slightly iiKU'e numerous in the blood, and as it was feared the animal might die during the night, it was slaughtereil. and an aiitopsv performed imineiliiitidy. Posi-mortcni The principal points noted were ; — '"^^ (ii) The extelisivi' sulieutaneous, gidatillous. ami pale yellow exudation. Nearly every part of the snlieutaneons connective tissue was ill an nMlematous, watery condition, wlii(di was most iiiarkeil where the skin was loose, i.e., in the dewlap, lieliind the shouhlcrs, ami in front (jf the haiineh. (/') Till' preseiici' of enlarged purple lucmorrhagic glands ahout the root of the neck. ((•) The gri'at and general enlargement of the mesenteric glands, which were also, though to a less extent, hwniorrhagic in nature. {(/) The presence of a certain amount of chronic meningitis atVecting the pia arachiioiil, the pia being somewhat adherent to the surface of the convolutions. There was little thickening of the iiieiiiliranes, and no a[)pearance of encephalitis. Indeed, the brain appeared markedly anajniic. The stomarli, which was distended witii food, presented no ulcerative condition, but contained "bots'of a dirt'ereiit kind to any I have seen in the Sudan. Till' intestinal tract was normal. There was nothing special to note with regard to the siileeii and liver, wliiili were neither conge.sted nor enlarged. The heart's blood showed trypanosonies. Fluid from the lateral ventricles of iIk brain and from the eerebro-spiual tlnid showed nothing in the way of trypanosome infection. Jiile taken with aseptic precautions from the gall bladder contained a short stout bacillus in considerable numbers, but no Hagelhiteil parasites. The cow at Melut was picked out by the natives as being ill. The blood was collected in tubes containing citrate of soda solution. Such blood showed trypanosonies, though these were only found after some scan hing. The Abyssinian cow which aborted at Taiifikia. and was in a dying condition, also had trypanosonies in its blood, but they wi re not at all numerous. Time iliil not admit of a post-mortem ixamination in this case. • ItvjMjrU of tlic Slevpiii); ■Siekucs.s Comiiiis.'.iiiii of thu Koviil Sih-.. LoikIuii. No. VI.. |>. "iCG, PlaU: VII. TKYPANOSOMIASIS IN THE ANOLO-EOYI'TIAN SUDAN 119 The trypanosome coucerued is a small oue. (Plate XIV., Fig. k.) It is not very active Morphology of in fresh films, and I have never seen one traverse the whole field of the microscope. The motion is undulating, combined with a vigorous lashing to and fro of the anterior part of the body, which tapers to a very tiny flagellum. Rippling, and what may be termed spreading, movements have also been observed. The parasite advances usually with the narrow end in front, but this motion is often i-eversed, and I have seen one move a considerable distance, pushing aside the erythrocytes with its blunt posterior end. A fact which is very noticeable is that the trypanosome tends to adhere to the red blood corpuscles. Even in a thin field this is seen, the parasite seeming to take a delight in butting and boring at the erythrocytes. Frequently it gets beneath them and is lost to view, the agitation it produces being the only clue to its presence. Having studied this trypanosome, both in the living and stained condition, and having conducted a few inoculation experinieiits on laboratory animals [ride infra), I became convinced that this was either a new and undescribed trypanosome, or was identical with the parasite of cattle found by Bruce, Nabarro, and Greig on the shores of the Victoria Nyanza in Uganda. Stained specimens were sent to the Liverpool School of Tropical Medicine, but I learn that unfortunately the stain had faded and could not be repeated with success. In the meantime I had sent unstained films to Professor Laveran,* to whom I am much indebted for his kindly interest, and who, in the Proceedings of the Biological Society of Paris of 24tli • February, describes the stained try- panosome, which he regards, provided further experiments prove it to be ^^^1 peculiar to cattle, as a new species, and ■f': ^ ,J5*^, which, on account of its small size, he 'is^'' has named 1\ nainiiii, i.e., the dwarf trypanosome. His interesting description of these parasites is as follows : — " The trypanosomes measure 10 ^j,^' j^^- ^j^ to 14 ^ in length, by i to 2 fi in breadth. Their structure is that of the flagellates of the genus trypanosoma, although, contrary to the rule, the protoplasm is prolonged on the anterior part in such a way that there is no free part of the flagellum, or the free part of the flagellum is extremely short. The undulating membrane is very straight, and in consequence but little apparent. The posterior extremity is conical, not drawn out, and in other resjiects varies somewhat. The oval nucleus is situated near the centre of the body of the parasite. The rounded centrosome, rather large, occupies a position close to the posterior extremity. The protoplasm is homogeneous without granules. "Some forms a little longer than the others show two centrost)nics and a flagellum, divided to a greater or lesser exti'ut, proceeding from the ceutrosomic insertion." Fig. 6.5. —T. Nanc'm. x 17.50 di.ini. * Compt. reud. Soc. Biol., Paris, 1906, Feb. 24th. 1-20 TllYl'ANOSOMlABIH IN TIIK ANGLO-EQYl'TIAN SUDAN 111' prooi'iMls tu jKiiiit imt liuw ililV.iviit in morphology is this tryimnosonu' fmin T. /Iriirri iiiul T. h'nni.ti. He foiupiires it with T. Thnln-i, the giiiiit trypuiiosonie of South Africiiu cuttle, and coiuludes by reinurkinf^ thiit while very distinct from T. Tlniliri, T. ittiiiiim iiiiproiiilies it in being peculiar tu cattle, so far as is at present known. I have little to add to the above description, {riifr Piute XIV., Fig. >i.) 'I'll.- photo-micrograph (Fig. 65), for which I am indebted to Dr. Beam, chemist to the Laboratories, gives a very fair ideu of one of the shortest forms of 7'. luiintm. It shows it to be u short trypanosome with hardly uny free ilagelluni visible, but is not (juite typical in that the po.sterior moiety is rather broa« From iiudeuH to begiuuiug of Uiigellum .'>(;/i Free llngellum 1 I /i Breadth Ijcliiud micleus l! /i I agree tluit tlic pnitoplasiri is homogeneous, though it sometimes stains irregulurly, as evidenced in Fig. (35, while in forms kept /// rltru granules appear, for the most part anterior to the nucleus. In such forms tlic Viicuole in the neiglilioiuliood of the ccutrosomc may be found large and very evident. Sometimes a portion of tlu' free edge of the undulating membrane is clearly visible, liuiKlird as it were upon llie back of the trypanosome and looking like a loop. As a nilc. howivcr, tlie undulating membrane can scarcely be seen save in the living j)arasite. I havi- workeil witii specimens stained by the Leishman-Komanowsky method, which answers admirably if the stain be strong and staining prolonged. After fixing with the alcoholic stain in the usual way I am in the habit of ailding an equal (juantity of distilled water and allowing the stain to act for from twenty minutes to half-an-hour or even longer. I have carried out a few experiments in ri/ro wliich may be mentioned here, tiiough the study of the trypanosome is yet far from complete, owing to lack of material and press of other work. Hence cultivation experiments have not been attempted. In citrated blood kept at a temperature of 22^ to 23' C, no change in the trypanosomes was vi.sible after twenty-four hours. They remained lively and stained well. After seventy- two hours at a temperature of 25° C, changes were observed to have occurred, the posterior en.i- \ii. 1. — 0'5 c.c. citratrd lijoiid, i.e. about 0'25 c.c. exiwriniunis l,),,,,,]^ was inoculated subcntaiieously into a moidvey {Cirri'pitliniis .v((/i/M(\) on ."lOlIi October, I'.KM. On the same date a rabbit received 1 c.c. of citrated blood. These animals never showed any symptoms of the disease, und though their bloods were repeatedly centrifuged TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 121 in the luEmatoerit tubes, and carefully examiued both iu the fresh and stained condition, no trypanosoines were found. From Ox No. 4. On 23rd November a rabbit received 2 c.c. of blood containing a considerable number of trypanosomes, six to the microscopic field (employing Leitz, obj. 6, oc. 4, without ocular diaphragm), aud a monkey (Cermpifhecm) received 1 c.c. The result in the case of these animals was also negative, though they remained under observation for two months. On 4th December a brown pariah dog received 2'5 c.c. of fresh blood subcutaneously at a time when trypanosomes were fairly numerous. A black pariah dog received as food large pieces of the liver and spleen aud several of the enlarged glands, all soft food be it noted. These experiments also proved absolutely negative. On 29th December the last-mentioned rabbit happened to be killed accidentally. A post-mortem was performed immediately, but no trypanosomes were found in the blood or in any of the organs. It would appear, then, that dogs, rabbits, and monkeys {Cercopithecua) are not liable to infection with T. nanum, though it must be confessed that the number of experiments was too small. As it was desired to institute further experiments, the cow from Melut was brought to Khartoum, arriving there on 4th March, 1905, along with her calf. The blood of both animals was examined, but no trypanosomes were present The cow, and there was no doubt as to her identity, was in very poor condition and presented all the symptoms of the disease, but repeated centrifuging of considerable quantities of blood failed to reveal the parasites. On 7th March, 1905, 4 c.c. of the cow's fresh blood was inoculated subcutaneously into her calf, but though numerous examinations have been made of the blood of the latter, T. nanuin has nut once been found. Nor has the cow again exhibited trypanosomes up to the time of writing (December, 1905). She was well fed and steadily improved in health and appearance. In this connection one must note that the Uganda experiments indicated that there is no transmission of immunity from a trypanosome infected animal to her offspring and that an apparently recovered animal may months later, as a result of lowered vitality, again exhibit infection [ride Lancet, May 14th, 1904). A sample of her milk was analysed by Dr. Beam and yielded the following figures : — Total solids 21'5 per cent. Fat 11-2 ,, ,, (a very high figure). Solids not fat ID'S ,, ,, I had neither the time nor the means at my disposal to conduct an extensive series of cattle inoculations, nor was I able to secure other cattle suffering from trypanosomiasis. Taken m conjunction with what was found in Ox 3 it would, however, appear that T. nullum is in the habit of disappearing for long periods from the peripheral blood, and j I am strongly inclined to think that spontaneous cui'e may occur. It is possible that, under , favourable conditions, such as removal from an endemic area and plenty of good food / ensured, a trypanosomicide is produced in the blood which proves fatal to the parasites. Supposing for a moment that this be the case, it may prove possible to utilise the sera of Possible recovered cattle as a therapeutic agent. I hope yet to be able to exploit this field of research sp°"'aneous which, though already explored to some extent in the case of other trypanosomes, seems Well worth investigating in the case of a new and uudoubtedly somewhat benign form like I 2'. ininnm. A proper animal house, however, would be required, and more assistance than is ' at present available, while the undertaking would be somewhat costly, as I have not yet 122 TUY1-ANOS0MIA8I8 IN TIIK ANOLO-KCi Yl'TIAS tSlDAN fouiul a lulM)nit(HT niiiiiml liiiMc to iiiffctioii with lliis tiyiiiUiosuim' i>f caltlc Oiii' rallnr iiitiTi'Sting I'xpiTiiiK'iit Ims, liowcvcr, liccii trii-il. On Novcnilifr ITtli, llKlf), tlif i-alf whose blood \vii8 fxaiiiiiu'd ami fuiiiid, as bi'fort', free of panusites was inoculated with I'T) c.c. of liliiod from a iiumkcv. This liluod was swaniiiiifj; with the long and short forms of the trviiunosolile of liiuh'S ([irolialilv '/'. (/////I'/y/i '(pearanee of a tiny corkscrew for the fraction of a second, and then, stretching out, the parasite shoots across some space amongst the corpuscles, and plunges writhing and lashing amongst a group of startled erythrocytes. In tlir fresh state the undulating membrane is not very well defined in these long forms. They do not j)resent a granular aspect. The short forms on the otiier hand are, as a rule, ilistinctly granular and are much more sluggish in tluir movements. They tend to hang about the same spot and their excursions are limited, rather re.seiiibiing those of 7'. niiiiiim. They also can advance witli either end in front, but tluir body nioveiiiciits are more of a rippling or undulating type. It often looks us tliougli a series of shivers was riiiining along the protoplasm. Their undulating iiieiiibranes are well marked, and llie rounded posterior ends are very distinct. On staining with Leisliman-liomanowsky, used strong and for a considerable time as in the ease of 7! uaniim, the differences in structure between the two forms are well emphasized. Points to which Laveran in his short note does not refer, are the well-known " pike-head " form of the posterior end of a typical long trypanosome, and the fact that the centrosonie of tlii' long form is not as large as that of the small. In some of the short forms the nucleus seems almost to touch the centrosonie, while " biiiudiing" of the undulating membrane is often well seen. I have noted curious forms, jiossibly distorted, with stjuare-cut posterior ends, and more than once have seen a short form witli no granules visible. As a rule the granules are in the posterior moiety, i.e., between the nucleus and tlie centrosonie. In some iustances the possession of these chromatin granules is almost the only point enabling one to distinguish this trypanosome from T. naxum. I have also noticed ilividing forms, and it is not uncommon to find two short forms lying with their posterior ends in close contact — possibly a pndiminarv stage to conjugation, more likely the terininal stage of a division. In the mule's blood T did not observe conjugating or agglnfiiiating. or involution forms. 1 agree that the long foiin< asure from '21 to 3U fi, but some are as narrow us r4 fi ut their thickest portion. TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 125 I appi-'iiil a very average set of measurements : — Prom posterior Gud to centrosome ... ... ... ... .. .. 2'8 /ii From ceutrosome to imclous ... ... ... ... ... ... 7 ^ Nucleus 2-8 /i From nucleus to root of tiagcllum .. . ... ... ... ... ... 4'2 u Flagellum 6 to 10 ^ There is much variation amongst these long forms, but as a general rule the flagella stain admirably, and complete uieasurements can easilv be made. Here are the figures for one of the short forms of a total length of l-i n, in which the nucleus was at the junction of the posterior and middle third : — Prom posterior end to centrosome ... ... ... ... ... ... lifJ- Prom centrosome to nucleus ... ... ... ... ... ... 