07 .,4?„. v.l c--. J' a\o Q ^'^)^'^ FIRST REPORT OF THE WELLCOME RESEARCH LABORATORIES /K.U:fei^ - f> J AT THE GORDON MEMORIAL COLLEGE KHARTOUM BY THE DIRECTOR ANDREW BALFOUR, M.D., B.Sc, M.R.C.P. Edin., D.P.H. Camb. Fellow of the Eoyal Institute of Public Health, Member of the Epidemiological Society, Medical Officer of Health, Khartoum, and Sanitary Adviser to the Sudan Civil Medical Department Department of Education, Sudan Government, Khartoum, 1904 ^^233215% THE GORDON MEMORIAL COLLEGE KHARTOUM Patron : H.M. THE KING President : The Right Hon. Loiid Kitchjcner of Khartoum, G.C.B., K.C.M.G., etc. Hun. Treasurer : The Right Hon. Loud Hillingdon Hon. Secretary : Alfred Spalding Harvey, Esq., 67, Lombard Street, London, E.G. Committee and Trustees : The Right Hon. Lord Kitchener of Khartoum, G.C.B., K.C.M.G., etc. Sir F. Reginald Wingate, K.C.B., K.C.M.G., etc. (ex officio), Governor- General of the Suclau Samuel Hope Morley, Esq. (ex officio), Go\'eruor of tlie Bank of England The Right Hon. Earl Cromer, G.C.B., G.C.M.G., K.C.S.L, etc. The Right Hon. Lord Rothschild The Right Hon. Lord Revelstoke The Right Hon. Lord Hillingdon The Right Hon. Sir Ernest Cassel, K.C.M.G. i Hugh Colin Smith, Esq. Hon. Solicitor : Henry Turton Norton, Esq. Hon. Auditors .' Messrs. Gerard Van de Linde & Ron Director of Education in the Sudan, and Principal of the College: Mr. James Curkie I I I ■SI I I I ^ ■^ Introduction The Research Laboratories of the Gordon College, the equipment of which foi-med the generous gifti of Mr. Henry S. Wellcome to the Sudan Government, are intended to serve the following purposes : — a. To promote technical education. li. To promote the study, bacteriologically and physiologically, of tropical disorders, especially the infective diseases of both man and beast peculiar Functions to the Sudan, and to render assistance to the officers of health, and to the °'^''"' . . ' " Laboratories clinics of the civil and military hospitals. c. To aid experimental in\'estigations in poisoning cases by the detection and experimental determination of toxic agents, particidarly the obscui'e potent substances employed by the natives. d. To cany out such chemical and bacteriological tests in connection Avith water, food stuffs, and health and sanitary matters as may be found desirable. e. To undertake the testing and assaying of agi'icultural, mineral and other substances of practical interest in the industrial development of the Sudan. The foUo-\ving report, embracing the period between Feb. 1st, 1903, and Feb. 1st, 1904, mil indicate in what measure and AX'ith what success the laboi-atories have been concerned -with these divers subjects during the first few months of their existence, and it may be said at once that practically every branch of them has claimed attention to a greater or less extent. Having been appointed Director, and having spent some time in London discussing matters "with j\Ir. Wellcome, and inspecting the equipment pro\ided, which was in every way excellent, I finally aiTived in Cairo on Dec. 24th, 1902, where acting on advice received from Mr. Cun-ie, Dij-ector of Education for the Sudan and Principal of the Gordon College, I remained for a period of nearly three weeks, during whicli time I had an opportunity of visiting the laboratories and hospitals and making myself acquainted with the prevalent types of disease and the special laboratory methods employed in hot climates. I was given every facility and help by members of the staff of the Kasr-El-Aini School of Medicine and the Egyptian Sanitary Department. Opportunity was also afforded one to become Laboratory acquainted mth the future basis of supplies for the laboratories and to make enquiries about an assistant. Mv. John Newlove was subsequently appointed to the post. Khartoxun was reached on Jan. 22nd, 1903, and it was found that everything connected -with the laboratories was in a very backward condition. The rooms were not nearly ready, much of the equipment had yet to annve, and some of the furniture and fittings had been damao;ed in transit. It had been considered better to do very little until the Director was on the spot, probably the wisest com*se under the circumstances, though it rendered delay inevitable. Through the courtesy of Mr. Currie a room was provided for work while the laboratories were being got Kitchen find General Work Room, Wellcome Research Laboratories, Khartoum 3 ficte riot epical Laboratory, Weilcomc Research Laboratories. Khartoum INTRODUCTION 9 ready, and considering everything it was not so veiy long before they were completed. Material for examination in the shape of diseased dura plants and pathological specimens were sent in thus early, and the laboratory work may be said to date fi-om February 1st, 1903. Mr. Newlove arrived and took uji his duties on April 1st, by which time the rooms were nearing completion and the nucleus oi a museum had been formed. The laboratories, as at present constituted, consist of a suite of five rooms, i.e., a kitchen for the preparation of culture media and for the general rough work, separate bacteriological and chemical rooms, a chamber specially prepared as a , photographic dark room and cold storage room, and a museum room. Adjoining these are the Director's office and the Economic and General Museum, with Avhich the laboratories are associated. The whole department is situated on the second floor in the east wing of the Gordon College. The rooms, though they unfortunately face the east, are large and commodious, well lighted, and supphed with water fi'om a special well, and with gas generated fi'om an acetylene plant. The woodwork and fittings are executed in English oak and Indian teak, which had been pre^'iously baked at a high temperature for several months to season them suitably for the Sudan climate. It is gratifying to be able to repoi*t that aU the wood thus treated has passed through the ordeal of a Khartoum summer very satisfactorily. The state of the walls, especially those of the bacteriological room, leaves something to be desired, and there has been considerable delay and annoyance owing to the lack of skiUed laboui-, the distance fi'om supplies, and the difficulties of transport ; but when all is said and done the laboratories have fared none so badly and have received much kind aid from many government officials, both in Khartoum and Cairo. The museum of the laboratories has progressed steadily since its formation. It is i^rimarily de^•oted to the collection and exliibition of specimens and photographs Museum . . of the shelving the diseases of man and animals met with in the Sudan, and maps indicating laboratories their respective distribution. It now contains over a score of mounted specimens illustrative of human pathologv and tropical diseases — those of mycetoma, so prevalent in the Sudan, may be specially mentioned, several of veterinary interest, a smaU collection of skulls, and what promises to be a very fine and complete set of photographs iUusti-ative of the native diseases of the Sudan, taken by Mr. Tui-stig, Omdurman, for Dr. J. B. Christopherson and kindly presented by the latter. j\Ir. Newlove, Avho is responsible for most of the photogi-aphs illustrating the Report, has also secured similar recoi'ds as opportunity offered. In addition to these exhibits a collection has been made of the remedies indigenous to, or used in, the Sudan by the native races. Over a hundred different drugs have been obtained fi-om various parts, some of considerable interest, and to facilitate the study of those of vegetable origin and of poisonous plants employed in the Sudan a plot of ground has been enclosed Formation of a and what may be; called a "therapeutic garden " has been started. This garden is |^^'^j\'^p*""'" fed from the laboratory well and contains a water-tight cement tank into which the laboratories' waste-water is conducted. Thus, if necessary, the latter can be Chemical Laboratory, Welleome Research Laboratories. Khartoum Museum of the Wellcome Research Laboratories. Khartoum INTRODUCTION 1 1 disinfected aud so all danger of fouling the soil, and tlu'oiigh it tlie ^vaters of the Blue Nile obviated. The laboi'atories' museum is mueli indebted to those wlio have been good Museum of the enough to send it specimens. The chief contributors have been Dr. Christopherson of the Civil Hosjiital, Omdui'man, Lt.