14 /j Nucleus 'IS n (large) From nucleus to root of flagellum ... ... 7 /^< Flagellum 14 f I have found short forms to vary in length from 12 /j to 15'4 /<, and in breadth from 1-4 /. to 2-5 fi. As Professor Laveran points out in T. dimorphtm, the trypanosome of horses in Senegambia there also exist two forms, a long and a short. He asks if this and the mule trypanosomes are identical. He regards it as possible, but mentions the fact that, while the short forms of the mule trypanosome resemble the short forms of T. dimorphiim, the long forms of the former differ a little from those of the latter, mainly as regards the flagella which, as a rule, are short in T. dinwrplmm. He adds, however, that variations occur and that Button and Todd* have described free flagella in the largo form of T.dhniii'phimi. Not only are they described, but they are figured both in photo-micrographs and coloured plates, and I must say tliat my first impression was that I was dealing with T. dhnorphum or some- thing very like it. To my mind the long forms more resembled the long forms of T. d'tmorphum than they did T. Kvansi, but then my comparisons were made from photographs and coloured drawings. Laveran goes on to advance another hypothesis, namely, that the mules may have been infected with two different species of trypanosome, and he cites the work of Cazalbouf who in the French Soudan found horses to be the victims of a double infection. There seems no reason why this might not occur, and as regards the short forms one at once thhiks of T. nitiuim, as the mules had come from the Itang district along with the herd of cattle, amongst which was the cow harbouring those flagellates. This cow aborted and died as already described. In order to try and settle this vexed question and to enable one to test certain therapeutic measures animal inoculations have been conducted. As mentioned, a Shilluk dog, whose blood was previously tested and found normal, was inoculated from one of the mules at Taufikia, receiving 4 c.c. of undiluted blood subcntaneously. It was brought at once to Khartoum, where a fly-proof animal house has been erected, and there it developed trypanosomiasis, the parasites appearing in the blood after an incubation period of about seven days. From this dog, whose blood exhibited the same state of things as was fouml in the mule, various passages of the parasites have been made. Those performed up to the present time * First Report of the Trypanosomiasis Expedition to Senegambia, 1902, Liverpool, 1903. t Rec. de Med. Vet., Paris, 1904, Oct. 15th. 126 TRYPANOSOMIASIS IN THE ANT, I.n-rri YPTIAN SUDAN arc shown in flic aimcxcil fiiMi' (p. 127), ainl it is |iriiiMisiil td iliiil witli cinli cxpcrinnmt in turn ninl tlicii to consiiliT tlic nsnit as u whole. In larh instaiirc, with one i-xcuption thie to a niistakr, the Mnuil df the cxiMiiiiicntal animal was canfully cxainini'il prior to inocnlation. Exp. 1. Doj,' 1. — Young Shillnk dog, ahont fight months ohl. Jiiniiiini Ht//i, IIKI.'). 4 I'.c. fnsh iiluoil of mnlc injcrti'd subcutiineuiisly. Jiiiiiiiiri/ '22iiil. Trvpanosonifs funnd in the peripheral blood. Ffhruiiri/ Htfi, found dead. This dog ran wliat proved to he a very typical conrse for the disease in dogs characterised liy progressive ainemia, weakness and emaciation witii, in tile hiter stages, double corneal opacity. Towards the end the creature hail become a veritable skeleton. The appetite (lid not fail til! just before dcatli and no ucrvous svmptoiiis. except increasing drowsiness, were noted, nor was there aiiv ledema or etliision. At the autopsy, the most noticeable feature was a large cll'usicjii into tiic pericardium. Being ill at tlie time I ilid not see tile post-iiiorteui, liut 1 understand ti:at no gastric ulceration and no enlargement of glands was found. I believe tliis may iiave lieeii due to the fact tiiat tile dog, a yoniig animal, died at a coniparativ(dy early stage in the disease. The blood was noteil as being very thin ami greasy. The following is the temperature record from January 30th, taken per rectum, about noon of each day, 1028° F., 103°, 102°, 104-6°, 101-6°, 103-2°, 98-8°, 984°, 101-2°. It will be noted there was a lowering of the boily lieat towards the end of life. Kxp. 2. Dog 2. — Inoculated subeutaneously from Dog 1 on danuary 23rd, about 2 e.e. eitrated blood being given. Blood examined for tiie first time on February Itii, when trypanosouies fnuiid. For a few davs prior to fiiis flic dog ii.'id sliown signs of commencing emaciation. At a slightly later period it exhiiiited to a sligiit extent the so-called "bull-dog hea*ease progressed and the ilog was found deail, stiff' and colli on the morning of Feb- ruary 20th. Post mortem the only thing of note was the enlarged spleen, which measured '.• inclus (23 cm.) in length and ill wiiirli flic f(dlicies were en- larged and prominent. A fuller aeeoiinf of fiiis dog will be found later when tile chrysoidine treatment is discussed. There was no gastric ulcer- ation. The trypanosouies before treat- ment was commenced presented no differences from those found in the mule. Both forms were present. ( JJixi-ri/ilidiis of ij/ii null Ills n>n- liiiiii'il ml j>. l.3;>.j Fig. Sd. Mumikv .Ah^kcikh mum Tkvi'Amosomiams of Mulbs "?. 03 1— < 05 <^ -/3 H^ H ". !5 c H 02 S3 O HH |2; K <; W n* ?-( >-i K a w H ^ o w g ^ p-^ o fe Q ^ HH 03 (JH W O S H OD 1^ o ra ;?; , "^j- '^>. lyg bJJ '*i-2 '*J-2 '^O '^tS ^11 ^l '^l ^& "^■■e" ^r^ 1 c £;„ — SiiS — . 4J — a a o! •■3 .Si a S-. o o ° g I-" ^ o "S- B 128 TRYPANOSOMIASIS IN THE ANQLO-F.OYPTIAN SUDAN Inoculation in Dotis i'UYl'ANdSOMK OF Ml'LKS FiiisT I'assaoe Animal Dale, Source and Mode of Inoculation Dale of Appearance of Rtrxvitc^ in lltood Number of Parasites seen 'rrc-itinrnl Result and Pcrioilicily Pcst-mcriem Remarks Exp. 1.— June 16, 1906.— Jan. 22, Swarming ; Nil Death Blood grea.sy ; Comealopncity Shill Ilk SiilKMit. injec- 1905 constantly no gastric present ; fal'l n o K 1. t iun. From present ulceration ; of temperature; Y o 11 11 (.' Mule (Tnuli- no enlarged aiite-iiiorteiii Animal kia) 4 c.c. glands ; peri- cardial effu- sion Skconi) Pas.saoe Exp. 2.— Jan. '23.-2 c.c. F 0 H n (I Swarming ; C h r y- Feb. 19.— Enlarged Corneal opacity OoL'. 2 Iiy sulK-ut. Feb. 4. constantly suidine Death spleen ; no present and i 11 jcc t i (111. Finciit. constantly soid ine Death s])leen, and oi)acity; jxwsi- i 11 j e (• t i o u. present (Merck's) thymus; nc- bly overdosed From Dog 2 ]ihritis; serous effusions ; no gastric ulcera- tion with clirysoi- dine FonnTH Passage Exp. 9.— Feb. 2f>.— .') CO. March 4. .\boiit one Nil March 23. Enlargedsplecn: Corneal op.icity; Dog4 l)y sulHMit. in- —First per field — Chloro- gastric ulceni- catHract pre- jection. Prom Examin- at first; forracd- ation : spirilla sent Dog 3 ation swarming later; con- stantly pre- sent in ex- tremis in blood clot, and ulcerated surface Fifth Passage Kxp. 13.— M.nrrh l.<*.— Marc li About 12 C h ry- April l.- Enlarged D«« r> 2r» e.c. by 9ul>- 23.— Not per field soidinc Chloro- spleen, liver out. injection. prese n t at first; (Merck's) formed and mesen- From Dog 4 Mar(^li22. constantly in ex- teric glands ; Inciiba- present tremis gastric con- t i 0 n ft gestion. Spir- days illa present TRYPANOSOME OF MULES Second Passage Irocclation in Monkevs {Cercopilhceus sabacus) Dale, Source, D.itc of Appear.tnce Number of Anim.ll and Mode of Par.-i.sites seen Tre.itmcnl Result Inoculation in Blood and Periodicity Splcenand liver Exp. 3.— Feb. 1.— 1 c.c. Fcl).12.— 2 or 3 per Nil Feb. 15.— Sudden aggra- Monkey 1 by sub cut. First ex- ficldat first Sudden enlarged; ga.s- ration of injection. am 1 n a ■ then nu- daath tric ulcera- symptoms on Prom Dog 1 tion merous; probably constant tion ; altered blood in stomach. F e b. 1 5 ; marked som- nolence. Exp. a.— Feb. 15.-2 5 Feb. 21. Monkey 2 <•.<;. by sulx-ut. injection. From Monkey Tiiiui) Passage Swarming. Chrysoi •JOperfield; constantly ]iresent dine Mar. 8.— C h 1 o r o- (Merck's) formed in extremis Qa-stric ulcera- tion and ulcer- ation in the circiim and lower end of ileum ; .spleen congested. Marked ccdcma of scrotum present. TEYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 129 Inoculation in Monkeys — continued Fourth Passage Date, Source. Date of Appearance of Parasites in Blood Number of 1 Animal and Mode of Inoculation Parasites seen and Periodicity Treatment Result Post-mortem Remarks Exp. 10.— March 8. — Ic.c. Mar. 13.— Few at first; Serum of Mar 19.— Congestive Convulsions Monkey .3 by subcut. in- For first swarming Water- Chloro- patches in following jection. Prom time. In- later; cou- Buck formed in stomach. treatment. Monkey 2 cubation stantly extremis Spleen and 5 days present liver con- gested. Sixth Passage Exp. 17.— March 27.-1 Apr. 3.— 2 or 3 per Serum of May 1.— Ulcer in "Tadpole" Monkey 4 c.c. by subcut. For first field at Water- Pound C£ecum. Bac- forms present injection. time first ; dis- Buck dead terial invasion. at one stage. Prom Dog 5 appeared under treatment Sixth Passage Exp. 21.— AprillO.- Ic.c. Apr.17.— 1 or 2 per Nil May 15.— Ulceration of Typical spirilla Monkey 5 by subcut. in- Nil on field ; nu- Chloro- stomach, only found in jection. Prom 15th m e r 0 us formed in caecum and smears from Rabbit 2 later ; con- s t a n 1 1 y present extremis small and large intes- tines ; spirilla present. ulcers in ileum. Seventh Passage Exp. 25.— April 24. — 1 Apr. 29 Consider- Serum of Jlayll.— Congestion and Cerebral haem- Monkey 6 c.c. by subcut. able, swarm- Water- P o u n d blood clot in orrhage (su- injection. ing later Buck dead stomach; pra-cortical) Prom Monkey ulceration in 5 ileum; spirilla seen in fresh smear; not in stained Seventh Passage Exp. 30.— Jlay 15.— -25 May21.— Consider- Nil June 10.— General e n- Corneal opacity Monkey 7 c.c. by subcut. Examined able ; con- Pound largement of present injection. for first sta nt ly dead mesenteric From Monkey 5 time present glands Eighth Passage Exp. 32.— May 23. —-25 June 7. — 6 or 7 per Chry- June 24.— Ulceration of Somnolence not Monkey 8 c.c. by subcut. Examined field ; con- soidine Found lower end of well marked injection. for first s t a n 1 1 y (extra) dead small intestine; From Monkey time present; soluble; brain not 7 diminished in number during treatment ? form; discon- tinued June 20, 1905 yellow Ninth Passage Exp. 34.— June 15. — '25 June 21.— Fairly nu- Nil July 16.— Gastric ulcera- Monkey 10 c.c. by subcut. Examined merous; Found tion ; conges- injection. for first constantly dead tive patches in Prom Monkey time present ileum ; smears 8 negative Tenth Passage Exp. 35.— Aug. 14. — '5 Aug. 24.— Large infec- Nil Aug. 29.— Apical pneu- Monkey 12 c.c. by subcut. Examined tion Pound monia; no injection. for first dead special points ... Prom Monkey 10 time noted Eleventh Passage Exp. 36.— Aug. 2 9.— Never Failure to Mookey 13 Prom heart's blood of Mon- key 12 infect 130 TIIYPANOSOMIASIS IN THK ANQLO-EOYPTIAN SUDAN Elevknth Passaoe Inoculation in Monkevs— roiifiiiiirrf I)alr. .'Njiircc Dale of Appciiraiicc of Foriuiiia in Blood Xiiinhcr i>t Aniiniil uiid .Mode uf IWfisiirs MCcli 'rrtMiment ' KrMill I'oM-inortcln Kemark.s liMKuUtiun and Pcriudicily Nil Sept. 3.— Marked gastric Exi>. 44.— An^. 17.- Aug. 22 Severe in- Disease ran Monkey 14 Proni Gerbil fection C h 1 o ro- ulceration ; no rather a rapid 24 Twelfth Passjaoe f ornied in ex- tremis spirilla coarse. Kxp. 4.").— Sept. 3. —"if. Sept. !;'>.— Cons idcr- Nil Oct. 14.— Ulceration and Monkey 1.1 e.e. by snlK'Ut. Pirst ex- able; none P o n n d inllamiiiatory i n j e r t i 11 n . amination found on dead indnnitiuii In Prom ilonkev Sept. 30 s ill all a II d 14 large intestine Thirteenth PA.ssAOf Kxi'. 40 — Oot. rt.— r> c.e. Oct. 17.— Swarming; C h r y - Oct. 22.— Ij i V e r and Krai n a ii d Monkey 10 by siibciit. in- Pirst ex- constantly soidine Died spleen I'lilari;- spinal cord .iection. Prom amination present (Men-k'»; ed and con- stained slightly Monkey l.'i gested; no ulceration yellow POUUTKENTH PaSSAOI Exp. 48.— Oct. 22.— Prom Oet. 28. Large num- Nil Nov.lf).- In bone mar- I.. 1). forms; Sloukey 1!) heart's blooably the of Monkey 10 sent ; eon- stant ly present PiFTEENTI I Passage forms present; no ulceration young forms of Lingard Exp. 49 — Nov. 15.— Prom Nov. 29.— Consider- C h r y - C h 1 o ro- M e s e n t e r i <• Brain, s|iiiial Monkey 20 lieart's hlixxl Examined able soitUne f ornied glands lia'iii- i^ordand nerve of Monkey 19 for lirst ^Mer.-k's) in ex- orrhagic;Ij-D. trunks a bril- time tremis : d e a t li probably liasteiied by chry- soidiiie forms present liant yellow Sixteenth Passaoe Exp. .11.— Nov. 21. — -.I Monkey 21 c.c. injected sulwnt. Prom Monkey 20 TRYPANOSOME OF MULES. Inoculatios IN Jerboas {Jncu/ita Oordoni) Second Passage Aniin;il Date, Source, and Mode of Inocula- lion Date of Appearance of Parasites in Blood Number of | ~ Par.-usite5 seen ' ""V Result .ind Periodicity """"' Post-mortem Remarks Exp. 4 — Jertma 1 Feb. 3. —Few drops by sub- i-iit. in.jection. Prom Poi; 1 Never Nil Death in 48 hours No evidence of try- panosomc infec- tion Harboured Hmno- IfrrgnrinnBalfoiiri (Laveran) PouRTH Passage Exp. 11 — JerlxKi 2 Peb, 22, — A few dro|)s by siibcut. injei-- ticiii Pniiii M..likcy •> Pound post-mor- tem on Peb. 28; not pre- sent Peb. 20 Nil Feb. 28- Found dead Sixth Passage Oastric ulceration; t rypa nosomes found in blood from heart Ditto Exp. 19.— JerlKjn 3 Mar.li 22— A few drops by Hulicut. injec- tion Prom (lerbil 2 March 2.1 — Porfirst time 4 or .1 iK-r tield : con- s t a n t 1 y present Nil March 28 Death (lastricnli'enition; curious " ruddy" forms in stomach smears Ditto TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 131 Inoculation in Rabbits Third Passage Date, Source and Mode of Inocula- tion Date of Appearance of Parasites in Blood Exp. 7.— Rabbit 1 Feb. 18.— 5c.o. by s u 1) c u t. injection. Prom Doi? 2 Exp. 12.— March 4.— lo Rabbit 2 | c.c. by subcut. injection. Prom Dog 4. lNOonr,ATiON IN Goat Never April 4— Por first 1 time 1 Number of Parasites seen and Periodicitj- Treat- ment Post-mortem Remarks Nil March .3— Died dur- ing night 1 per cover- slipatfirst; increased Fifth Passage Nil m nunil later April 11— Killed by accident Fifth Passage Exp. 1.5.- Goat 1 March21. — Ic.c. by subcut. in- jection. Prom bos 4 Marc;]i 30 ' — For first time 1 per cover slip ; never more than 2 present ; often ab- I sent Nil May 31— Chloro- formed in extre- Exp. 23.- Rat 1 Exp. 23a. Rat 1 - 1 Aprill2. — Ic.c. From Gerbil 10. -i April22 — Ic.c. j PromMonkeyS Inocul.vtion in Calf Exp. 47.— I Oct.lO— 1-; Calf 1 by subcut. in- iection. From Money 16 Never Never Oct. 23— Por first time I April 23— Found dead Fourteenth Passage A few pre- sent ; van- ished later Dec. 10— Animal well and fat Decomposed ; bac- terial invasion:no trypanosomes in smears Decomposed; bac- terial invasion ; no trypanosomes in smears I ncrease of cerebro- spinal fluid which was cloudy ; en- largedmesenterie glands I Inoculation in Rat (Mus decumanus) Seventh and Eighth Passages Bacterial invasion Only symptom was progressive ema- ciation Marked conjunc- tivitis and Ijlepharitis ; fall- ing out of hsir round the eyes Myelocytes and eosinophile myelo- cytes present Failure in both experiments No infection save temporarily trypanosome of mules. Inoculation IN Gerbils {Gerbifliis pi/iyaiyxs) Second Passage Animal Date, Source and Mode of Inoculation Date of Appearance of Parasites in Blood Number of Parasites seen and Periodicity Treatment Result Post-mortem Remarks Exp. 5.— Gerl.il 1 Peb. 1.— A few dro]is by sub- cut, injection Prom Dog 1 Never Failure to infect Exp. 5a.— LaterfromDog ? Swarming ; Nil Death No gastric Error in inoc- Gcrliil 1 2 and Dog 3 ; second and third i^assages constantly present ulceration ulation Fifth Passage Exp. 14— March 4.— A Mar. 7.— A few at Serum of Mar. 24. Stomach decom- Slight illness Gerbil 2 few drops bv Fur Hrst first ; then Water- — Pound posed ; spleen compared with i n t r a p c r i - tinic swarmmg; Buck dead enlarged intensity of in- toneal injec- constantly fection tion. Prom present Dog 4 Fifth Passage Exp.lC— March IS.— A Mar.22.— Fairly nu- Nil Apr. 3. Areas of con- Granular baso- Gerbil 8 few drops by For first merou s; — Pound gest ion in p h i 1 i a of intraperi- time constantly dead stomach ; erythrocytes toneal injec- present curious invol- tion. From ution forms in Dog 4 smears 1.3-2 TRYPANOSOMIASIS IN TIIK ANQLO-EQYPTIAN SUDAN Inoculation in Ubrbius (coniinufil) Sixth Passage Animal Dale. Source and Mode of Inoculaiion Dale of A|)ncarance of Parasile* in Blood Number of Para»ii« «en Treatmeni and Periodicity ' Reiuli Fosl-morlcm Bomnrks Exp. 18.— March 26.— A Mnr.29— Fnirly nu- Sum in of Apr. .3. Altered blood in Oerl.il 11 few drops by For first 111 e r o n s ; Water- —Found Btomneh ; con- siilx'iit. injec- time constantly : Hnck dead gest ion ; bac- tion. From present terial invasion; Dog:. no trypnuo- somesinsinears Seventh Passage Exp. 20.— April 4.-2.') Apr. 8.— Fairly nu- Clirysoi- Apr. 19. Bacterial in- tliTliil 10 r.r, l»y sulieiit. For first merous; dine — Found v.asion ; success i n j ei' t i o n. time mostly (Merck's) dead negative Fronillonkey long forms 4 a t fi r s t ; varied un- der treat- ment EioRTR Passage Exp. 22.— April 10 —A April 12 — One per Clirysoi- April 20. L.-D. forms in Brain and sp.- Oerl.il 12 few ilrup< by For first cover slip dine — Pound liver. Altered cord stained Nulx-ut. injec- time at first; (e.\tm) dead trypanosomes yellow tion. From swarm i nx soluble ? in smears Qerbil 10 by April 15 Seventh Passage Exp. 26 — Mny 4. — A May 8.— Consider- Nil May 10. Bacterial inva- DecomiK>sed Qerbil 13 few dro))< by K X u m • able mim- — Found sion sulxMit. injec- ined for l>er. dead tion. From first Monkey 5 time. Seventh Passage Exp. 27 — Mny 4 — A Mny 8.— Consider- Nil May 21.— No ulceration ; Cultures on Qerbil 14 few drops by E.xn ra- able num- Chloro- many para- blood agar sulxMit. injec- ined for ber formed sites, long and failed tion. Prom first for cul- short forms in 5Iuiikev .') time ture work heart's blood Exp.28.— Qerbil 10 Seventh Passage Mav 11. — A May 16.— Only a few Serum of May 21. few drops by sulsrut. injec- tion. From Monkev .'> Exam- ined for first time present Wnter- B u c k : begu n May 21 Chloro- formed in con- vulsions G p.m. No ulceration ; spleen and kidneys en- larged; degene- rated trV])ano- somes or nil in smears Was there liber- ation of toxines from tryiiano- some destruc- tion ? Seventh Passage Exp. 29.— May 11. — A May 16.— Numerous; Chrysoi- Oerbil 17 few drops by Kxamin- constantly dine sulx,-ut. injec- edforfirst present i,Extra) tion. From time i soluble? Monkey 5 | Slay 22. — Spleen e n- Died 1 a rged; bac- terial invasion Brain and spinal cord a brilliant yellow Eighth Passage Exp. 31 — Mav21— Inoc- Never Failure t Qerbil 18 ulated from Qerbil 14 by scratch in- oculation infect Exp.Slrt — Mav '27. — A .tunc 4.— Swarming Nil ? Qerbil 18 few drojw bv E.\a min- Record sulicut. injec- ed for first lost tion From time Monkey 7 TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 133 Inoculation op Gekbils (continued) Eighth Passage Date, Source and Mode of Inoculation Date of Appearance of Parasites in Blood Number of Parasites seen and Periodicity Treatment Pobt-mortem Remarks Exp. 33.— Gerbil 19 Exp. 37.— Gerbil 20 May 27. — A few drops by subciit. injec- tion Prom Monkey 7 June 28.-25 c.c by subcut. injection. Prom Gerbil 19 Exp. .38.— July29.— oc.c. Gerbil 21 ; by subcut. in- 1 jectiou. Prom Gerbil 20 Exp. 39.— Gerbil 22 Aug. 8. — 2.TC.C. subcut. by iu- jectiou. From Gerbil 21 Exp. 40.— Aug. 20. — By Gerbil 23 subcut. injec- tion. Prom Gerbil 22 Exp. 41.— Sept Gerbil 24 -By subcut. in- jection. From Gerbil 23 Exp. 42.— Sept. 14.— By Gerbil 25 subcut. injec- tion. Prom Gerbil 24 Exp. 43.— Gerbil 26 Sept. 21.— By subcut. injec- tion. Prom Gerbil 25 Exp. 50.— Nov. 8 — By Gerbil 27 subcut. injec- tion. Prom Monkey 19 June 4. — Ex a m i n- edfortirst time July 7.— Examin- edforfirst time Fairly numerous at li r s t ; swarming later Nil Ninth Passage Not many present Nil Tenth Passage Aug. 2. — I No note at | Nil Exaniiu-i first; swarm- edt'orfirst ing later time June .30.— Chloro- formed in extremis Aug. 3.— Found dead Aug. 19.— Pound dead Eleventh Passage Aug. 17. — Swarming i Nil Aug. 28.- Examin- i Died ed for first I time Aug. 22.— For first time Twelfth I'assage Slight infec- Nil Sept. 13.- tion at first Died Spleen enlarged No ulceration Decomposed Spleen enlarged; no ulceration Nothing special noted Never Nov. 19.— Ex a m i li- ed for first time Thirteenth Passage Sept. 20.- Died Fourteenth Passage [Oct. 6.- Died Fifteenth Passage Failure to infect Fifteenth Passage Numerous Nil Dec. 10.- Died Spleen enlarged Exp. 3. Monkey 1. — {Ceiropithecus soba-uii, or green grivet monkey.) Fehruarv 1st. Inoculated siibc-utaneously with 1 c.c. blood from Dog 1. Ffhruarii 12th. Trypanosomes found. Fehruavii 15th. Death occurred. The symptoms presented were those of progressive anemia, emaciation and weakness. The mucous membranes became very blanched. Towards the end there was marked somnolence, the monkey frequently taking up the position shown in Fig. 68, which is very like the photographs of the monkeys inoculated with T. gambiense, and figured in the 134 TRY1'AN080MIASIS IN TIIK ANOLO-EO YTTIAN SfDAN Ugulida Kr|iiirts nf llic Kuyiil Socii'ty's ('ollllllissioli. In lliis liKiliki'V tllf sVMi|itiiiii8 undtTWi'iit a sudiliii aggraviitioii on February ll^tli, ami ilcalli oi-currfK.MS IS OkKHIL. NuTH lung rt►^TKKI(^K KNIi (X K3.1 diaill.) TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 135 There was no gastric ulceration. In the thorax the periccirdium was foimcl much distended with serous effusion, and the heart muscle was very flabby. The thymus gland was enlarged. Although the post-mortem was performed immediately after death, and smears made from all the organs mentioned, no trypanosomes were found — a point to which reference will be made when experimental treatment is considered (p. 155). Exp. 7. Babbit 1. — Inoculated subcutaneously with 5 c.c. blood from Dog '2, on 18th February, 1905. Blood examined 28th February, 1905, with negative results. This rabbit became emaciated, but showed no other symptoms of the disease. Trypanosomes were at no time found in its blood, nor was subcutaneous tedema present. It died during the night of March 3rd, and was found already somewhat decomposed on the morning of the following day. Post-mortem digestion of the stomach had set in together with a general bacterial invasion of the tissues. No trypanosomes were found post-mortem. I am inclined to think this animal died of trypanosomiasis, and that more frequent examination of the blood would have revealed the presence of the parasites during life. Exp. 8. Monkey 2. — Inoculated subcutaneously on February 15th, with about 25 c.c. blood from Monkey 1. Blood examined, 21st February, 1905, when it was found to be swarming with trypanosomes of both forms, there being 15 or 20 to each microscopic field. This monkey was also treated with chrysoidine {vir/e p. 155). After running a somewhat peculiar course it was found in extremis and chloroformed on March 8th. Post-mortem. — Swelling and cedema of the scrotum present in a marked degree. Extreme anjemia of the mucous membranes. Gastric ulceration present, and ulceration at the lower end of the ileum and in the caecum. In the stomach a flat blood clot was found adherent to the mucous membrane towards the pyloric end. On removing it a red congestive stippling was found. Similar congestive patches were present in the ascending colon. The stomach and intestines were preserved for colour museum specimens, and smears were not taken. The spleen was firm and congested ; the liver showed nothing beyond slight congestion ; there was early nephritis present. The brain and cerebro-spinal fluid were examined but nothing peculiar was noted. Exp. 9. Dog 4. — Inoculated subcutaneously with 5 c.c. blood from Dog 3 on 26th February, 1905. Blood examined, March 4th, 1905, when trypanosomes found, about one per field. The temperature taken at noon on tliis day was 104-8 F. Both forms of parasite were present in the blood, and were very lively and active in their movements. This dog was not treated so that its symptoms may be described here. Corneal opacity was first noticed on March 11th. It attacked the left eye, the other remaining unaffected at first. On March 22nd, both eyes were found affected and an opacity of the lens of the left eye was noted. The other symptoms exhibited were the customary anaemia, emaciation and drowsiness. There was no oedema. At all times trypanosomes in large numbers and of both kinds were found in the peripheral blood. On March 23rd, the dog was found collapsed and cold. There was rigidity of the limbs, and the respirations were laboured and rapid. About twenty trypanosomes per field were found, nearly all of the short form, and it 136 THYI'ANOSOMIASIS IN TllK ANOLO-KOYI'TIAN SUDAN was notici'il tliat tlicir iiiovciiicnts wt-rc slugf^isli. As it was cviilcnt tlie anosonies of the short form, whidi stained badly ami appeared degenerated, were present in small numbers. No involution forms were observed. Iiiti'.'itiiii.t. — They were searched throughout their whole length but no ulceration was detected. The stools were dark, lii|uid ainl otlcnsive. \ snieai- was made of them, which, when stained, showed in addition to bacteria, numbers of spirilla. These latter, however, presented an appearance somewhat different from those mentioned above. Their undulations were longer so that they had m)t th(! saw-edge appearance shown in Fig. ', and they were more pointed at the ends. They may have been merely altered forms. TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 137 J^< There were also present thick spirillar form lii^e two vibrios attached end to end, very similar to those found in Monkey 1. KUhifi/s. — These exhibited a subacute nephritis, and tlie capsules were slightly adherent. Boiie-iiKirrair. — Not examined. Curiously enough in smears made from the splenic pulp there was not a vestige of a trypanosome to be seen, while in the liver specimens both forms were present in abundance. Exp. 10. Monkey 3. — {C'emijiif/icciix sahenx) weight 2*7 kilos. Inoculated subcutaneously with about 1 c.c. blood from Monkey 2 on March 8th. Peripheral blood examined each day thereafter and trypanosomes in small numbers found for the first time on March 13th. The incubation period was, there- V^ fore, just about five days. Afiirch lith. — Both long and short > forms were seen, the former greatly ^^■- preponderating. In the cover-glass preparation they appeared to be of exceptional length and extremely active. On staining in the usual way no increase in length was manifest. Probably some shrinking had taken place during the preparation of the specimen. Both forms were well seen but the short ones were very much in the minority. A considerable number of very broad trypanosomes were present. These were probably parasites in the stage prior to longitudinal division (Fig. 70). Some granules v/ere noted in the short forms, and in one of these latter the nucleus was observed to be at the junction of the middle and posterior thirds. M(tri-h 18///. — The monkey was found to be very ill. It was lying in its cage in a semi-prone condition. The blood on examination was found to be swarming with parasites, short forms being now as numerous as the broad forms previously mentioned. This monkey was then treated with blood serum injections ami its further history will be considered under the heading Treatment. Being in extremis it was chloroformed on the following day (March PJtli). It had lost half a kilo in weight. Post-inurtiiii. — Stomacli, congestive patches towards the pylorus. No ulceration. Intestines. — Normal. Mesenteric glands enlarged, giving a beaded appearance to the mesentery. Sjileen. — Weight, 23 grams. Large, congested. In a smear from the cut surface of the organ curious involution forms were found, one closely resembling the figure of a dead V Fin. 70.— Dividing Vaclolateu Fokws, Monkey 3 (x 1750 diam.). 138 TRYPANOSOMIASIS IS THK ANOLO-EOVPTIAN SUDAN tiiul iiltirril tivpanosoine, givi-n in tlic pliitc illustrating tin- iiiticlf liy M. Thiioiix* on 7'. Paihhr. Thest' forms will \n- nioii- fully duseribed wlu-u tlu- sirum treatment is coii8itn-li Alh. Inoculated snbcutaneously with about 1 n c.c. blood from Dog 4. This rabbit had its blood frecjuently examined, with and without being centrifuged, up till the eiul of March, but no trypanosomes were found nor were any symptoms of trvpanosomiasis visible save a slight but jirogressive emaciation. About the beginning of April it was noticed that the rabbit's eyes were becoming infected and in a few days a similar condition to that described and tigured by Musgrave and CleggJ as occurring in rabbits after inoculation with the horse trypanosome of the Philippines was apparent, namely, a severe blepharitis with some conjunctivitis, a narrowing of the palpebral fissure, cedema of the eyelids and falling out of the hairs surrounding the eyes. April \tlt. Blood from ear examined. After prolonged search one trypanosome (a long form) found in the cover glass preparation. A considerable number of parasites were present in a drop of fluid taken fmni the ledematous tissue of tlic lower eyelid after a slight incision had been made. No trypanosomes were present in the tiiick, ginnniy discharge from the eyelid. April 8fh. Blood film stained. A considerable number of trypanosomes found. Both forms present. On tliis day it was noticed tliut the respiration haci become rapid and wheezing, somewhat of an asthmatic ty[ie, po.ssibly due to a congi'stivc condition of the iia.sal mucous membranes. April 1th. Baldness very niarkcd round the eyes. Respirations rapiil, wheezy and laboureil. Animal looks very ill but takes food freely. April Will. Habliit in much the same condition. April Will. Animal unfortunately killed during the night by a mongoose, which ciscapcd from a cage in the fly-proof house. Found stiff, cold and decomposing. Autopsy performed as soon as possible, but bacterial invasion of the tissues had occurred, and in smears nnide • Am. dc I'liwt. Piwtcur, Pnrin, 1905. Vol. XIX., p. 66. f Brit. Med. Jour., London, Ftb. i^Ah, 1906, p. 409. J Trji>ancj!ioniaiimlTrj|mii(»,ii/i/ St/i. Both forms present in tjie blood, the long forms predominating. Mill/ lOf/i. Animal funiul ilead and decomposing. Bacterial invasion of tissues. Exp. 27. Gerbil 14. — May 4th. Inoculated from Monkey 5. Map 8t/i. Both forms present in the blood, the long forms preponderating. Afau 21.'