-Colonel Griffith, P.V.O., Major Bray, I'rincipai the late Captain McArdle, who took much intei'est in the work, and -^vhose untimely death i^i greatly to be deplored, Captains Rivers, Cummins, and Ensor of the Egyptian Medical Corps, aud Sadek Effendi and Nagib Shedid Effendi, of the same service. Mr. and Mrs. Broun, members of the Musemn Board, have also from time to time presented specimens of drugs and poisonous plants. It is a great pleasure to be able to report that in several instances the medical officers in Khartoum have availed themselves of the facilities presented by the laboratories, and have worked in them to some extent. Captain Ensor, especially, has devoted much of his spare time to blood examinations and other research. One is only too pleased to welcome such visitors, and place the laboratory resources at their disposal ; and they have responded by permitting one access to clinical material under their charge, aud fui-nishing notes and general information of great value. Ha\ing been appointed a member of the Museum Board, it devolved on me to get the General and Economic Museum room ready for occupation, and the first specimens collected and mounted. To this work Mv. Newlove devoted himself with his accustomed energy. In this museum, but associated ■with the Economic laboratories' work, are various specimens of diseased dura, a collection of mos- ^i"^^^"'" quitoes including microscopical preparations of the three genera most coimnon in Khartoum, examples of injurious insects such as those which destroy the melon plant, and the aphides, so destructive to the dura crop. In conti'ast to these latter are the beneficial lady-birds (CoccineUidaj), found along with tlie Aphides. Specimens of two sj^ecies t)f tse-tse fly, one of which occurs in the Sudan, are also exhil:)ited, as arc a few snakes, scorpions, locusts, and samples of ore. The year's work, of which a record is here given, has conclusively proved that it would be a great advantage to increase the small staff by the appoint- ment of a chemist. At present the staff consists only of the Director, a laboratory assistant, and two Sudanese, one a small boy. Considering the Avork which has ^"''' to be done, and might be done, and the size of the country which these laboratories serve, it is essential that such an addition should be made. His Excellency the Governor-General, Avho has taken a deep interest in the laboratories and all that pei'tains to them, has been approached upon this subject, and, thanks to his prompt recognition of the need for such an official, permission increSl\>f°' has now been obtained and a chemist well versed in agricultural, economic and ^'^f toxicological work will shortly be appointed. Another post which might well be filled is that of collector, a trained observer Avhose duty it would be to traverse the country and collect blood fihns, biting and injurious insects, parasites, photographs of pathological conditions amongst the natives, drugs, poisons, and General and Economic Museum, looking North Gcnerul und Economic Museum, looking South INTRODUCTION 13 indeed anything having a bearing on tropical medicine in the Sudan. Such vaiue of a work, properly conducted, might be invaluable and lead to many interesting discoveries. Although a museum memorandum has been freely circulated throughout the Sudan, it has met with little response, save fr'om Suakin, which, thanks to Major Borton, has responded nobly. For aU that, if officials were made to realise the value of such a collection there is reason to believe they would be able and willing to aid in the scheme. It is, perhaps, too much to expect that a collector will be found, but it is well to draw attention to the great services such a member of the staff might perform, and how he might aid in the pursuit of knowledge. • The laboratories are in communication with the London and Liverpool Schools of Tropical Medicine, and one of their functions shoidd be, as far as possible, to provide these great centres with material for teachino; iDurposes. They have also '^°"'==- ^ o o L L J pondence been asked to aid the Cancer Research Fund in its enquiries, and have ah'eady done so to the best of their ability. The United States Department of Agriculture has been ajiproached and has most kindly consented to send its valuable publications for the use of the libraiy, a gift of great importance considering the prevalence of fungus diseases and insect pests in the Sudan, and the vast experience that Department has in combating such conditions. The library itself is well stocked and is supphed with a selection of necessary scientific journals and periodicals. The authorities of the Natural History Department of the British Museum have been good enough to present it wth several of their valuable publications. To Mr. James Cunie, Director of Education and Principal of the College, and to the members of his staff, I would express my indebtedness for much kind aid, advice and encouragement, freely rendered me on all occasions. Thanks to Mr. Wellcome's munificence the laboratories are admirably equipped. That they filled a want has, I think, been demonstrated by what they have been called upon to do in the past year, and there is every reason to expect that their sphere of usefulness -will steadily increase. That they may be fuUy equipped to undertake all that is demanded of them, and at the same time endeavour to justify their title, must be the aim and object of those responsible for the work. ' Mr. Wellcome has recently mtimated his willingness to provide a collector. u Mosquito Wouk in Khartoum and in tiik Anglo-Eovi'tian Sudan generally Prevalence of Mosquitoes ill Khartoum Before reaching Khartoum one had been iufornu'd by certain residents that the town contained wry few mosquitoes, that those of the mahiria-carrying genera grouped under the sub-family Anophehna were unknown and that malaria did not occur. It was speedily apparent that such was not the case. Before any measui-es were taken against them, mosquitoes bred in their tens of thousands in Khartoiun, the family Anophclina was represented by one genus and species to a considerable extent, though limited as to locality, and malaria was and is present, though whether it is frequently acquired in Khartoiun itself is another question and one moi'e difficult to answer. By far the commonest mosquito in the town and neighbourhood is the Cidex fatigans (Wied.), so widely distributed throughout the tropics. The female of this insect has for some time been known to be capable of conveying the parasite of the disease, filariasis, from the sick to the sound. Of this disease elephantiasis is a form and elephantiasis occurs in the Sudan. Further, the recent laborious researches of Dr. Graham, of Bep-out,' seem to have conclu- sively proved that this mosquito is the transgressor in the case of dengue or dandy fever, foi'ming the intermediate host for the protozoon of that disease, cuiex fatigans, One first encouutcred the Oulex fatigans in the Grand Hotel, where this species was very numerous and annoying, and the cause of many complaints by residents. The reason of its presence was not far to seek. The hotel possessed a well, the well water possessed egg-boats, larvae, and pupas in abundance and those in charge possessed no knowledge of the life-history of the mosquito. This well was in no way jaeculiar, for subsequent researches showed that more than half the wells throughout the length and breadth of Khartoum, and there are in the town over 600 wells, formed breeding places for the ubit^uitous Culex. This mosquito is voracious, nocturnal in its habits, and distinctly annoying, but in a place like Khartoum is unlikely to be the cause of much transference of disease, save in the presence of an epidemic of dengue, which, if Dr. Graham be ccn-rect, it would spread wholesale. The dry climate of Khartoum is scarcely suited for filariasis, nor if Bastian's hypothesis" be correct, and the Filaria perstans be proved to be a Tylenchus and associated with the cultivation of the banana, is that parasite likely to occui* to any extent, for banana plants are few and far between, and the fruit is not used in these parts. But, then again, Khartoum is a centre, and natives are continually coming and going and passing through it, while steamers constantly reach it from the humid and typically tropical regions of the Southern Sudan. Herein lies a danger, and, as a matter of fact. Dr. Christopherson has reported one case of elephantiasis from Omdurmau and I have seen a second under the care of Major Bray in Khartomn. a filaria- carrier Mosquitoes and disease ' Journal of Tropical Medicine, 1/2/03 'Lancet, 30/1/04 -a 3 3 J£ O O > O _ a ir, MOSQl'ITO WORK IN KHARTOUM, ETC. F(n- all that, the presence of Culex fatigans Avas not felt to be very alamiing, Imt it was a diiferent matter when Pyretophorus costalis was encountered. This spi'cies i)f the Anoplielina has been proved to be both a tilaria and malaria carrier, and though it did nut exist in great numbers had yet to be seriously reckoned witli, even although Khartoum and its neighbourhood cannot be called a malarious district. 