/ 16///. Trypanosomes present and numerous. AIay2Qth. Trypanosomes present and numerous, 6 to 12 per field. 'A stained film exhibited both forms and, in addition, strange short forms dotted all over with chromatin spots. There were also curious amorphous masses, showing vestiges of their having once been trypanosomes. These apparently were the result of a natural degeneration. Those mth the abundance of chromatin possibly exemplified an effort to cope with this destruction, This was thought to be a suitable case for treatment by solnble chrysoidine which was begun on May 21st [vide p. 158). Exp. 30. Monkey 7. — [Cercopithents mhaux). Jlay 15th. Inoculated subcutaneously K nn TUYPANOBOMIASIS IN THE ANOI.O-EOYrTIAN SIPAN witli 'J") c.c. l)lo(icl from Monkov T). This moiikry wus untrciitiMl uikI its fciiijH-niturf takin ■laily (witli one cxcfption) ilnriii^ the rcsultinn illness. ii< i; iM I!) May ■JJ 24 Vi 211 2; 2H 29 no 31 1 Jl'NK » 4 It i IW -d f^.. 1 -- ^^ J : i-^^"~-i- z^- ::==7 ^u Ai__^=__L_ "'' [ _ _ L ::::::::::::_: i Vu:. 73. TKMrHKATt'RK Rp.aiKI>. MoNKKV 7. ■lAn/ '2].)<• i\tli. Fresh tilm found to be swarming with trypanosomes ; agglutinating ami ilividing forms present. This animal ran a course and died some tinu' after .luiie. Exp. :!J. Monkey 8 {Ciirnpif/nrus salioux). Weight, 2 kilos. — May 23rd. Inoculated with ^r) c.c. blood from Monkey 7. Jiiiii' 1th. Animal lively ami well. Hlood examineil for the first time. Both forms present, long ones predominating. There were 6 or 7 per field. Weight 2 kilos. Treatment with soluble ehrysoidine begun. Case considered later (p. 158). TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 147 Exp. 33. Gerbil 19. Weight, 42 grams. — Red cells showed granular basophilia. May 21t](. Inoculated with a few drops citrated blood, in which at the time no trypanosomes were found, from Monkey 7 (page 146). June 6fh. Trypanosomes present but not numerous, and only long, lively forms seen. June 28th. Many trypanosomes, mostly long forms. June SOffi. In extremis, chloroformed. Weight, 23 grams. Posl-morteni. Slight conjunctivitis of left eye. Spleen enlarged. No ulceration in the- stomach, but non- adherent blood clot present, as well as a bunch of nematodes. In a smear made from one of the clots degenerated trypanosomes were found (Note by Major Dansey Browning). The following experiments were partly or wholly performed by Mr. Fricdrichs, my laboratory assistant, when I was absent on leave. They were performed merely for the purpose of carrying on the strain, but some notes were kept both by IMr. Friedrichs and by Major Dansey Browning, who from time to time kindly supervised, especially when post- mortems were performed. Exp. 34. Monkey 10 [Cercointhecus mhnus). Weight, 23 kilos. — June 15th. Inoculated subeutaneously with "25 c.c. blood from Monkey 8. June 2\sf. Blood examined for first time. Trypanosomes, both forms, present, the majority being long forms. July ]4M. Animal weak and ailing. July 16th. Found dead. Weight 12 kilos. Post-mortem. — Only points noted were erosion of stomach and congestive patches in the small intestine. Smears from these areas proved negative as regards trypanosomes or spirilla. Exp. 35. Monkey 12 [Cercopithecus sabceus). August 14th. Inoculated from Monkey 10, '25 c.c. subeutaneously. August 24:th. Large infection found. August 29th. Found dead. Weight, 22 kilos. Post-mortem. Apical pneumonia present. Trypanosomes in heart's blood degenerated. An attempt to continue the strain by injection of this blood into Monkey 13 failed, this constituting Exp. 36. Exp. 37. Gerbil 20. July 2Sth. Inoculated with 25 c.c. from Gerbil 19. July 1th. A few trypanosomes found. July 29th. Very weak. August Srd. Found dead. Bacterial invasion. No ulceration. Exp. 38. Gerbil 21. July 29th. Inoculated subeutaneously with 5 c.c. blood from Gerbil 20. August 2nd. Blood infected. August 8th. Blood swarming with trypanosomes. August 19th. Found dead — decomposed. Exp. 39. Gerbil 22. August 8th. Inoculated subeutaneously with 25 c.c. from Gerbil 21. August nth. Blood swarming. August 28th. Found dead. Spleen enlarged. No ulceration. Exp. 40. Gerbil 23. August 20th. Inoculated subeutaneously from Gerbil 22. August 22n(l. Slight infection. 14H TRYPANOSOMIASIS IN THE ANQLO-EOYPTIAN SUDAN Sfpli'iiiliiT l',\t/i. Pt'iiil. Notliiiig notfwortliy fuiiinl post-mortem. Exp. 41. {Jcrltil '24. S,-j)tnii/'i-r r)th. Iiioculiitcil siilicutiim-onsly from Gcrbil 23. (htoher 'KMIi. Dii-d. No notes. Exp. 4'J. (xcrliil 'if). Si'jiti'iiihir Wtli. IiiiMiilatcil siiliciltiiiicoilsly fioiii ftcrl>il -M. Oi-tohtr {\lli. Dii'd. No notes. Exp. 4:5. (lerbil 'Jli. Sr/ilrmlier '2l-il. IniiculiitiMl subflltiillcousl y from (icrliil "i"). Fiiilure. Exp. 41. ]\r(inl;rv 14 {(^ervojtithecus gahii'us). Aiitinsi Xlth. Inoculuted from Gerbil 21. Aiojiist 'I'liiil. Severe infection. Septeiiilur '.^nl. Very weak, ("iiloroformed. /*o.tt-inortei)i. Stomiiili much inflameil aiid eontaineil three hirge ulcers. No spirilla found in smears, ("uriously altered forms of trypanosonie fomid in a smear from tiie liver. Exp. 4f). Monkey IT) (Cercopithecm .salmns). Weight, 2 kilos. September IJrd. Inoculated suluiitaiuoiislv witli about '25 c.c. bl 1 from Monkey 14. September X-Uh. 'I'rvpanosomes present. September 'Mlh. None found. October ritli. Two or three present per field. October \\t/i. Found dead. Weight. 12 kilos. Having returned from leave I performed the post-mortem on this animal. The stomach was nornial. In both small and large intestines, ulcerated areas were found surrounded by inflammatory induration. Raised red nodules could be seen under the peritoneal lining when the gut was viewed externally. Smears were made frmn tliese ulcers but iiu sjiiriila or trypauosoines were found. Portions were kv\>\ for section preparations. Exp. 4t'). Monkey KJ {Cercopil/weus saUviis). Weight, 2S kilos. October Titli. Inoculated witli '.'i c.c. blooil from Monkey If). October \~ili. IJloiid swanuing with trypanosomes, liotli forms being present and easilv recognisable, especially on staining. On this date If) c.c. of tliis monkey's blood was inoculated into Calf I, constituting Exp. 47, which has already been considered in tlie article on cattle trypanosomiasis. October I'.U/i. Treatment with clirysoidine in suspension was begun on this date, and the case is accordingly considered later (p. 159). Exp. 48. Monkey 19. (Circopitlieni.'^ .labreiiK.) Weigiit 17 kilos. October 22)1(1. Monkey inoculated with heart's blood from Monkey 16. October 28//(. A large number uf trypanosomes, nearly all long forms, present, three or four per fiehl (oc. 1, oil 'nmii. 1 12. Leitz.) Xiicewber [)lh. Roth forms. Many vacuolated. Xoreiiiber l^ult. Animal dinl in the afternoon. rost-mortem performed at once. Spleen enlarged but firm. No ulceration of stomach or intestines, but slight congestion of mucous membrane of lower part of ileum note<]. Otherwise nothing noteworthy. In heart, spleen and liver smears, onlinary, unaltered trypanosomes were seen. In a smear of the bone-marrow, forms like the Leishnian body were present, presumably the young forms described by Lingard and already mentioned. Exp. 49. Monkey 20. {Cercopithmis mhwuti). Weight, 13 kilos. November IT^tb. Inoculated subcutaneously with lieart's blood from monkey 19. JVorimber 20///. Examined for tlie first time and found to be infecteil. Hoth forms TEYl'ANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 149 present and full of chromatin grannies. Some seen undergoing longitudinal division. Animal looks ill and emaciated, but weight was 1'2 kilos. Treatment with chrysoidine begun so considered later (p. 160). Exp. 50, 51 and 52 have not been concluded at the time of writing and so need not be considered. I append tables giving details of these inoculation experiments, so that the results obtained can be readily noted (p. 128 et seq.). Having described these, we are in a better position to discuss the identity of the trypanosome or trypanosomes in question. It appears to be always a matter of considerable difficulty to come to a definite decision on such a point, and indeed it may be impossible without the aid of cultivation and immunisation experiments. Koch* has recently raised the question as to whether it will not be possible in certain cases, and especially in the pathogenetic trypanosomes of mammals, to decide the species by a study of the developmental forms in the (rlussinn. The question at issue, it will be remembered, is whether we are dealing with 'J\ diinorij/timi or with an infection by two different species of trypanosomes, one of these being presumably 7'. Evansl. For purposes of comparison I would direct attention to the standard treatise on Trypanosomiasis by Laveran and Mesnil, which deals fully both with T. diiJtorj)hiim and T. Uvansi; to the work of Dutton and Todd, on the former parasite, found in horses in Senegambia, and to the very full report of Musgrave and Clegg, which refers especially to Surra in the Philippine Islands. Dealing first with the morphological aspects of ?'. iliinor/ihiiiii as described by Resemblances Dutton and Todd, who discovered it, I think it will be apparent to anyone who compares their photomicrographs of the horse trypanosome of the Gambia with those of the mule trypanosomes of the Sudan, Fig. 69, that they are extremely alike. This applies at least to their Figs. 2 and 3, on Plate 1. There, long forms exactly similar to those shown in Fig. 69 appear, while their so-called " stumpy " parasites correspond closely to what I have described as short forms. Again comparing their long forms in the coloured plate with those in my stained specimen, I find a great similarity in structure. On reading the descriptions of their long and " stumpy " forms, one finds their account of the former agrees with that I have given of the long forms in mules with one possible exception. They state that these forms are most numerous in the blood of an infected animal a few days before its death. In my untreated cases they occurred early in the infection, persisted throughout the disease and were not specially numerous ante-mortem. Taking next their " stumpy " forms. These appear to answer fairly closely to my short forms — at least, as seen in experimental animals. In the original mule's blood I never found them so broad as they describe. They note that the stumpy forms survive for a longer time in fresh preparations than the long forms. I have found this true of my short forms so far as cover-glass preparations go. Sometimes it is very difficult to say if a trypanosome is really a short form or a long form which has become much broader than usual prior to division, and in which the flagellum has not stained well or is not well developed. This leads to confusion, and possibly may account in some measure for the intermediate to 'r. diniorphum * Sitzungber d. Kaiser pr. Akad. d. Wiss., Berlin, Nov. 23nl, 1905, p. 958-962. loO TIIYI'ANOSOMIASIS IN THK ANGLO-EQYPTIAN SUDAN forms mentioned by Dutton iiud To(l.) Indeed, their "tadpole" form is not at all unlike the 7'. namnn of cattle, save that it has a longer rtagellum. Occasionally, and more especially in blood smears from internal organs, I have .seen the round forms figured in their colduml plate and which may be altered female trypanosomes, macrogametes. On the whole then, from a niorjiliological staiulpoiiit. llir mule trypanosomes approximate very closely to the disiriptiiiii uf 7'. diinorpluiin given by Dutton and Todd. Let us see how they fare when compared with the account given by Laveran and Mesnil. These observers did not see a long free Hagellum in the long forms of T. (liiiior/i/iuin. I have alreaily (juoted Professor Laveran on this point. They never observed the "tadpole " forms, nor the pale hyaline variety. The French savants state that the undulating membrane is never vtry will developed, and that in tiie short forms it is united very closely to the body, pro[ierly so-called. In the trypanosonie of mules, as found in the blood of experimental animals, the undulating membrane is often very well niark( d. and. as has been pointed out. is frcipicntiv " bunciuil " on tiic ImkIv of a sliort fnriii in a wav which reminds one of what is found in tiic Irypaiiosonies of lisli and reptiles, though it is never extremely prominent save in involution forms. The French authorities do not recognise liiu intermediate forms ami state that granulations are rare. There is, however, nothing in their observations wiiicli woui«(•;««;/ j/.'isiw sp. i* jirobably i/iilliiilicat ion of 7'. pantbienae in the stciinuiji of fi. pdljiiili.t.] while it is only since the above was written that Koch's rcmarkalilo observations,! carried out in German East Africa have been made public, which, il confirmed, will mark a great advance in our kiiuwKdgi-.^ Is it not possible, however, tliat if flies are not available, the parasite may escape from the body in some different manner ' If so, may tlie gastric an>l intestinal lesions not lie evidence of such exit ? The condition found in (la(diexial Fever due to the Leishman bodies|| will at once occur to aiiv interesteil in this important subject. At the same time we are immediately met witli the argument that no one has ever found t rypanosomes in the stools of infected animals, nor have such stools been definitily shown to be capable on injection of reproilucing tlir disease; Lingard, it is true, states the contrary, but he is generally regarded to have been mistaken, and JIu.sgrave and Clegg, who pai\. .luurn , London, Nov. 26th, l'J04, )i. 1,-1.')4. t KeporU of the Sleeping Sickne*. C'ommi&sion of the Iloyal Society, No. VI., juirt H. ; DeutM'h. Med. Wochcnschriff, Leipzig, Nov. 23r(l. lOo.i. !S Sef however the recent paper liy Novy (.loiir. Inf. Diseases. 