'Phis is simply because the Anoi^helines cannot find many suitable spots .wherein to breed — the result of a small and limited rainfall, the compai'atix'e alisence of vegetation and the power of the sun's rays as an evaporating Pyretophonis agi'iit. Still, as loug as Pi/retoplioi'us coatalis pei-sists in Khartoum there will bo a malaria can ier rislv of malaria being spread from jierson to person. As already stated birds of i)assage ai'e common in the town, and many of these come directly from the malaria-ridden reaches of the Blue and White Niles, while a greater number hail from Egypt, where malaria certainly occurs. In the bloods of diflerent patients in Khartoum I have found all three forms of the malaria parasite, i.e., quartan, benign tertian, and sub-tertian or malignant. The two latter forms are the most common, and the small ringed form and crescent forms are frequent in patients coming fi-om up the White Nile. Now Khartoum is a garrison town, and probalily the majority of the Sudanese soldiers at least have served or lived in malarious districts and have acquired the parasite. The same is true of their Egyptian comrades-in-arms, who are exceedingly susceptible to infection and suffer severely. I believe that one reason \\'\\x there has not been more malaria in Khartoum is to be found in the fact that the military hospital is at present situated far fi'om the breeding grounds of the .Vnopheline, Avhicli woidd have to cross a bare stretch of wind-swept desert, over a quarter of a mile in breadth, to reach those who might transfer to it the protozoon. Nor must it be forgotten that many members of the crews of the steamers plving on both Niles harbour ci'escents in their bloods, and are constantly exposed to infection during their journeys in the south. It is not infi'equent for several membei-s of a steamer's company to an'ive in Khartoum prostrated by fever, and such jjatients may well prove centres of distribution. Pyretophorus costalis is the only representative of the Anoplielina which has been discovered in Khartoum, but a third genus of mosquito occui-s which in point of numbers comes midway between ('iile.v fatirinns and Pyretophorus costalis, being uothiug like so common as the former but considerably in excess of the latter. This is a Stei/oniyia, species fasciata, Avhich in the western hemisphere has been proved beyond all doubt to be the active agent in the dissemination of yellow fever. Here the geiTn of that disease does not, so far, exist to be transferred by it, but the Stegomyia is the most troublesome insect of the three, being exceedingly hvely and biting viciously even in the heat of the day. As Avill be shewn Stegomyia also breeds in Khartoum, though not to any great extent. Its prevalence is, I believe, to be attributed to the presence of so many steamers on the Blue Nile for Stegomyia fasciata, as has often been jiointed out, is an excellent traveller. Along "with Culex fatigans it has been found breeding in large numbers in the bilge-water, tank-water, and engine-room-water of the river steamers. Stegomyia fasciata, the yellow fever mosquito j^v^i:^-^: -•^"'■Si.^ ' ^'.-fflWdH SflwHi', 'lAl^^l "v-''irMCr!3 ■ vI^lmBm B^^^^^^^B^B^V^r^TstHR '■ ''- .^^h^Ih^^I MBKBB>7^1.'-^fiBS '^^jjH^^^^I RMBeH?3^f :^~«« ffifiRiv T ^ ^^^^^^HH^^ S^^-li»lil^P ^/ifi ^^^^E^HJ ftisw^^^l '■- -'^^^^^0! ^ -^PBP^"^ '"^nf r ^l^^p M.- ^P^- v„3H ''^'^^^^D^tf |Bi--','--*'"H A-^. - "tBagam w^Bt>H gH|H ^^^^^^9 ^■^^■^-*« ■ ^— -IS^^^Bt ■ '■ ^^ MOSQUITO WOHK IX KIIAUTOrM, ETC. Rarer forms Formation of Moscjuilo Hrigadc Hreeding places These arc not the only varieties of ni()S(;[uit() to be encountered in Khartoum. A large species of Culex closely resembling, if not identical with Culex concolor (probably (\ tigripex) exists, l)ut it is rare. \\ least one otiiei- species of Stegomyia is to be found besides StC(/omijia fasciata and its variety form " iiio-squito" Avhile Culonel Stanton, the ]Mudir, sent me a very large femak- moscpiito which I found to bcldug to the genus Mucidus, and which Mr. Theobald, to whom I am much indebteil for help freely rendered, declared to be a variety of his Mucidus africnnus} I have recently found Tlieohaldid sjKif/iipaljns breeding in barrel watei- at Khartoujn North. Sufficient has been said to show that it was necessary to take steps for destroying these insects, and especially the Anophelines. Colonel Talbot, lI.E., being mui'h interested in the matter it was not long before one was asked to send to the Senior Medical Officer, Khartoum, a statement regarding the formation of a mosquito brigade, and one was subsequently requested to take complete charge of the woi-k. I Avas very glad to do so, as it gave me an opportunity of studying the mosquitoes and their breeding places, of collecting specimens and of carrying out a few experiments. A small mosquito brigade was therefore formed on the lines suggested by Major Ronald Ross." Two intelligent natives were obtained fi^om Colonel Stanton, the Mudir, and quickly trained to recognise mosquitoes, their eggs, larvfe and pupa\ and to distinguish the culicidai from other insects. Mr. Newlove, the laboratory assistant, who by this time had also become familiar with all the stages of the mosquito, was placed in charge of these men, his knowledge of Arabic being most usefid, and here I Avould pay a well deserved triliute to the energy and zeal he displayed in what was often hot and tiresome Avork. The necessary equipment was provided by Captain Rivers, E.M.C., the acting S.M.O. at that time, and it was decided to attack the mos(|uitoes chiefly in the larval stage. This was the more easily accomplished owing to the nature of their breeding places. These may be classed as follows : — 1. Wells; by far the most numerous and most largely infected (see page 17). 2. Sakia pits, both along the river bank and in certain gardens (see page 15). 8. Garden tanks, practically confined to the rixci- front (see page 17). 4. Bath-waste ])its. .5. Permanent garden pools, practically onl\' found in the Palace Gnrdeiis (see i^age 17). (i. Zeers (native water filters) (see page 15). 7. River pools, i.e., pools left in the banks by the falling Nile (seepage 19). 5. Steamer holds, tanks, water-closet cisterns and engine rooms, also the holds of Avood and other barges (see page 19). 