18th May, 1906\ which diiicrcditt> this work as do the results obtained liy Miiiihin. II Christopheni' S<'ientilic Memoirs. Med. and Saiiit. Pepnrt., ludui, Nos. 8 and 11. TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 153 by Scliamlinn's work* on the developmental cycle of the Homu undid or S/jiiiir/wfc Zicmanni of the Stone Owl in Cuh-x pipienf, but it is worth noting that Novy and McNealj have not confii-med his observations, while quite recently Koss| has suggested a possible source of fallacy in Schaudinn's allied researches. § Now, I have no wish to commit myself to any theory. It does not seem likely that a trypanosome would change into a spirillum in the blood of the same host, and I have seen nothing which would lead me to suspect that it does, but Theiler|| has recorded both forms of parasite as occurring in the blood of cattle suffering from ordinary red-water and Khodesian red-water fever. Petrie has** also described a Spirochsete in the blood of a Martin which at the same time harboured a trypanosome in its bone-marrow. Further, the spirilla, which I describe, are shortish forms, and have not the typical pointed ends of, say, Spiro'luvtc Obermcieri. For all that they are undoubted spirilla, and I have found them on several occasions in gastric lesions of animals dead of trypanosomiasis. I think it is an interesting observation. At present it is nothing more, but it seems worth while following up the matter. With the highest powers at my disposal, it looked as though these spirilla were possessed of something like undulating membranes. Further observations lead me to doubt this. I believe these organisms to be of a bacterial nature or at least true spirilla as distinct from protozoa. I have never found such spirilla present in the stomach or intestines of animals uninfected with trypanosomiasis. Another question arises. What is the nature of these small "ruddy" forms (Plate XIV., Fig. /) found in the gastric lesions present in Gerbil 8 (Exp, 16) and Jerboa 3 (Exp. 1!)) ? I confess I am unable to answer the query. They are possibly related to the young resistant forms described by Liugard, and which closely resemble the Leishman-Donovan bodies found in Cachexial Fever. IV. PkoPHYLAXIS and TrvE.\TMENT As regards tlie former little need be said, as in a region like the Soutliern Sudan but prophylaxis little can be done of any practical value, and the country is not yet sufficiently developed to make the presence of the disease severely felt. At present the big game is probably of greater value than the native flocks and herds. Steps have been taken to limit the trade with Shilluk cattle, though apparently 7'. iiuniiiii has never been introduced into the Northern Sudan. As stated. Captain Head has recently examined the blood of hundreds of cattle in the Berber district and elsewhere, in connection with the rinderpest outbreak, and he has not come across a single case of trypanosomiasis. Mention has been made of the fact that the animals in the rear of a caravan are likely to escape being bitten by Tsetse flies. Treatment has so far been conducted on two lines. Having noted ff that the best Attempts at results in the treatment of trypanosomiasis had been obtained by the use of certain anilin 'herapeutic dye-stuffs, namely, trypan red and malachite green, JJ whether combined or not with arsenic, it • Geueratious und Wirtwechsel bei Trypanosome und Spirochaetc. Arb. ausdein Kaiser. Gesundheit., Bond XX., Heft 3, 1904. Translation in Brit. Med. .Jouru., London, Feb. 25th, 1905, p. 442. t .Journ. Infect. Dis., Chicago, March, 1905. X Jouru. Hyg., Cambridge, Jan. 1906. § See also the recent work of Novy and others (Journ. Inf. Diseases, 18th May, 1906), and for a review of he whola subject the articles on HaemoflagcUates in the Quart. Journ. of Microscopic Science, April and June, 1906. Il Fortschritte der Veterinarhygiene, 1903, Heft IV. •• Journ. Hyg., Cambridge, 1905, Vol. V., p. 191. tt Laveran. Compt. Rend, de I'Acad. des Sciences, Paris, Vol. CXXXIX., p. 19. IX Brit. Med. Jouru., Londou, Dec. 17th, 1904, p. 1C45. measures Reasons for employing 154 TRYPANOSOMIASIS IN THE ANOLO-EOYI'TIAN SUDAN occurroil tn mo that it mi^'lit lie well to test tho tliciaiMiitir action of another anilin colour, /.'•., chrvsoidiiic, the hyiinichloridc of rii-uiiiido-azo-bi'nzene (C,j H,, N4 HCl.). Though I liail no proof of its value yit I lunl ohtained gomewhat suggestive results with it in <-oii(litions other than trypanosomiasis. Tims, some years ago. I fouinl that it was extremely lethal to fish even in very dilute solutions. Further, of all the dyes used in experimenting it seemed to have the greatest penetrating jiower. appeareil to pass very readily into the lilood stream, and iiiidoulitedly possessed a marked athnity for the central nervous system, chrysoidine staining the bruiii and spinal cord a hrilliant yellow colour. Although so toxic to fish, comparatively large doses could he given with impunity to raldiits. Wevl,' who experimented with dogs, regards chrysoidine as non-poisonous, hut states that it causes a notable reduction in liody-weight and slight aibitiiiinuria. Its toxic action on tish probably depends on its being an azo compouml. but its effects were very similar to those of methylene blue. It proved, however, more poisonous and more speedy in action. As methylene blue is known to benefit cases of bilharzia disease and to exercise a lethal effect on the ciliated embryo of S<-histiiK(>iiiii)t, /i,ini>i/i>/>iiiin, 1 first of all tested chrysoidine on this myracidium and found that in a strength of 1 in 20,000 the dye killed the embryo practically instantaneously, while a solution of 1 in 200,000 proved lethal in 17 minutes. Keniembering that methylene blue has been exiiibitcd witli some benefit in malaria, it seemed to me that possibly chrysoidine might be found bi ncfic jal in cases liarbouring protozoal blooil parasites. Further, its aftinity for the nervous system seenieil to point to a possible value in a disease like trypanosomiasis where the late and really lethal effects are pro//i. (i f.e. given. No npimrent change. FrliriKirii 'llllt. () c.c. given. Weiglit "JSt kilos. Feliriiiini •JH^/i. G c.c. given. Jllooil e.xiiniined, no t ry pauosoines founii after a jirolongeil search. Mnnh Ixl. (5 c.c. given. Blood examined, a few trypanosonies found. Mdir/i 'ln///, without any efl'ect. Blood swarming with parasites. Miircli 27lh. 2(1 m. given. Blood remarkable. Trypanosomes agglutinating, many motionless. Remainder sluggish. Within four hours they were all dead and most had broken down into debris. Mnnh '2Sth. 211 m. given. Hardly any trypanosomes seen in the fresh blood. After a long search three sluggish forms found in the whole cover slip preparation. A larger number evident in the staint'il tilm, but very few compared with what was found previously. March "I'Mh. III! m. given. A slight increase ni the number of trypanosomes. The parasites were sluggish and lackeil definition of (Uitline. Several motionless forms seen, and curious "shadow" forms. Plate XIV. ; Fig, '•. Animal very thin and weak. March SOth and .Sl.s/. 3U m. given each day. No change. .1/))/'/ l--'. Blood in much the same condition. A few agglutinating forms. 20 m. given. In the afternoon the dog was found lying on its siile with neck outstretidied an. Found infected. Mostly long forms. April 9ffi. 10 in. sat. sol. chrysoidine snbcntaneonsly. Apnl 10th. Fresh and stained films examined. No change noted. 10 m. given. April llth. No change noted. 15 m. given. Apnl 12th. No increase in number. Very few long forms present. No marked change in appearance. 20 m. given. April I'Sth. Marked change. Many involution forms. In the fresh blood few forms were seen and these were very sluggish, not moving about at all, but all stationary, and presenting what may be called " rippling " movements. Vacuolation and change in shape noted on staining. Animal well. 20 m. given. April lith. Only two trypanosomes found per cover-slip preparation. These were long but sluggish forms. On staining, a decrease in number was evident. 20 m. given. April Ibth. An evident increase. Trypanosomes more lively. Some involution forms. 20 m. given. April IQth. Animal well and lively, 20 m. given. April 18fh. Blood swarming. Forms with broad posterior ends and huge undulating membranes —probably prior to division — found. Animal fairly well. April 19fh. Found dead — decomposing. Foxt-nwrtfm. Bacterial invasion. Spleen enlarged. It may be mentioned here that these chrysoidine solutions were centrifuged before use. Exp. 22. Gerbil 12. This animal was treated with the so-called soluble chrysoidine — chrysoidine extra of the Anilin Manufacturing Company of Berlin, being the same preparation as employed by Weyl in his pharmacological experiments. April 15fh. 10 ni. of a saturated solution of soluble chrysoidine given on this the r)th day after inoculation. Blood swarming. April Idfh. Blood full of trypanosomes, mostlv broad, sluggish forms. On staining, forms in process of division and some with huge undulating membranes seen. 15 m. given. Ajiril llth. Motionless forms present in the blood. Also curious involution types. Many active parasites seen. 20 m. given. April 18'//. No change. 20 m. given. April 19th. A very interesting blood. In fresh films many motionless forms seen On staining, normal looking trypanosomes were apparent together with many curious dead forms ; some spherical, some with very blunt posterior ends, and many vacuolated. Leucocytosis was present, but no phagocytosis was observed. 20 m. given. April 20th. Much as on the 19th, but the peculiar forms still more abundant. The animal died in tlie afternoon. Pust-morfeiH. The tissues generally, and specially the brain, spinal-cord and nerve trunks were stained yellow. The spleen was slightly enlarged. No redenm or hypertrophieil glands. Smeors. The heart's blood contained the remarkable forms above mentioned. These were also present in the liver smear together with forms very like Leishman-Donovan bodies and apparently the young i-esistant types described by Lingard. The nuiin rlifterence from 158 TRYPANOSOMIASIS I\ THK ANOLO-EOYI'TIAN SIDAN Leishiium-nuiiuvaii lnnlics oonsistud in tlu' luicruiiiu-k'Us or hlcpliiirupliist lu-iiig a round dot and nut a small rod, like a stout bacillus, such us is found in the human parasite. Exp. 29. Gerbil 17. — Mini 'IQth. Hlood remarkahlf in tliat while it contained both forms us usual there was a lar^^'e nunilier of curious short forms jjussessin^ numerous dots of chrumatin scattered throUj^liuut their cytoplasm, spiicrical, vacuolated and granular types were also present. Some were .so altered that they bore very little resemblance to trypanosomes. 1 c.c. of a saturated solution of sniulilc chrvsoidine was given subcutaneously. .!/<(// 'llnl. Animal well. IMood swarming witii both forms of trypanosome. The parasites were very active. 1 c.c. given as above. May 2inil. Fresh blood swarming. Many curiously broad forms with large undulating membranes. No motionless parasites seen. Tlu' trypanosomes ilid not stain well. 1 c.c. given as above. The animal, which seemeil ijuite well and livelv, unfortunately died during the night, and was found much decomposed. The post-mortem examination revealed an enlargeil sjiKi ii and a brain ami spinal-cord stained a brilliant viiinw. Snicars were negative as regards the presence of trypanosomes. Jink 7 8 9 ID 11 12 1.1 14 Ih 16 17 18 19 20 21 22 23 1 00° ^ r \ ^ / V r ^ V \ n 104" V (\ \ 103" \ r V ^ ^ ^^ 102- _ V Fig. 74. — Tkmpekatirk Rf.cokii. Moskbv No. 8 Exp. 32. Monkey S. Weight 2 kilos. — June 1th. Six or seven trypanosomes per field. 1 c.c. soluble chrysoidin by intramuscular injection. Jutii' 8fh. Many lively trypanosomes, both long and sjuirt. Some vacuolated and some exhibiting large undulating nieinbraiies. Animal had diarrhoea. A smear of the fieces showed spirilla somewhat resembling those found in lesions of the stomach and small intestine. 1 c.c. given as above. .Utiit 9t/i. Animal lively, no change seen in fresh blood film. In the stained preparation many long forms in [iroctss of division were seen. JIaiiy of the short forms were broad with large undulating nicnibranes and contained numerous vacuoles and chromatin granules. 1 c.c. given as abovi'. Jiiiif \Olh. Animal lively. Blood in much the same condition. 3 c.c. given. Urine markedly yellow. ./iini' lll/i. No (hanges noted. 5 c.c. given. Jiiiif I'ltli. JIany dividing forms in the blooil. Appetite excellent. Urine and faeces both stained. 5 c.c. given. Jnni' I3t/i. Jlonkey lively. Degenerating and dead forms present. Apparently only the short forms aft'ected. Some strangely altered in shape. 10 c.c. given. Blood examined two hours after this inoculation but no further change observed. June 14/A. In much the same condition. 10 c.c. given. This dose was continued TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 159 every day thereafter till June 19tli. About June 18th the animal began to show distinct signs of weakness. Emaciation set in but there was very little somnolence. Towards the end the trypanosomes increased in number in the peripheral blood. The monkey was found dead on the morning of June 24th, and slight decomposition had occurred. The temperature record during treatment is shown. Fig. 74. Por.t-mortem. The only marked change consisted in an ulcerated area at the lower end of the ileum. It was not haemorrhagic in nature but there was a good deal of congestion present. A smear was made but unfortunately was mislaid, and I have no notes of the condition found. There was no gastric ulceration. The spleen was not enlarged nor was the liver increased in size or congested. A smear was made of the semi-fluid contents of the large gut but it shared the fate of the intestinal smear. As from results obtained with T. Gainhicuse by Dr. Neave it seemed possible that a better result might be obtained by injecting the dye as a suspension ami in larger (juautities than hitherto given, Exp. 46. Monkey 10 (Weight 3 kilos.) was conducted, beginning on the fifteenth day after inoculation. October' nth. Blood full of trypanosomes. Both forms present. Octohi'r 19//i. 2 grains of Merck's chrysoidin given as a suspension by intramuscular injection. Octohff 20th. Trine markedly yellow. Colour test with HCl. positive. Blood swarming. Short forms showed vacuoles and many chromatin granules. 2 grains given. Ocfolicr 21st. Monkey very weak. Some rosettes of the short forms seen, and certain of the long forms appeared to be degenerated. 2 grains (if. 13 gram) as above. October 22nd. Monkey very ill, the head held low and a general aspect of e.xtreme depression presented. 2 grains given in the morning but the monkey died in the afternoon, being the 18th day after inoculation. Pmt-mnrtem. — Spleen enlarged and very much congested. Smears made from this organ showed a very remarkable state of affairs, in that many of the trypanosomes ha, Sept. Vol. il., pp. .3.33 et $tq. and 381. t LniH-et, Londiin, June 13th, 190,1, p, l.f>4.'l. X For Dr. Nciive's accouut of the case, sec p. 18."). mules TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN I have continued his work, and extended the observations to monkeys, was so encouraging tliat it seemed justifiable to go on with the treatment. 161 Dr. Neave's report Case of Human Trypanosomiasis April 29th. Dr. Neave performed gland puncture on the boy who, owing to the exigencies of travel, had not had a dose for ten days. On examining the gland juice I found two somewhat altered trypanosoines answering in morphological detail to f. (jamliiense. The superficial cervical glands along the anterior margin of the sterno-mastoid were enlarged, though not markedly so, and were somewhat shotty to the touch. The boy was fairly well nourished, but had rather a sleepy and stupid aspect. An arrangement was made with Case of human Captain, now JIajor, Dansey Browning, whereby the boy was to be kept at the Military j'^^^^^j'^j Hospital, and to receive \ grain chrysoidine every second day by intramuscular injection. On May 5tli. Captain Browning reported that the boy's speech seemed affected. He was seen on May 6th and examined. He certainly seemed to have some difficulty in enunciation, his speech being almost of a " staccato " nature, Init we found afterwards that this was merely a natural defect and due in some measure to his not understanding any Arabic, in which language he has since made considerable progress. He seemed dull and heavy, but no tremors were noticed. Neither peripheral blood nor gland juice showed any trypanosomes. His case was carefully gone into, but it was difficult to take as he was ignorant of any language with which we were acquainted, and we were ignorant of his tongue. We were unable to detect any abnormality in the nervous system. Indeed, the only sign of disease about him was the cervical glandular enlargement. He was well clothed and well fed, and his dose was increased to ^ grain daily. It produced no local ill-effects. Mai/ 25t/i. Gland puncture performed. No trypanosomes found. Boy fat and well. Has been making himself useful about the hospital. Glandular enlargement as before. Jii))i> 9t/i. Very well. Blood and gland juice negative. An attempt to make a full lilood count failed, owing to the atmospheric conditions prevailing. A differential leucocyte count was conducted with the following result : — Counted 500 Eosinophiles Polymorphonuclears Mononuclears Lymphocj'tes Transitional B.isophi!es Number 133 26-6 84 16-8 101 20-2 175 35 6 1-2 1 Percentage ■2 The high percentage of eosinophiles is notcwui-tliy. It was probably due to intestinal parasites.* On this day about 1 c.c. of venous blood was taken, eitrated, and inoculated subcutaneously into Monkey 9 [cidi- in/ru). Jinii' lStl(. Blood count made. K.B.C. 3,900,000. Leucocytes 6,000. Hb. 70 per cent. A photograph of the patient taken on this date is shown (Fig. 7r)). Gland juice • This proved to be the case, as later on the patient was found to harbour a tape-worm. 162 TUYPAN080MIA8I8 IN THE ANOLO-EOYPTIAN SUDAN negative. Glands still enlarged. No ill-effects fri)iii the clirysoidint' which was continiUMl in the same doses. Jiiiii' 'l'•^l•ll. Very well, save for the fact that he had cleveloped condylomata on the scrotum and roinid the anus. He had again to he put on anti-syphilitic treatment. Kxamination of peripheral hlood negative. H e.e. venous blood inoculated subcutancuusly into Monkey 11 ('•''/'■ in/ni). Jnhr^nl. lilood count. K.R.C. M,HO(l,(IUU. Jieucocytes 9,(J00. The treatment was continued till about the middle of .Inly, when Captain Browning Went 1)11 leave, and the patient was sent to the Civil Hospital to be treated for syphilis. I retunieil from leave in October, and the boy again cainr under my personal observation. Chrysoidine had not been given in the interval. (Moh,;- Mill. Looks well. Weight lltTi lbs. Glands in neik still enlarged. (Jlan.l juice negative. No trvpannsDiiies idinnl in imr IiIikmI lilni, Imt a [v\\ were present in a second. ()r/,i/»'r 20///. (liven h grain Merck's chrysoidine in suspension. This was lontinued ilaily diiwn to October Hist, when it was stopped because albumin was found in the urine wliidi iiad become of an intense orange-yellow colour. No casts were present. |)nring the interval trypanosomes were not found, but owing to press of other work the lunnber of examinations was limited. <>rloli<-r 81.\7. After a long seanli one tryiianosome was finnid in a blood film. It presented a normal a|ipraranee. Clirvsoiiline stop|icil as albumin ratiur copicjus. I'p to date (December ISth) the drug has not been resnmeil. .Viirriii/iiT -il/i. It was noticed to-day that the glands above and behind tlu' jaw angles iiad income enlarge(l. this constituting a new symptom. The boy seemed well and continued so till NoveiiiliiT ]")th, when an attark of diarrliiea pullcil liini down to sonic extent. No trvpanosoines had lni n loiind in his blood and the albumin was gradually disappearing from his urine. Its colour also gradiuiUv lessened in intensity. No casts were foninl at any time. .\nr>'iii/H'r 1-illi. I)iarrh(ea checked. Weight 1(12 lbs. Xnninhir -l^^lli. Weight Idti lbs. Boy looks W(dl and is fatter. No trypano.somes found in ju'ripheral blood. Nori iiilicr 'I'U/i. To-ilav the patient had fever and a headache. On examination of his blood, ring forms of the malaria parasite, appanntly ijuartan from their shape ami structure, were found. No trvpanosomes were present. 10 grains of c[ninine sulphate were given. The malaria was probably a recrudescence of .an old attack. \i>ri-iiilifr 'liMli. Temperature flflS" F. 10 grains quinine given. Niimii/ii-r 'Ill/i. Temperature normal. JIuch better. Irine now quite free from albunun, Idooil free from parasites. Xoii'inbfr 80//(. Gland puncture negative. Boy looks fat and well. IJi'ct'Hi/ier iKt. A single trypanosonic found in one film. A second film proved negative. />eri'iii/iiT V}f/i. A distinct increase in size of the glands bchiml the ascending rannis of the left jaw noted ; otherwise the patient seemed well and lively. Ihci'iiiln'i- \lili. Weight lOf)^ lbs. No trypanosomes found nor had they been present since December 1st. (Jlamls still big. The case is still under observation, and I do not think we can form any conclusion from it, though I have recorded it at some length. Dr. Neave seems certainly to have found that a rapiil and marked decrease of TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 163 trypanosomes and a general improvement in healtli followed the exhibition of ehrysoidine, and his observations were confirmed by Dr. Baker. I have observed that the dye does seem to cause a disappearance of the parasites both from the peripheral blood and the gland juice, but then the patient has been removed from a trypanosome area and the chance of Fig. 76. — Uganukse Buy " Warig.-i " (Photographed at Khartoum during treatment) of further infection, has been well-fed and wtdl-clothed and has been carefully treated for syphilis. Further, human trypanosomiasis in its early stages is, as a rule, a very chronic affair and the parasites appear and disappear of their own accord in the peripheral blood. I feel that I cannot commit myself to any opinion so far, though I have also a monkey experiment as a control. It would seem that ehrysoidine is distinctly irritating to the kidneys and has to be used with caution. 164 TKYPANOSOMIAfilS IN THE ANQLO-EOYI'TIAN SUDAN Fi'hruiin/ I'lth, 1906. TrypiiuosoUK'S weri' uguiii iuuiid in the glunds and begun to increase in number in the peripheral blood. Chrysoidine has, therefore, been started once more. It is being given by the niontli in tlu' same doses. The boy's general condition is excellent. If marked improvi'ineiit dues not result it is proposed to exhibit arsenie and trypan red possibly combined with atuxyl. Inoculation Monkey 9. (Cercapithecnx mhceitx). Weight 31 kilos. rxperinirnis " . . with .Iitue 9tli. Inoculated with 1 c.c. venous and citrated blood from above case. .'■"" '">«• fpj^^ blood was examined with negative results down to June 14tli, when the temperature of the animal was found to be high. June 15//(. Found dead. Poxt -mortem. Pulmonary congestion, and an acute pleurisy were found. There was no evidence of trypanosome infection. Bacterial invasion had occurred. Monkey 11. Weiglit -l-l kilos. Tciup. HI4-4 ' ¥. at midday. Jiiiii' '2'iiril. Blood examined and foun). (h-tofifr 22)1(1. A distinct diminution in the nnmber of trypanosomes. Only two were found in the film after an exhaustive search. They were ap])arently muliangeil. 1 grain given. thloh)-r2^ril. No trypanosomes foiuul after prolonged search. 1 grain given. Orloln'i- 2-it/i. Several trypanosomes fonmi in lilin. 1 grain given. tirttilii'r 2^illi. Moidvi-y appears to be git ting soincwliat thinner. lilood showed a few trvi)anosomes present which seeme grain given. ( Ir/olirr 29///. One trypanosome fomid in film. TT) grain given. I h-tii1ii>r 30///. A drop of blood which exuileil from the needle |)uneture ami was mixed with chrysoidine was examined. The nd rorpnsc les were found to be disintegrated. No parasites were seen. I'G grain given. TEYPANOSOiUIASIS IN THE ANGLO-EGYI'TIAN SUDAN 165 October 3Ly^. A large tiliu carefully exumiiied. Nu trypauosoiues fuuiiil. 1'5 graiu given. Xoveinher Isl. Weight, 2 kilos (uo loss). 1"5 graiu giveu. Novemher 2nd. Blood examination negative. Animal well aud lively. 15 grain giveu. November Srd to 5tli as above. Chrysoidiue then stopped. Novembei i5th. Blood negative. Nomiiber 1th. One trypanosoiue fuuud iu film. Xovemhev '6th. Blood negative. Urine examined aud uu albumin found. 15 grain given. Noneiidier 9lh. No dose given. November lOth to 13th. 1'5 grain daily. No trypauosumes fuuud. Myelocytes noted for the first time. Monkey well and strong. November lifh to 18//i. Same dose given daily. Occasionally oue trypauusume found per film. Weight on November 18th, 1'9 kilos. November IQth. Two grains given. November 20th. Two grains given. Blood negative. November 'il.s-^ Two grains given. Blood negative. Animal well. November 22nd. Two grains daily. One trypanosome found per film on "i'iud and '24th. At this stage considerable auiemia of the mucous membrane, as evidenced by pallor of gums and palate, was noticed. There was some oedema of scrotum and sheath. November 25th. Two grains given. Blood not examined. November 26tli. No dose given, ffidema of scrotum marked. Weight, 19 kilos. November 21th. There was apparently some slight septic infection of the foot following the needle puncture made to secure blood for examination. The mid-day temperature, however, was only 102'8° F. No dose. No albumin in the urine. November 2Sth. No note. November 29th. Monkey better. Blood negative after exhaustive search. No dose giveu. November '30th. One trypanosome found in film. No dose given. December 2nd. One dividing form found in the blood. A slight necrotic patch apparent at the common seat of inoculation. Though the animal was well and lively, despite the local sore, it was thought better not to resume treatment. The blood was not again examined till December 20th, when it was found that a distinct increase of trypanosomes had taken place. Four were found in a film after a very brief examination. The monkey looked well, and the wound which had suppurated slightly had nearly healed. The animal remains under observation, but I think that, taken iu conjunction with Wariga's case, the results are of such a nature that chrysoidiue might be given an extensive and thorough trial in places where human trypanosomiasis is prevalent. It seems to cause a lessening in the number of the parasites present in the peripheral blood, and the general condition possibly improves under its use. Its tendency to bring on albuminuria is a disadvantage. I admit, however, that no definite conclusions can be drawn from these two cases in man and monkey. Trypanosomiasis due to 7\ ijambiense is generally a very chronic disease, and the action of chrysoidine would have to be observed over long periods, and in a large number of cases at different stages of the disease and under varying 166 TRYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN The blood- serum of big game as a mctho) Typical short forms. (o) Intermediate forms with rather short flagella. A few involution forms, some with swollen posterior ends. 3 c.c. given. The long forms, some of which were in process of division, all appeared to be of the same kind as regards general shape, length of flagella and size of eentrosomes and nuclei. There was nothing to lead one to suppose that male sexual forms were present in the blood. The intermediate forms (c) were probably merely some of the usual short forms in which the flagella were more developed than is customary. None of the short forms were dividing, and in no case was the flagellum of any great length. Ajiril 12th. No change. 4 c.c. given. 2 c.c. in morning, 2 c.c. in afternoon. April ISl/i. No change. 4 c.c. given. April lifh. Only 3 c.c. given in one dose to-day. Apiril 15th. 5 or 6 lively trypanosomes per field. Appearance as of " tadpole " forms. 4 c.c. given in two doses. April li\tlt. No change. Mostly long forms in blood. 6 c.c. given in two doses. April nth. In fresh film one sluggish long form found after a long search. In stained preparation some short forms evident. Most seen three per field. G c.c. given. April 18th. Much as above but more numerous, there being as many as 12 in one field. (Leitz, Oc. 4, oil imm., iVth.) April 12ih. No change. No increase. Vacuoles very apparent. 8 c.c. given in two doses. April 20fh. In fresh film no parasites found after a long search. In stained preparation a few unaltered forms found after a considerable hunt for them. Animal well. Weight 2 "6 kilos, being a gain of '2 of a kilo from commencement of experiment. 8 c.c. given. April 2lst. A single morning dose of 6 c.c. given. April '22ml. No change. 10 c.c. given, in two doses. Ap>ril 2?>ril. Trypanosomes as numerous as ever. 10 c.c. given. April 21th. Trypanosomes apparently ■ increasing in number. 12 c.c. given. The serum, which had acquired a peculiar odour, had probably undergone some change, and -» become inert. Treatment was accordingly discontinued. Thereafter a steady increase took place in the number of parasites, and the monkey began to lose weight (2 kilos on 29th) and go down-hill. Mill/ 1st. Found dead. Bacterial invasion. An ulcer was found in the cfficum. No erosion of stomach. Liver and spleen not markedly congested. Mesenteric glands enlarged. Smears from spleen, liver, lung, bone-marrow, and glands negative, owing to bacterial invasion. Exp. 18. Gerbil 11. March 29th. Both forms present and numerous. 10 m. given subcutaneously. 168 TUYl-ANOSOMlAslS IN THK ANOLO-KGYPTIAN HIDAN Miirr/i .'Ul/Zi. Trypiiiiosomcs more numerous. Long typical forms, tliiek intermediate forms, without flugellii ami blunt, or somewhat pointed at posterior ends, and tiny short forms seen. 'I'lic distinctions were well marked. 15 m. given. Mtirc/i 3lsr. l.*) m. given. No change. April l.it. 20 m. given. No change. Ajiril 'Inil. "iU m. given. Animal very ill. A/trll SnI. Fouiiij ilciiil. Altliipiij^li 11(1 iibscess formiitiiin IlhI (niiuiiil. fiDin tlic state of the tissues round tlic site of inoeuhition I am inclined to think this animal may liave died of sepsis. The post-mortem results have been reporti'd. Nothing was found save a bacterial invasion of the tissues. Exp. 25. Monkey 6. Weight 13 kilos. .Vai/ 5tli. Trypanosomes numerous, 2U or 'W per field. Both forms present. Long forms in process of division. .)