9. Chance Avater collections as in old "sandals "or barges draAvn uj) on the river bank, and fi'om which speedy evaporation was prevented (see page 19). ' Theobald. "Monograph of the Culicidse" ' Ross. " Mosquito Brigades " 20 MOSQUri'o WOUK IN KHARTOUM, ETC. Foi'tunately, in Kh!irtt)uni we have not to dciil A\'itli any swamps, ditches, permanent pools in the streets or near the houses, empty cans, old bottles, broken crockery or other receptacles containing -water for any length of time ; at lejist, there were none such last yeai*. It is possi])le tliat they might have to be considered during a very wet summer, but the rainfall of 1903 was trifling. As a result the laboui-s of the brigade have been limited, and the small staff has so fai- sufficed, ^lajor Ross ' recommends refined peti'oleum or eucalyptus oil for the "training" of well waters, but, after careful enquiry it was deemed better to employ crude petrolcmn, not only because it was cheaper, ])ut because com- paratively little of the well water is used for drinking pm-poses, the nati\-e portion of the population prefemng to use water direct fi'om the Blue Nile. Use of Latter]}', as a considerable quantity of the refined petrolemn had been stocked, petroleum a mixture of crude and refined has been employed. The former appears to be the more efficacious, as it forms a denser fihn and one Avhich lasts lonejer. The well water in Khartoum is for the most part reserved for washing, cooking, and the use of animals. It -was evident that the oiling of the wells would entail some hardship on their owners, but the above fact shows, what indeed proved to be the case, that it could be done Avithout producing any great outcry. The user of an infected and oiled well generally managed to easily satisfy his wants from a neighboui'ing uninfected and untreated water supply. Crude petroleum, as stated, is very effectual if properly applied, and, moreover, makes the water so unsightly that none would touch it, and thus there was little risk of any poisoning fi-om water so treated. As a matter of fact, no such accident has been I'eported, and the plan adopted was as follows : — The men constituting the brigade began every morning to visit system- atically all the water collections in the to>\ai, beginning on the river front and working backwards day by day till the whole toAvn had been explored. They Avere provided with wide-mouthed bottles for taking samples, and instructed how best to proceed. A cup-shaped apparatus of fine Avire gauze Avas also employed, but the bottles were foimd quite as efficient, especially when the men were made to take three or four samples fi-om different parts of the surface of every Avell Mosquito J.11-T1 T Brigade work Avatcr Avliere the first dip proA'ed negative. In the case of other Avater collections Durham's larva coUectiug spoon and tin,- recently introduced, have been found to ansAver admirably. In the afternoons, under the charge of Mr. NeAvlove, the men again Aveiit their rounds, the water collections Avere re-inspected, and any found to be infected were thoroughly oiled. In the case of Avells, observations shoAved that in the great majority Ave had to deal Avith a surface area of from 12 to 13 square feet. Roughly speaking, about one pint of the crude petroleum was employed per well. This amount was probably in excess of that actually required, but by using it a reUable fihn Avas obtained. Syringes, though good in the case of pools, Avere no use for wells, and it was found best to simply pour the oil straight down upon the water, which, as a rule, was found at a ' Ross. " Mosquito Brigades " ' Journal of Tropical Medicine, 1/10/03 MOSQUITO WORK IN KHARTOUM, ETC. 21 depth of from 25 to 30 feet. The Sheiks of the various districts had orders to see that such " trained " water was not disturbed for forty-eight hours, after Avhich time the users were allowed to remove the oil and take the water. This length of time amply sufficed, aU the larvaj and pupa? present being killed as shown by repeated investigations. As a matter of fact the real lethal period was probaljly from about four to six hours, or even less, but it was deemed advisable to let the oil remain for a time as it has been shown that although mosquito eggs may be laid on such oiled waters they will not undero;o further development.' It was of coui'se impossible to make cooperation ^ ^ ■*■ ^ ^ ^ of military absolutely certain that these instructions were always faithfully obeyed, but in the and town great majority of cases the people did as they were told, and any that were refractory were at once reported to the S.M.O., Captain Cummins, who straightway informed the Mudir, and the offenders were promptly brought to their senses. Captain Cunm^iins, indeed, rendered great assistance in the work from an administrative standpoint, and was at all times ready to aid and advise. More recently efforts have been directed to the closing of all unused wells, while, wherever possible, covers have been fixed on those in use and jDumps introduced. Special methods were required in special places. In the Palace Gardens pools had to be cleared of reeds and water-weeds, and in some instances were abolished ; Mr. Sillitoe, the head gardener, very kindly assisting the brigade as much as possible. Fish taken from the Blue Nile were tried both in wells and pools. In the closing and ■*■ covering former they speedily died, the water being too hard for them, but in pools containing of weiis river water they proved a success, though after causing the larvae to disappear they too often disappeared themselves, owing to the depredations of natives or aquatic birds. AVhei'ever possible zeers (native water filters) were inspected, and a notice both in English and Arabic was posted in the Sudan Gazette, the official government organ, drawing attention to the role of these earthenware jars as breeding places, and emphasizing the importance of ha^'ing them emptied and cleaned at least twice in the week. iVt an early period the steamers were found to be largely infected, especially Avith the larva^ of Stegoniyia fasciafa, and to a less extent by those of Culex fatigans. Anophelines, either as lai-vse or imagines, have never been met with ; but up-coimtiy, as mil be noted later, the adults are frequently to be seen on board, and may remain as passengers for a considerable period. At first it was decided to use lime for the steamer bilges, but this w\as said, Treatment of _ . Steamers eiToneously I believe, to act upon iron and to be unsuitable. Consequently crude petroleum was recommended, though not so good nor so easily applied. Along with this the periodical emptying of the bilge and fmnigatiou with the sulphm* squibs described by Colonel Giles - were ad\dsed, the latter to get rid of the adult insects. Unfortunately in the case of the steamers familiarity had evidently bred contempt, for, at first, despite the co-operation of the Director of the Steamei-s and Boats Department, little energy was displayed by the engineers in charge, and the preventive measures were largely ignored, and in some instances even > St. George Gray. Jimrnal of Tropical Medicine, 15/10/03 = Giles. " Handbook of Gnats or Mosquitoes " 22 MOSQUITO WORK IN KHARTOUM, ETC. ridiculed. This was the more to be regi'etted as there is no doubt that mosquitoes can be banished from all rlie steamers if a little care and troulsle were taken. Mr. Beadnell, of the Geological Survey, carried out these sim})le methods on the s.s. " Nubia," and practically cleared her of mosiiuitoes, so that for the first time he was able to sleep below in comfort. A gi'eat impi'ovement also resulted in the case of the gunboat " Zaiir," in wliich I went to Dueim and found to be simply swarming with adult Culices and their lar\-te, while these measures absolutely prevented any mosquitoes breeding out on board the s.s. " Amka " during a period of nearly two months, the greater part of which was passed in regions swarming with these winged pests. Latterly, I am glad to say, the engineers have been imjjressed with the necessity of doing all in their poAver to aid the brigade. This is the more necessary as it is easy for the steamers to infect the town and thus spoil much of the work done and render it futile. I am certain that this has occuiTcd in many instances for reasons which wiU be stated. The men of the brigade also paid some attention to the killing and captui'ing of adult mosquitoes, but without much success, as most of the Culices live in the wells and are not easily obtained, while it was impossible for the men to go round and catch mosquitoes in Mohammedan households. A good many Ano- phelines and Stegomyia were, however, captured, and in the case of the former I made an effort by dissecting the females to detemiine the proportion harbouring the zygotes of the malarial parasite. As Daniels ' has pointed out, this method is only of value when the mosquitoes are selected fi'om different houses and places in equal proportion owing to the great variations which occur in this jDroportion in adjoining houses and at different times. iVs he says, the niunber of infected mosquitoes is the real test, and the number of Anophelines that bite a man ])er liour is also required. Consequently, such examinations as were performed ptissessed little value, and, indeed, it soon became difficult to secure material, chiefly because, as the result of the lirigade work, Anophelines became a rarity. It was a case of kiUing the geese wliich laid the necessary, if not the golden, eggs. Of greater importance was the preservation of specimens of captured eggs, larva, and pupa3 of aU the genera found, as these pi'oved valuable object lessons to officers and others proceeding up-country. Several have thus learned for the first time to recognise the appearance of the water-stages of the mosquito. Mr. Cross, of the s.s. " Gordon Pasha," made a point of bringing back specimens from his trips up the White Nile. On the whole, Khartoum may be said to have had a moderate " endemic index." There were not a vast number of malaria-canying mosquitoes, but thei'e were many people who harboured the malarial parasite and m;iny more suscep- tible to infection. Tlie results of the work of the bi'igade are interesting and instinictive in several directions. In the first place they have shown the distribution of eacli of the three main genera. ' Daniels, " Laboratory Studies in Tropical Medicine " o Z < J3 g « 2S 5 S^ - - '^ = 11 ^ 3 8^ ..^ O "*- t^ o ^ C 'o'S s^- . .- O o! w ^ feTI 24 MOSQIITO WDUK IX KIIAUTOUM, ETC. Distribution of genera in Khartcjuni Reinfection by steamer bred mosquitoes Mosquito Maps Ava-s fouud to be liniitod. reudered necessary by the Cnlex fatujanf is ubi(jiiitt)us, but is chiefly, as has long been known, a domestic variety. It is the wi'll mosquito par excellence, and consequently is found all over Khartoum, from the steamers back to the cemetery and Gordon's old ramparts, and from the British barracks in the east to the Zoological Gardens in the Avest. It also loves river pot)ls, garden tanks, and bath-Avaste pits, and Avill breed in almost any kind of dirty Avater, even in that streaked Avith oil, as found in steamer engine rooms. Pi/retophorus contalis, on the other hand, is not domestic, and its range It chiefly occurred in the various Avater collections rrigation of the Palace Gardens. It Avas found in those Avhich Avere not stocked Avith fish, and especially in valve pits and shaUoA^--, reedy pools. It seemed indiffei-ent to the presence of frogs. This mosquito has also been found in garden tanks along the river fi'ont, in the pools left by the falling Nile, in the sakia pits of the Gordon Gardens, and in a fcAv, a Aery fcAV, Avells. It Avas pi-esent in considerable nmnbers in the Palace Gardens, and infested tlie neighbouring houses, but it does not appear to fly far fi'om the shelter of vegetation, nor has it ever been found breeding on board steamers at Khartomn, partly because it is someAvhat fastidious in its tastes, and prefei*s natm'al collections, and partly because the larva? require plenty of light. Stegoiiiyia fasciata again, is the great steamer mosquito, and has not been found to breed much in Khartoum itself. It is to be remembered, hoAvever, that the larvffi of this genus differ someAvhat in habits from those of the other genera. They are more Avorm-like, hug the bottom and come only infi-equently to the surface, consequently they may have been more often missed. It has been found breeding in the zeers and a feAv other Avater collections, but very rarely in the AveUs. Further, and this is interesting, it seemed to be almost AvhoUy confined to Avhat may be called the front belt of the toAvn, the river zone, and hence my belief that it Avas very largely an unAvelcome gift from the steamers. Certain Avells, opposite Avhich steamers Avcre accustomed to lie up, for example at the post office, (see page 19) constantly became reinfected Avith Culex after they had been treated and fi'eed, and these also I believe came from the boats. Indeed it has been found much easier to keep the south part of the toAvn free than that Avhich borders the Blue Nile. The accompanying maps shoAV the respectiA'c distribution, and also exhibit another point, the effect of the treatment. Map No. 1 represents the condition of the A'arious Avater collections as found during the first complete round of the toA\Ti made in iVugust and the first jiart of September, 1903. Map Nt). 2 sheAvs the same collections and any neAv ones Avhich may have been discovered or been formed (for ncAV Avells are constantly being sunk), after the necessary oilings. Different marks have been devised to explain different conditions so that the improvement Avhich has resulted may be seen at a glance. The second maji brings us doAvn to the end of the sunnner (October 31st) and the summer Avork, thus excluding any fallacies Avhich niight arise from altered climatic 9p Influence of meteorological conditions Statistics 26 MOSQUITO WORK IN KHARTOUM, ETC. conditions. I append the average maximum and minimum temperatures, and the average wind velocity recorded dui-ing August, September and October, these ]>eing the meteorological factors likely to affect the mosquitoes in the work of propagating themselves. ,„„„ Average niaximiim Average miuimum Wind velocity iu in °C. iu ''C. miles per hour. August 37-45 24-25 2-7 September . . 38-5 20-88 2-10 October .... 38-51 22-82 1-98 It wiU be seen that the weather conditions differed very slightly in September and October. The work was steadily continued during November and December, and a record of the conditions found during January is exhibited in Map Xo. 3. This map is drawn up on sUghtly different hues, as it was deemed inadvisable to repeatedly spot aU the uninfected water collections previously shoAvn. Only new water collections and infected places are marked. It Avill be noticed that dui-ing this month pools began to make their appearance on the river's bank and on a sandbank which had foi'med and stretched out into the main stream. Such pools, provided they were large enough, were speedily occupied, despite the fact that they were often exposed to the strong north wind. The meteorological conditions prevalent dui'ing the last two months of 1903 and the first month of 1904 are here stated : — ■.nno Average maximum Average minimum Wind velocity in ^■^^ in "C. in °C. miles per hour November .... 37-28 20-89 1-48 December 35 18-01 1-75 1904 January 31-5 16-3 1-82 I do not think these conditions influenced the mosquitoes to any marked extent. The general figures work out as follows : — During Aug. During Oct. d^^.^^„ j^n and part of after treatment. aft'o,- Sept. before Several treatment treatment destroyed Total water coUections 670 664 689 Total infected 324 163 102 Percentage infected 50 24-5 14-8 Harbouring Culex (total Culex) . . 321 161 lOO „ Culex and iVnophelina 12 2 1 „ AnopheUna alone .... 2 1 1 „ Culex and Stegomyia 10 0 „ Stegomyia alone .... 