/(((/ (U/i. On this date, being the thirtccntli diiv after inoculation, 7 c.c. of blood serum nf water-buck of date January 27th, 1905, wen- injected subciitaneously. lilooil taken 5 hours after inoculation. Fresh blood swarming with very active parasites. Animal's condition unchanged. On staining, it was found that, wliile the majority of the trypanosomes Were unclianged, some hail completely broken down, their centrosomes, free edges of tlie undulating membranes and llagella alone persisting. .Many curious forms, some with huge undulating membranes were seen. Vacuolated and ■ sliadow " forms present. Short forms chiefly art'eeted. Mill/ "till. JMood exaniiiU'(l /i-;ihiiii/. An enormous increase of lymiiliiMytcs was noted. Many young blood vessels were present. Large round cells like those met with in thi' mesenteric glamls in cases of enteric fever, and containing fat droplets and sometimes two nuclei, were observed. * Journ. of Infect. Dioeasex. ChicaKo; Vol. IV., pp. 544-550. t Brit. Med. .loiirn. Vol. II., p. 1,6GG. 1S99. ; Brit. Med. ,I(,iim. Vol, II,, p. 029, iyo'2. § Low and Mott. Brit. Med. Journ. Vol. I., p. 1,000. 1904. I Mott. Brit. Med. ,Iourn. Vol. II., p. l,.')r>4. 1904. ^ Thonuu and Brienl. Memoir XVI, Liverpool School of Tropical Medicine, 1905. TBYPANOSOMIASIS IN THE ANGLO-EGYPTIAN SUDAN 171 111 tile sinuses large moiionucleated cells containing golden-brown (iron-containing?) pigment were present. Pigment was also seen in the endothelial cells of the capillaries. There was a general and marked hyperplasia of the stroma. Stomach ulcer. This section merely showed a destruction of the epithelial layer, the erosion extending to the submucosa which had undergone a bacterial invasion and the vessels of which were congested. The specimen was stained by the Leishnian method but no trypanosomes could be discerned. Brain. This was not stained by any special method and did not present any pathological appearance as far as could be told. I did not find any infiltration of leucocytes round the blood-vessels. In the case of the trypanosomiasis of mules, the organs and tissues of experimental animals such as the dog and monkey were examined. Liver. Much the same conditions were seen as existed in the liver of the ox, but there was an entire absence of pigment, at least, in the case of Monkey 21 which died on the sixteenth day after inoculation. There was slight fatty degeneration. Congestion was most marked in the sub-capsular region. Spleen. Extreme congestion of the splenic pulp together with an increase of connective tissue in the Malpighian bodies constituted the most marked changes. Large mononucleated cells containing fat droplets were seen in the splenic sinuses and there was a general hyperplasia of stroma. 'Iliynuis. Examined in the case of Dog 3 and showed a simple hyperplasia of the lymphoid tissue. The stroma was not much increased. S/oinach ulcer. There was considerable erosion affecting the basement membrane. Tiirombosis was present and some obliterative endarteritis. In a cross-section of one of the pyloric glands I noticed a tiny cyst? containing oval nucleated bodies which stained quite differently from the surrounding tissue. They had taken on the eosin stain strongly, and their rounded nuclei were deep purple. They somewhat resembled the encysted merozoites of some sporozoan but were difficult to examine properly, some being on a different plane from the rest of the section. Lymph-ano- somi;isis fell. 'I'lu' I'liK of !i i-ow wliii'li liiiil thus refovci'fil iliil not aci|uiri' tin- ilisi'iisi- on being inoculiitcd witli blood from tlu' cow, iiftcr rrcovcry of tliu liittcT. So far it litis not been fouiiil possible to rc-|iniiliiic tlie disease (■Xjitriiiiriitaliy. ■J. Trypunosoniiasis in mules in the Sudan is uhieHy dui- to a trypanosome whieh one has not been able to distinguish from, ami whieh is probably identieal with, 7'. iliiiiDrfi/iiiin, of Seiiegambia. The disease prodiieecl by this parasite is invariably aeute and fatal, is uceompanied by iliaracteristie symptoms and hads to widl-marked pathological changes. Inoculated into dogs, monki'ys (rrn-u/iil/ifnt/i), rats, gerbils and jerboas, the parasite rapidly multiplies, producing an aeute and fatal disorder. Death also results in the case of rabbits and goats, but tlie disease runs a much more chronic course. Successive ami prolonged passage through animals markeilly heiglitcns tin; virulciur nt' tliis trypanosome, more severe infections occurring and death resulting witli inurii greater rapidity. A solitary expi'rimeut seems to show that cattle are immune. Mules also harbour another trypanosome closely resembling T. iianum. Owing to lack of material tliis trypanosome has not been fully studied, but mules alTected with it may apparently recover when placed under favourable conilitions. The trypanosome of donkeys is possibly dit^erent to any of the foregoing, but material has not been available for its study. The specimens observed suggested '/'. lirucfi. 3. Tsetse flies are the chief, and j)r()bably the oidy, carriers of these trypanosomes. Diseased animals have chiefly come from districts where the tsetse {G. morsituuii) has been found to exist. Some have come from a region which it is probable that G. /^nDf^ii/irmiin inhabits. Stomoxys flies appear to play no part in the distribution of the disease. 4. Ulceration of the gastrie and intestinal iiiueosais commonly found in animals dead of trypanosomiasis. It is often liieniorrhagic in nature, and is in all [)robability due to the action of a toxine. It mav indicate an efl'ort on the part of the i)arasite to leave its host. 5. The occasional occurrence of spirilla in these hicmorrhagic lesions is of interest, but their true significance has not yet been determined. In all probability they bear no relation to the disease. 6. Chrysoidine has failed as a theraiieutic agent in infection due to the trypanosome of mules. Its use has been attended with mon? hopeful results in the disease produced by 7'. ijamhienxe, and it appears to merit a more extensive trial, with or without arsenic, in this latter condition, but it must be given with caution owing to its tenunii and (dnnips of stapliylocoeei. Klasfie filires were not seen. Viin Jak.seh' states tliat if free Iwematuidin be present in eonsiilerablc ipiantity tlie inference is tiiat an abscess Inis discliarged from some neiglibouring organ into t\\i- Inng. Free hienuitoidin was present in tliis ciuse but only in very small amonnt. No definite opinion conlil be given but it was admitted that tile ease was suspicious. It i)roVfd rapiilly fatal, and the historv, which had at first not l)cen easy to obtain, and the post-mortem e.\amination revealed the true state of afl'airs. The i)aticnt had received a kick on the calf of the left leg and this had resultetl in thmmliosis of one of the deep veins. In sonic tinl)nK cxlciisivc LTo>ion of llic boiiL-. both lungs being infected. I do not think that such a condition has been previously mentioned as occurring in connection with the difFereutial diagnosis of hepatic abscess. As I'.irasites regards the larger parasites, Strviiijt/loitilix to within 80 miles south of Gomlokoro. We arranged that lie should proceeil on the steamer allotted to him for that purpose down stream, and that later he should return ami find me camping on the river bank. I was to go inland some miles from Gondokoro and see if I could find the flv awav from the river, and then REPORT OF TRAVELLING PATHOLOGIST 185 proceed down it. Our respective investigations were made, but I later received a letter from him telling me that he had gone on to Khartoum without finding any "fly." My No "fly' investigations yielded the same negative result, though much time was occupied in arriving at it. I had special permission from Brussels to investigate the bank of the Lado Enclave, but I received instructions to confine myself to the Sudan, so that I only investigated the right bank. I found no " fly " between Gondokoro and Shambc, although I was always on the look-out for it and had with me a Uganda boy who had been specially trained to catch " fly," and whose business it was to do so. It was only when I got to the Bahr-El-Ghazal country that I found Glossina of any species. It would appear that a river with vast swamps is not a suitable habitat, but that trees with water in proximity is what is preferred by these diptera. During the above search I made expeditions in two directions from Gondokoro, and received great assistance from Capt. Tufnell, who saved me much expense.* Bahu-El-.Tebel. Trypanosomiasis Capt. Greig left the Uganda boy above referred to at Gondokoro after trypanosomes had been demonstrated in the juice of his neck glands, and handed him on to me for treatment. I had brought up some chrysoidine on the chance of having this opportunity, as Dr. A. Balfour's experiments with this substance on mosquito larvae and bilharzia ova already reported, had suggested to me that it might be useful in trypanosomiasis. I at once began injecting chrysoidine hypodermically, giving /jths of a grain and injections of increasing to half a grain wdien I found no untoward results. As this was probably the first time it had been used other than by the mouth, I had to proceed cautiously, but found that it appeared to be quite harmless to the patient. f While I went and came on the aliove expeditions, the boy had to remain at Gondokoro for treatment in respect to gonorrhoea and syphilis, and it was in consequence of Dr. C. J. Baker's kindness in continuing the injections of chrysoidine that I was enabled to carry out this experiment. A fortnight after the first injection, on examination of gland juice, only one trypanosome was found after much searching. Many had been found previously. Subsequently Dr. Baker made several examinations and found none between this time and the end of January, when the boy was sent on to where I was camping on the Bahr-El-Jebel, at Luala's. Until the first week in jMarch I remained on the river and inji'ctcd the patient at first every day, but gradually diminished the dose to twice a week, and I often examined the gland juice without result. The boy rapidly improved from the first, got fat and only suffered occasional pangs from over-eating. I made a blood count in February, when the boy appeared quite well. Blood Count Lyniphocytes ... ... ... ... ... 486 Lar^e Monoiinclear.s ... ... ... ... ... Gl Polynuclears ... ... ... .. ... ... -H- Eosiiiophiles ... ... ... ... ... ... 7 Myelocytes... ... 4 1,000 My march from Shambi' to Meshra-El-Eek later on was rather a trying one, and the boy only got his injection about once in ten days. • I have lately been informed that Dr. Hodtfes has found rHos.Hua palpalis at Gondokoro further inland than I wont. t See, however, note. on p. IG'2. (A.B.) 18G IlKI'OnT OF TRAVELLING I'ATHOLOGIST His work was liiinl ;imi1 «itli less food liis cuinlition got Iuwit, su that on arrival at Kliartuiiiii at tiic i-ml of Ajnil 1 was (lisa|)])oiiitfii wlu-n two trypanosoincs (of an altiTed uppi'arancc, possililv iluc to ilcvolutimi) were (IciiionstratiMl in tlic glaml juiic I at once begun to iii)i'i-t iiini as Ix'forc, ami lie again bt-canu' fat ami will. I licanl of him as being in good lualtli till .Inly, bnt that a monkey injected from his blood siiortly after his arrival had got trvpanosomiasis. l)r. iJaifonr will, no doniit, report on his snbseijnent career. Kffcct of It appears to me that chrysoidine in this case controlleil the disease, at any rate, for a time, more easily than arsenic, trypaiirotii, etc. Camps on BahkMi.-.Iehel After leaving (Jundokoro I made five caiiiiis in ;ill im the liahr-El-.Iebel, which, inclusive of !l davs moving from camp to camp alisorlied lit days from lltli January to 4th March, when I received urgent orders to visit tlie l'.alii-Kl-(tliazal district. During tiiis Examination time I was chieHv engaged on the personal examiiialion uf bloods and the securing of iilood of Motxl lilnis .", , , . films together witii some work among the natives. In all I made some 800 blood slides and it has been a matter of great labour e.xaniining them. While at work in camp the thermometer was often up to 1W° F. and over in the tent. This, together with numberless flies attacking one's face and M//ztrmi/ifi attacking one's legs, etc., made life unpleasant, especially when it is remembered that two hands are required when examining a blood slide under the microscope. T also made a point of catching, examining and mounting nio.s(iuitoes ami occasionally other insects. I had also to select and store the specimens, such as they were, brought in by tile men. These, though not so nuiuerims as cihiM be dcsiriil. rciiuii-ed nnicli icjoking after. .\ few dissections were also made as well as a few birds skinned, but I soon found I had no tiiiii' for the latter j)ursuits. As a means of collecting bloods of interest, photographs and other matters of value, I used to attend at 12 o'clock every day to see any patients from the neighbourhood. I regret to say that photographs were not successful as I had no time to work with plates, and my lilms were unfortunate. It was asserted that I shouhl be able to move up and down the river in the gyassas, but I found the first quite impossible as sails were of little use and it was only possible to drift with the stream, perhaps not making more than two miles or even less than that an hour. Conseiiuently, I made use of the steamers to tow the gya.ssas as much as possible. Time was also occupied in going to see and in interviewing the various sheiks in respect of native drugs, customs, etc., and a little information and material was collected, i)Ut the Haris, among whmn 1 was for the greater jiart of the ti , ar<' the most ignorant, negative race possible, living in idleness, taking no thought for the morrow, and enduring rather than taking trouble to tight against any ditiieulty that may arise. As a siieiiinen of their most Native u-liffs advanced ideas, I may mention a conversation I had with a sin il< on tlu' subject of the drought. He gave me the following information. There an' bad spirits culled " Geioch " and a god called " Deiidi." The bad spirits are umler the earth. Asked if (bid was one or many, he said he dirl not know, but his wise men knew. Men stop the coming of rain, being possessed of the bad spirits. Asked what would hapixn if these men were killed, he said the one that had done all the damage was at Coulin's ; he had been in good health but after his imprecations could only go on all-fours and now could hardly move. At present he eoulii do no harm. They were awaiting his death when all woiihl be well. It was no use killing iiim. '5?^^''"^! I EEPOBT OF TRAVELLING PATHOLOGIST 189 it would make matters worse, as he would then come back and do more damage in some other form. It appeared that this magician was considered to have suffered for his ill-doing at the hands of the good spirit. (Although the above answers do not always appear to be replies to my questions they are given as spoken.) Everywhere throughout my sojourn on this river I found a famine of dura grain, the harvest having been a complete failure. The natives were much emaciated, especially the Famine of T» • 1 1 • 1 1 ' 1 dura grain women. On remarking on the emaciation of his women to a Ban, he explained that the men went out hunting and fishing, but it was not the custom to bring home anything to the women, who were dependent on the grain ; besides, " A man's belly is easily filled, but a woman's requires much." Bahr-El-Guazal At Shambe I took, amongst others, the blood of seventeen cattle doing transport between tlus and llunbek, but neither then nor subsequently did I find any parasite in the peripheral Fig. 88.