1 1 1 Total Anophelina 14 3 2 Total Stegomyia 2 1 1 SEBalfl'Ql- H0i □S-Cb^^i^y^Q Hczj-czasr □□QBHQ = BBP^" urn- o._: a "S a != £ = 3 ■= .3 .5 .S-^-^ .2 « Q. o ^ ^ t; en S r2 S 4j -^ ,o S ta « o Oh < o o! ia<> o c/2 S 28 MOSQUITO WORK IN KHARTOUM, ETC. Extent of moscjuito destruction Future operations As regards the second table it is to be noted that it was found impossible, despite eveiy endeavour, to visit eleven Avater collections by the time the statistics were made up, o-\ving to the fact that the houses containing them were closed, and the oAvni-rs alisent. There were over thirty such cases, but by the kind help of the Mudir, to ■whom also my thanks are due for supplying the blank plans, the difficulty was overcome save in these eleven instances. In order to complete the table I have counted six of them as hai'bouring Culex, which is certainly a very fair propoi-tion, judging from what was found elsewhere under parallel conditions. All these houses were in what may be called the "Culex" part of the town. Similarly, in Map No. 3, six unvisited wells are charted, and three of these were considered as being infected. The above figures can only be regarded as being approximately coiTect, and as only applying to the special times at which the examinations were made. The conditions were constantly altering, as the mosquitoes were driven fi'om well to well, and at the time of writing the state of the town is better than the last figures indicate.' Still, these statistics serve to show that very considerable progress has been made. For the sake of argument, let us suppose that the average number of larvae and pupa? in an infected water was one thousand. This is by no means an absurd figure, indeed, I believe it to err on the small side, but even so, taking the first and third tables, a total destruction of 222,000 mosquitoes is indicated, granting that, if left alone, all the lai'vaa and pupa3 would have reached maturity. Nor does this represent in any way the eggs which were checked in their de\-elopment. Again, say half of the above were females capable of laying from 200 to 400 eggs apiece, a moderate computation, and it will be apparent that the ranks of the Avinged host have undergone enormous depletion. Tliis is further CAadenced by the fact that latterly the infected wells have been found to harbour much smaller numbers of larvae than was the case at fii*st, and by the experiences of residents and visitors. I admit that such statistics as the above savour of guess work, but thev approach the truth, and that trutli is instructive and encouraging. I should think that there are few mosquito-ridden towns which could be so completely cleared as Khartoum, Avhere, as will be evident, the conditions are somewhat specialised. Such a happy result could, however, only be obtained by inci-easing the staff of workers, by constant vigilance, more frequent inspections, and bringing Khartoum North into the field of operations. Colonel Penton, the P.M.O. of the Sudan, has now agi-eed to this being done, so even better results may be looked for in the immediate future, especially as the steamers are to receive special attention. The Manager of the Sudan Development and Exploration Com])any has signified his willing- ness to co-operate in the work of clearing the steamers. Of coui'se if the old type of well were abolished and driven or tube wells substituted, the mosquito would find it \-ery difficvdt to thrive at all in Khartoum, but such a radical and expensive cure would be neither necessary nor justifiable. At the time when the Blue Nile was at its highest a considerable tract of land to the south-west of the town was submerged by the danuned u]) \\aters ol the ' In February tbe percentage infected was 10'4, in March only 9'5. Anophelina had disappeared Value of localising wells MOSQUITO WORK IN KHARTOUM, ETC. 29 White Nile. The pools so formed, were however shallow, soon dried up, and at no time were mosquitoes found breeding in them. A point worth mentioning is that the labours of the brigade have served to locate every weU in Khartoum, a matter of great importance in the event of any extensive outbreak of cholera or enteric fever. The original number of wells sent me by the Mudir, and obtained fi'om information fui'nished by the local sheiks, fell far short of the actual count. Certain water insects which prey on the larvffi have been found, but none are so voracious as to yield hopes that they may be turned to practical account. More may possibly be exjDected fi-om the discovery in the United States of a new sporozoon parasite' of the Anophelina, and of a larval round worm, Againoineriiiis culicis (Stiles)'" which is said to render the female mosquito barren and induce Parasites of ^ ' -*■ the mosquito disease in the insect. As has often been said, what is wanted is a thoroughly good larvicide, non-volatile, harmless to vegetation, non-poisonous, simple in apphcation, easily soluble, readily diffusible, not obnoxious to the eyes or nose and at the same time cheap. The nearest approach to this is a weU-kno'svn proprietary preparation made fi'om anilin dyes and used successfully in the case of rice fields. Having at one time found that chrysoidine, the hydrochloride of di-amido-azo- benzene (C12 H,, N4 HCl), a yeUow anilin colour, was most deadly to fish in very dilute solutions, it seemed worth while to experiment with it upon larvaj and pupag. It was found that a solution of 1 in 30,000 was efficient both as regards Anopheles and Culex larvae, the foi'nier being the less resistant. The amount, however, required for pi'actical purposes would be too expensive, and the solution has Action of ,1 . 1, 1 chrysoidine, an rather a strong yellow colour. aniiin dye The following are the details of the few experiments performed. As far as possible the water in which the larvaj and pupae were found was employed : — No. Strength of Solution. Eesult. Temp, of Water. 1 1 in 1,000,000 Some advanced larvaj of Culex fatigaiis 28-5°C dead within 72 hours. Pupte formed and hatched out. Some alive after 4 days. AU dead in 5 days. 2 1 in 100,000 Half the larva3 of Cidex fatigans dead Do. within 48 hours. Several living after 72 hours. 3 1 in 75,000 Some larvaj of Culex fatigans alive after Do. 72 hours. Discontinued. 4 1 in 50,000 Half the larvaj (young) dead in 24 hours. Do. not in 10 hours. AU dead -within 31 hours. 5a 1 in 50,000 KiUed the larv® of Pyretophonif! costalis Do. within 24 hours, but not those of Culex fatigans. ' Johnson. Journal of Medical Research. Vol. yii., 1902. No. 2, p. 213. '' Lancet, 1/8/03 30 MOSQUITO WoKK IN KIIAKTOUM, ETC. Regulations for the prevention of malaria generally A ' ' mosquito plant" No. Strength of Solution, r>h 1 iu 50,000 (iil 1 ill ;io,uoo (ib 1 in oO,UOO 8 1 iu 10,000? some suspended matter. 1 iu 1,000? much deposit. Result. Temp, of Water. Liirxie of Pyi-etophorufi costalis all alive 28-5'^C after 48 liours. A few alive after 72 liours and after 90 liours. Pupa^ formed. Discontinued. Culex fatiyans. Nearly all the lar\ii? Do. dead •\vithin 40 hours. Some alive after 72 hours. All dead -within 4 days. Larvie and pupa; of Ciilcr futiyniis and Do. Pyrctojihorufi costalis. \ ery sluggish in 20 lioui-s. Some dead. Some ali\'e at the eud of 24 hours. AU dead except oue larva and one pupa of Culex fatigans within 44 hours. All dead in about 50 hours. Killed larva; of Culex fatujans within Do. 18 hours, nut in 5 liours. Do. Killed advanced larvas of Culex fatigann in 25 minutes. All the larvas and pupa; kiUed were stained a bright yellow. The solutions soon altei-ed a little in strength OAving to evaporation, and, as will be seen, the results were somewhat indefinite. Mosquito work has not, however, been confined to Khartoum. At the request of the S.M.O. Khartoum one drew up a set of simj)le regulations, ■\\ath reference to the prevention of malaria, for the use of outlpng stations. It Avas on the hnes of Major Ross's recommendations, and in addition, care was taken to include those measures rendered necessary by the disco\ery, made by those ' who \\ix\Q worked ^vitli forest mosquitoes, of breeding places in pitcher plants and holloAv trees holding Avater. From Kassala, Captain Ensor reports a great improvement both as regards mosquitoes and other noxious and annoying insects Avliich pass their lar\-al stages in water. In this connection, it is interesting to note that the ShiUuks have a so-called " mosquito plant." They dry the leaves and lay them inside the roofs of their huts. The myth of the basil,- if not that of the neem, has been exploded, so that probably this precautionary measure is of no value. I have not been able to obtain a specimen of the plant. Mr. Cross brought the laboratories specimens of ^lansonia uniformis from Renk, and Dr. Cliristopherson sent certain mosquitoes he collected up the Blue Nile. Unfortunately, these had not been mounted and were much damaged. The fact ' Lntz. Cent. f. Bakt., &c. Bd. xzziii., No. 4, Jan. 1903. Leicester. Journal of Tropical Medicine, 15/9/03 ' Prout's Experiments. Tlu Times, London, 27 7/03 32 MOSQUITO WORK IN KHARTOUM, ETC. thiit His Excellency the Governor-General kindly gave me permission to join a party proceeding up both the Blue Nile and the White Nile and its tributaries Mosquitoes of gave me an opportunity of collecting mosquitoes in these parts during the months of November and December. There was little opportunity of catching moscpiitoes on shore save at certain places. This rather interfered with the work as far as the Blue Nile was concerned, but on the White Nile and triljutarics where the steamer often tied up for the night and at times was stuck fast in the Sudd, the mosquitoes boarded hei- in liundreds, and collection was an easy, though not a comfortable, pursuit.' The accompanying map, for which I am indebted to the Director of Intelli- gence, War Office, shows the places where observations were made, and has the names of the different genera met with recorded on it. It is intended specially to show where the sub-family Anophelina and its genera flourish in greatest abundance, but also exhibits the great prevalence of the filaria-carrier ]\Iansonia uniformis. The accompanying tables contain the names uf the different genera and species encountered^. Blue Nile — November, 1903 Khartoum Culex fatigans. No swamp. A few pools in Culex tigripes. river bank. Stegomyia fasciata and var. mosquito. Pyretophorus costalis. Mucidus afi'icanus. Khartoum North Culex fatigans. Stegomyia fasciata var. mosquito. Theobaldia spathipalpis. Between Wad Medani and Sennar . . Culex fatigans. No swam^js. Bush country. Mansonia uniformis (dark varietv). Ta3niorhynchus tenax. Sennar Mansonia uniformis. Culex pallidocephala. South of Sennar Mansonia uniformis. Forest country. Swampy in Culex fatigans. parts. Tieniorhynchus aui'ites. Senga Culex viridis. River pools. Swamps dried Pyretophorus costalis. up. Mansonia unifonnis. Roseires Culex fatigans. River pools. Forest country. Mansonia uniformis. Pyretophorus costalis. Cellia pharoensis. ' I would here express my thanks to Mr. and Lady Fitzgerald, Miss Leigh Hunt, and Mrs. Balfour, for their kind help in the collection of specimens. ' J'i'rfe special article by Mr. F. V. Theobald mosquito White Dueim No swamps. South of Goz-abu-Guma SwamjDs. Jebelein Swamps. Renk ]\Iucli swampy land. Jebel Akmet Aga Swamps along river bank. Kodok, late Fashoda Much swampy land. Lower Sobat Few swamps, country. Open grass WORK IN KHARTOUM, ETC. Nile — December, 190?) Culex fatigans. Myzorhynchus paludis. . . Ta>niorhynchus tenax. Maiisonin unifonnis. Ciilex fatigans. Mansonia uniformis. Pyi'etophorus costalis. . . Mansonia uniformis. Myzomyia nili. . . Mansonia, uniformis. Myzorhynchus paludis. TcEniorhynchus tenax. Culex fatigans. Culex \'iridis. Sobat Tasniorhynchus tenax. Uranota^nia sp. ? Culex viridis. Culex fatigans. 33 Middle Sobat Bush country. River banks swampy. Myzomyia funesta (subumbrosa). ^lansonia uniformis. Culex fatigans. Myzomyia nili. Uranotsenia cajruleocephala. Myzorhynchus paludis. Tamiorhynchus tenax. Pyi'etophorus costalis. Anopheles wellcomei. Culex dentatus ? Mansonia uniformis. Culex viridis. Baro (first 100 miles) River banks high. Grass and Anopheles wellcomei. open country. Some river Culex fatigans. pools. Tffiniorhynchus tenax. Mansonia uniformis. Cellia pharoensis. Culex viridis. u MOSQriT() W(11}K IX KIIARTdl'M, VTC. Tlie wholo coimti'v full of swamps Much sudd ill the I'ivov. PiBOK (first (1(1 mill's) Myzorhynrlius p;ihulis. Mansonia uniformis. Culex vii'idis. Ta^niorhviiflius teuax. Uranota'uia ))alf( )uri. Stegomyia fasciata. Myzomyia funesta. Tamiorliynchus cristatus. Uranota^nia domestica ? Culex fatigans. AnoiDheles ■vvellcomei. Etorleptiomyia mediolineata. Bahr-El-Jebel, North . . . . Swamps and papp'us sudd. Bahr-ei.-Jebel Mimomyia splendens. Form with clubbed and peculiar palpi. (New genus ? and neAV species.) Mansonia uniformis. Uranota;nia cajruleocephala. Mimomyia uniformis. T»niorhynchus aurites. (New genus and new species.) Lake No Mansonia uniformis. Swamps on all sides. Sudd. Tamiorhynchus annetii. Bahr-El-Jebel, North Swampy river banks. No real sudd. Kenissa (south of Shambe) River banks swampy. Forest land. Bor River banks very swampy. Open couiitrv bcvniid. Mansonia uniformis. Mimomyia uniformis. Uranotania caM'uleocephala. Mansonia uniformis, 2 types. Culex fatigans. Ta?niorhynchus tenax. Myzomyia funesta. Var. umbrosa. „ subumbrosa. Myzomyia nili. Culex viridis. Pvretophorus costalis. Mansonia iniiformis. Anopheles wellcomei. Myzorhynchus paludis. Myzomyia n. sp. ? Uranota^nia cieruleoccpliahi. Culex cmnminsii ? MOSQUITO WORK IX KHARTOUM, ETC. 35 Lado Mansonia uniform is. River laanks high. SAvampy Culex viridis. island. Bush country be- Culex fatigans. yond. Myzorhyuchus iDahidis. Mimomyia uniformis. Myzomyia ? It Avill l)e seen tliat several genera previously unrecorded fr(jm this part of Africa have been found, such as ]\Iucidus, Tasniorhynclius, Tlieobaldia, L rauuta;iiia and Mimomyia,' while several entirely new genera and species have been secured.^ and'spede? The White Nile, as might have been expected, was f(iund to harbour many more Anophelines, than the Blue Nile, though the Blue Nile furnishes a good many fever cases in the summer months. M>/~orhyiic/ius paludis was very common on the Pibor, where Uranotajniaj Avere also in large numbers, and were very vicious. (Jn tlie Bahr-El-Jebel Myzoniijid faitesta, in both its varieties, Avas a frequent visitor in the evenings. This mosquito was found to remain on board Permanence of £ ' 11 • 1* 1 • 1 £ 1 1 r ' 11 • Anophelines tor several days at a time, lying pcraii in the iolds oi curtains and hangings, on steamers in mats and carpets bestowed in heaps, and finding special sanctuaries on the under surfaces of tables. The steamer on Avhicli the captures were made Avas prevented becoming a breeding ground, and so any fallacy which might have arisen from this source of infection, Avas obviated. Mr. Young, the engineer, rendered every assistance in his poAver. Mansonia unifurmls is, hoAvever, par excellence, the mosquito of these parts of the Niles, i.e., the Blue Nile from AVad ^ledani to Roseires, and the White Nile from Renk to Gondokoro, including the Sobat River and Lake No. In the light of this fact it AA^ould be Avell to ascertain if iilariasis is common in these regions. It was on this blood-loA-ing insect that a small red tick looking like a tiny preser\'ed cherry AA'as first found. This tick AA'as aftenvards discoA-ered on ihemo^qu'to Myzorhynchus paludis, and on se\'eral other species. It does not seem to affect the mosquito in any way, and Avas usually attached to the thorax or abdomen. I haA'e also once seen Avhat seems to be a green tick. So far, there has not been time to study these parasites more fully, but specimens haA-e been sent to Mr. Theobald. In connection AAath preventiA^e methods to be adopted at stations in the SAvamp regions of the White Nile, one Avould strongly advocate the introduction of sun-floAver cultiA'ation. xVpart from its Avater-absorbing cai^acities the sun-HoAver sun-Hower • 1 1 1 1 M n 1 • cultivation is of great value as an economic product, the oil, seeds, and filire all being advocated useful. It has been successfully cultivated in the previously malarial stretches of the Mississipi valley, and is knoAvn to groAV Avell and rapidly in the Sudan. As far as the application of culicifuges goes I have found a mixture of equal parts of citronella oil and absolute alcohol, the most effective preparation, and one pleasant to employ. * Theobald. Monograph of the Culicidse, Vol. iii. " Vide special report by Mr. F. V. Theobald 36 MOSQUITO WiiKK IN KII AUTOUM, KTC. The sudd as Daiiii'ls' luis su^igL'stwl tliut liii'va' prutected 1)}' lli)atiiig sudd may l)i.' ciiri'icd mosquito loiig (listaiK't's, Hiid that new genera and species may in this way reach Egypt, distribution rj^.j^^^^ j.|._.^ ^^.ij.|^ ^^f ^,^j^ liypothesis may well lie ti'iu'. hut as regards the second, I wiuill(iiiel (Jritiith, D.S.O., to Avhom the laboratories suppHed a small eutoiudltigic-d t)iitlit prior to his jouruey up the White Nile. He brought back specimens of \ari(nis insects, and amongst them Glossina morsitans, a species of tse-tse fly, which he captured on the Pongo River, in the Bahr-El-fihazal province, when niai'ching fi'um W'au to Dem Zobeir. He repoi'ted that the fly occinTcac]i cyrntenelis"" c<'^=^e added to the distillation flask as recommended by Briinnich. 