— N.\tive Br.\ssfounder with App.aratus blood in the transport cattle, but I was unfortunate in being unable to procure any with the disease at all advanced. I saw here a native brassfounder making ingots fi)r future use out of cartridge cases and Native . 1 i\r TT- brassfounders other brass objects, and I eventually secured most of his apparatus for the Museum. His method was as follows : He had a hole in the ground and a basin-like crucible in it surrounded by charcoal. Also two bellows of earthenware, each worked by a small boy. These were of the following nature : a basin-like apparatus with a wide tube taking origin from the bottom of it at an angle, was covered with skin in the middle of which was a strip of hide which the boy pulled up and down. This caused an intermittent draught down the pipe, which was communicated to the bottom of the fire by another earthenware pipe or tuyere. The interval between these two pipes acted as a valve, causing the intermittent current of air to flow only towards the fire. I was surprised to find how easily he got enough heat to melt the brass. The ingot was about 5 inches long and about 1 inch thick, and was made b\- pouring the metal into a hole of the requisite shape in the ground. His pincers consisted of a piece of strong strap iron, as used for boxes, turned over double. The operator's hammers were pieces 100 KEl'OKT OK TllAVKMJNli I'AIIK ll,OG18T of iron, niiiiid iiiiil iHiiiittil like :i peg, ;iii(l his anvils W( ic lianl piiccs of stoiif. lie liail (lono wi'll for hiiiisi-lf, us, liy maliiiig briicclets, lie liail a(i|uiii(l ciioiigli culllr In imv a wife. The iii'gotiiitioii for pinciiast' of liis apiJanitus WHS a long oiii-, iiml uiiioiigst other iiifoniiatioii lie giivt- was a religious opinion far in ailvanee of anything I Iiad previously fouml. lie thought the drougiit was due to tlu' evil liuing of mkii in tiie neiglihourhood, and that the goodness of nun like himself was not sutlicient to proihiic tlie i-ain. I left ShaiidM' on 12th Mareh, having reeeived orders to loeate the lly Ixdts of the JJahr- Kl-Cihazal, take blood films and eollect biting flies of all sorts. I had, however, to be soniu (lays at Meslira, to try and find some eattle lik(dy to be suffering from piro|ila8musis, and to start from tlnre on l-'ith April, 'i'lnis 1 had onjv time to hurry tlirough the eomitrv, and that 1 made the best use of luy time is, 1 think, shown iiy the faet that I walker! some 4Ul) miles in twouty-seven days, intduding the distance from point to point. Results, however, were necessarily poor. r)AHi;-l']i,-nH.\z,.\i,. Oi.dSSINA I failed to fini(iiiis /mr. I was informed tiiat all tlie cattle died off here last year with what was thought to b;' lung disease of some sort. Here also I foiuid the government convoy, and took the iilooil of the six draught cattle which looked well, but found no parasite. This tallies to some extent with wliat the cliiefs wliom I i|nestioned at llmibek told me. Tiuy said tiiat tliere was a large fly between that place and 'i'lmj, whicli did dannige to cattle, and that all rattle died at (iok. They also volunteered the infornnition tliat there was a cattle Jiestilence about 5 years ago, and that at the iiiniiient they were losing cattle. which they ascribed to intercommunication* of cattle between there and Tonj. As '"flv" will accompany cattle a long way out of u fly-belt I shoukl think their story may be correct. They only eat their cattle when the latter die, as they are currency among them chielly for wife-buying. This custom thus gives them opportunity for post-mortem examination, and they say they find the heart enlarged and full of dot, anil a distended gall bladder. They also state that in life the animal suffers from cough and diarrhcea, with stools like water. Native One of the .sheiks had large patches of leucoderma on his hands, which he said was due opinions . . . to his having walked over his uncle's grave by mistake. This illustrates his ideas of the origin of diseases. Hefore reaching Tonj, I slept the night about 5 miles frum that station and secured another specimen of Mnrsilinis. In the morning ''fly" followed the caravan right into Tonj and into the rest-house. In the afternoon I wanteil more specimens and sent out the Uganda boy to catch them, but they were not to be had. Next morning I made a long inarch down the river on the left bank but saw none. Eventually 1 had to march back to the camp where I had previously found them, before I could see any. This shows how they exist only * Tbc QoTcrameat bullock w.kggoa ruiis rcguliirly botweuii tlieso plaocD, I uuderstaad. REPORT OP TRAVELLING PATHOLOGIST 191 in patches, how they will follow a caravan but disappear again, and accounts for the discrepancies in the reports of dift'erent people as to the areas of fly-belts. It also explains why flies have not been sent into Khartoum from Tonj itself. Further, it has been stated that in search for " fly " on a lake or river, all that is necessary is to land a boy, who can recognise them, for a couple of hours occasionally to catch a few ; but these ' facts tend to show that a patch such as I have described might thus be easily missed, and also demonstrate that before declaring a country free of " fly " a very careful search would have to be made, which, in the case of the territory of the Bahr-El-Ghazal would take one man at least a couple of years. In addition to the above, I found another patch about two hours march on the road to Wau from Tonj. Here (Tonj), the mamur told me the government cattle die at the rate of Tonj to Wau one a week, which, from the foregoing is easily explained, but unfortunately there were none sick at the moment for me to examine. From Tonj I determined to go straight to Meshra without going along the well-worn track to Wau, as I thought there was more chance of finding unknown patches of " fly " than if I travelled where many, capable of recognising the " fly," had jirobably been. The track, however, to Meshra, along which the government wells existed, was impossible owing to their being dry. Hence I had to go by byewavs from sheik to sheik according to the information they gave me about water. My path lay through the following places : Police Station Village, Bilhega, Sheik Tonj an Aliat . . Cajungo, on Tonj River Temporary fishing camp Elwaitch Quaitch Akok Taba Teek Depeek Lan Meshra Thus my road was necessarily of a zig-zag character. During this part of the journey I met with no " fly," and passed tiirough an immense alluvial area of very rich grass, affording forage for large herds of fine cattle. The latter had been collected from the high ground, which is at this time of year parched up. One evening while camping, I counted eight herds being driven in, averaging some 100 in each. The bulls, if fattened as in England, would turn the butcher's scale at from 85 to 95 stone. Even as it was, fed as they were on grass alone, there were some that would, I think, weigh out near those figures. There was a large population here living in the temporary villages engaged in tending the cattle and catching the fish in the pools which were gradually drying up. No doubt this part of the country is under water in the rains, and is probably quite free from " fly." At this time of year the natives here dry a quantity of fish for future consumption, and from what I saw must eat a quantity of it half rotten, but I did not see a case of leprosy, Leprosy though my hurried march did not give much opportunity for observation. On the other hand, I came across two cases at Luala's on the Balir-El-.Iebel. Figs. 89, 90 and 91. General dir ection N. N.E. N.E. N. N.W. S. E. N.E. N. N.E. N.E. N.E. 192 KEl'OKT OF THAVELLINO I-ATHOLOOIST IxKalilies infected bv ••flv" III iidilitioii to tin- iilujvc tliiLi' juitclies of "fly" located by myself, I was told of the following localities us infected : — 1. Nearly all the road from Wan to Toiij. 2. Wt'st liank of Jna Wau to Kojali. M. Klior ] >inji. 4. River Mongo, near Tainbnra. f). 1") iiiilis N. of Wan at Maeliioaliii's. (i. A few miles onf of Wan on niaii to Mcslira. 7. Poiigo Uiver. 8. Sonth of Tonj towards Minnobolo. KiG. 89 Flc. 90 Kic. ai Leprosy of Hands MeSIIHA Ti) KlIAUTorM Mv journey from Meshra to Khartoum was' witlioiit special interest, except that I Hippopoiamiis witnessed u hii>popot!imns hunt by natives, and as I have never seen their tactics reported it may be of sufficient interest to recount here. I saw them lirst with a stout rope attached to a three-parts grown hippo., with some 50 to lUH men hauling on it, dragging him into shallow water. The rope broke and the beast got away, but he still had two spear heads trailing two ropes, with half-a-dozen large wooden floats attached. This conhrliniipx gave me the o})p()rtunity of seeing how they put the noose on him again. The hippo, was allowed to swim about for some time with the floats attached, and exhaust liimstdf somewhat. His position was thus known, however long he might remain under ami however little nose he might put out of water for breathing purposes. EEPORT OF TBAVELLING PATHOLOGIST 193 After a time three men in a boat paddled up to liim, and as he rose one of them in the bows tried to throw the noose over his liead, but failed several times. The next time he rose this native jumped out of the boat with the noose held in the hands and with the arms wide apart, and tried, while in the act of jumping, to place it over the creature's head. He failed and scrambled back into the boat with marvellous rapidity. Nevertheless he made a second attempt and succeeded. The essence of the matter seemed to be to get the boat behind the head as it came up, and the man appeared to be safe while in the water behind it. If this surmise is correct, safety would probably lie in the animal not being able to make a sharp turn while swimming. However, I never saw a proceeding that appeared so foolhardy. The noose was drawn tight, and the other end attached to the cable-like rope in the boat, which was paid out till arrival at the shore, where the crowd seized it and gradually drew the animal into shallow water, wjiere he received many spears and eventually succumbed. That the native sometimes gets the worst of it is shown by one whom I was called in to see, three days' journey the Meshra side of Tonj. He had a severe gash in the chest and had been awkwardly squeezed by the jaws of a hippo. To cure this his friends had made many gashes Native all over him, and he was in the most horribly septic state imaginable. treatme Antelope Blood-Serum I had thought it wouhl prove useful to investigate the action of the blood-serum of antelopes as a curative for trypanosomiasis, and in England had consulted various authorities as to the best way of extracting blood from a newly-killed animal so as to retain the serum aseptic. I also received much assistance at the rinderpest camp at Cairo. I had armed myself with an air-pump, some sterilised bottles into which to aspirate the blood and sterilised canulas to insert into a bloodvessel. All this was very bulky. I made several attempts, and after some practice succeeded in the case of three waterbuck in cutting ilown quickly on the jugular vein and getting a good quantity of blood. This was allowed to clot with the bottle in an inclined position and carried to camp. The next day the serum was drawn off into other sterilised bottles, and after having 4 per cent, of carbolic acid added to it was corked up. Of course, the difficulties were to carry all this apparatus about the place and have it at once on the spot after the victim had been stalked and shot, and then to prevent contamination. Two or three dissections are sufficient practice to enable one to get down on the jugular quickly. The serum was forwarded to Khartoum, and Dr. Balfour, I understand, has made some interesting preliminary experiments.* I did not, however, get his letter asking for more serum until after I had left the boats and the apparatus to march across theBahr-El-Ghazal, and was consequently unable to comply with his request. I had hoped to take with me from Khartoum a donkey with trypanosomes in his blood, to make my own experiments with antelope serum, but the authorities considered it dangerous to import trypanosomes into a country which had not been investigated for tsetse fly. The above would form a subject for a special investigation which might lead to important results, as the destruction of domestic animals in the Sudan from this pest would appear to be very large indeed. No place of which I am aware gives so good an opportunity as the Sudan for thoroughly investigating these matters, the outside fringe of which has only been dealt with hitherto. * See p. 166, et neq. (.."oUection of serum 104 BEl'OKT OF TllAVELLINCi PATHOLOQIST 'Peciiniqie 111 Uldiid Examinations Sliilfs wiTf kt'j)t in [>mv lysul, iiml after a tiiiu' ciirofully wasliiil and placed in the boxi'S where they were to be stored when Hhns had been nuide. Any tinlling of the surface of the !,'lass improved tile lilni. In tlieease of niainmals it was comparatively easy to secure good blood films, but in that of birds, reptiles and fish, there was considerable ditliculty. Unfortunately, owing to an error in the desiiateii of my iMittil. I had to rely mi my Ti-bore with No. 8 shot only, and if a smallish bird was siuit it was nsiiallv ■jUitr deail, and the cutting idl' the head on the spot yielded but little blood. At first I had a man carrying test tubes of citrate solution, but I fouml it very dillicult to have him on the spot at the moment I ran to pick up the bird. Later I hit on the plan of carrying three or four '.^ inch by \ inch specimen tubes in the waistcoat pocket, whi( h appeared quite satisfactory. Methfidsor In adijitidii, I always made one or two slides from the blood direct. securing blood j ^ ^^^ ^_,, .^f^.,|. j^^- j^^j^j ,^^. ^j^^, ^^^jj ^^ .^|,^^^. ,^|] ^^.^^^^,^. ^^^ ,,,,.^j,| ^^^^ jj^^ films ' 1^ 1 . large arterv supplying tlii^ gills \vas cut, or in the case of a sniall fish decapitation was pertbrnieil. Slides were always used for films to the exclusion of cover glasses, they give a larger area and necessitate much less time and care in making the film. They were all stained with J.,eishman's stain in troughs of the size of the slide, tilm (lownwanls, thereby avoiding deposit. If any ileposit occurs I find it easily removed by leaving the slide in xylol 'M) minutes to "2 hours and tlun wiping gently witii a sniaii linmii of silk handkerchief and rinsing again in the trough. Citrate appears to mix with tiie blooil of liii-ijs and tisli ipiitr ditlerentiy from tliat (jf mammals, making a glntinons mixtuie iiiueli nmre dilliriilt to nianipulate bcitli in tlie centrifuge ami in making tilms. Before making any similar expeditions I liope to conduct experiments with a view to tinding a better iiu'dinm. I varied the strength of solution, but found none really satisfactory.