1. Affected. Young dura about 10 inches liigh. No seed g;i'ains developed. ('outnincil ■08.') per cent. HCX. 2. Unaffected. Dura slightly younger tlian the above. No seed grains developed. Contained "014 per cent. HCX. The investiijation of cyanogenesis in all the fodder j)lants used in the Sudan and ill certain of the leguniinosa^, is a piece of research a chemist might cany out with advantage. 49 General Routine Work The nature of this work may be classed under two main headino;s : — 1. Pathological : 2. Chemical. It bulked so largely that little time was afforded for original in\-estigations, Init then again some of it was really more or less research work, and in any case the mere fact that so much had to be done thus early in the laboratories' career, seems to show that they have fiUed a felt want. Under each of the above headings is jolaced a list of the examinations and analyses performed. 1. Pathological Nature No. {(i) ]\Ior]iid secretions and exci'etions . . . . 16 {b) Blood 20 (c) Bacteriological apart fi-om {a) . . . . . . 6 ((/) Parasites aparlrfrom {a) and (/').. . . . . 5 (e) New growths . . . . . . . . . . 4 ( /') Other pathological conditions . . . . . . 3 It may be as well to indicate some of the forms of disease encountered and included under these figures, and also to deal briefly wth the more common diseases found in the Sudan. The classification adopted by AVeUman' for the diseases of Angola is here introduced for the sake of convenience-. The Anglo-Egyptian Sudan is a huge territory inhabited by many divers races of men, and possessing several types of climate. One could no moi'e scientifically compare the diseases found in the neighbourhood of Suakin with those prevalent in the Khartoum district than one could compare the latter with those occurring in the Bahr-El-Ghazal. On the Red Sea coast the climate is that of a littoral ; it is the Northern Sudan climate modified by proximity to the sea. Round about Khartoum there exists, roughly speaking, a desert climate, somewhat modified by the presence of the two mighty rivers which unite immediately to the south of Omdurman. In the Bahr-El-Ghazal we meet with typically tropical conditions — a moist, liumid atmosphere, a heavy rainfall, an abundant vegetation, many rivers, and much insect life. Minor differences exist in difterent parts of the different districts. Elevation above sea-level, as in Kordofan, plays a part, so does the area of cultivated land, as in the Dongola district, so does the presence (Kassala district) or absence (Gezira) of much bush country, so does the proximity to the great water-ways of this part of Africa. The incidence of disease is also affected by the distribution of population. The Northern Sudan, in addition to its Arabic and mixed Arabic and negro population, is peopled by British, Greeks, Italians, Turks, Syrians, Armenians, Egyptians, Copts, Abyssinians, and several ' Journal of Tropical Medicine, 15/2/04 - The following notes appeared in the Jonrnnl of Tropienl Medicine, 15/4/04, and are here reproduced by the kind permission of the Editors of tliat journal 50 GEXKIJAI, KdlTlXK WoKK other nationalities. Of these, the Egyptians, the majority of them engaged in military service, are tlie most numerous. The Southern Sudan is the home of the negro tribes — the Dinkas, Shilluks, Xuers, Xyuaks, Niam-niams, and many others. It is hopeless with c.nv present knowledge to proceed to any kind of a classification, and none will be attemj)ted. I. — Diseases Appkarixg fimm ax Examination or the Blood Malaria (native name, A ///»;//« = fever). — All three forms of the malaria parasite have been seen. The most common have the benign tertian and the malignant tertian, the latter appearing as small ring forms and crescents. (Quartan is rare and is probably acquired in Egypt or elsewhere, not in the Sudan. Cases from up the Niles, and especially from the White Xile, show the small ring and crescent forms most frequently. Typical ague attacks occur, but are not often seen. Remittent fevers seem to be the rule in the southern districts. Enlarged spleens due to malaria are numerous. Captain Cunnnins, E.M.C., found a large percentage of children in the Bahr-El-Gliazal affected in this \\ay. A high per- centage of large mononuclear leucoc}i;es is fi-equently found in the blood of natives, or Egyptian soldiers who have sei'ved up coimtry. \'^ery few cases have been seen in which such white corpuscles contained pigment. Chronic splenitis sometimes leads to a very considerable enlargement of the spleen. It will be interesting to see if the new blood parasite, Leishmania Dotiovani, is to be found in cases of splenomegaly. ' I'rofessor Ross has suggested to me that it might be well tn look for it in monkeys. Filariasu seems to be rare in the Xoi-thern Sudan, although CiiJex fatiiiana abounded in Khartoum before preventive measui'es were adopted. I have oidy seen one case of elephantiasis [da el fee/). It was in the leg of a Dinka, but his blood showed no filaria embryos. As Mansonia uniformis exists in considerable nvunbers along the banks of the Blue Xile, south of "Wad ^ledani : in veritable swarms on the AVhite Nile, south of Abbas Island, and all along the Sobat, Baro and I'ibor Rivers and the reedy shores of Lake Xo, one would expect to find al)undant evidence of filarial infection. Gross lesions^ such as lymph scrotum, chylocele, varicose groin glands, and elephantiasis of the legs are not visible to the passing traveller even if he looks out for them. I had no opjjortunity of examining the blood of natives, nor, so far as I know, has anv work been done on this subject in these regions. TriipanosomiaMx has not been encountered. Trypanosomes possibly occur in the blood of uati\es living close to the more tropical parts of tlie AVhite Xile. Xo trypanosomes were found in the blood of several siluroid fish examined. GloKKwa palpalis has not been found in the Sudan. Glflf/04 GENERAL IKJUTINE WoKK 51 II. — Diseases Appearing from an Examination of the Faeces DifHentery [Dorontana) is not very frequently seen. It is probably most common in young British officers. Slight forms, the so-called dysenteric diarrhoeas, occur. It seems to be more frequent in the hot Aveather, when there is a greater change between the day and night temperatures. It is probal>ly amojbic in type, though it is likely that irritating sand particles and chill ]>lay a more important part in its production than does the Amoeba coli. Ankijloatoinia'iiv [Ankylo-'^toiiia). — Common amongst the Egyptian soldiers, and often very severe. Does not seem to be indigenous in the Sudan. Ascarifi himbricoides [Tahaan el buttu). — Common, especially amongst Egyptian soldiers. These fellaheen seem to be very favourite hosts for parasites of all kinds. Tcenia [Douda icakeeda). — I have only seen T. .sayinata. Multiple infection OCCUl'S. Oxyuris cer/nicidaris ( Wooda Kliatya). — Very common. Its ova are very liable to be confounded with those of the Ankvlostomum. I have found the difference in the shape (the ova of Oxyuris being more curved on one side than the other) to be the best guide. Trichocephalus dispar has not been met with. Schistosomum hcematobium. — Ova with laterally ^slticed spines are conmion in the fasces of Egyptian soldiers. Chronic Diarrhoea. — Xo opinion can be given. Sprue. — Apparently imknoAvn. III. — Diseases Appearing from an Examination of the Urine Hcentoglobinuric Fever (Huiiunet el mayiah el isvid ). — I have only seen one case, and that Avas in a Greek at Gondokoro, in Uganda; but at Kejaf (Lado Enclave) I met a yotmg Scotchman who had just recovered from a second attack. Although not charted in Scheube's map, blackwater fever does occur in the Sudan. Capt. Rivers, E.M.C., reports that no case has yet occurred north of 10° N. lat. The disease seems confined to the White Nile regions south of Fashoda, and to the Bahi--El-Ghazal province. British officers and Egyptians form the majority of the victims, and since the reopening of the country these have been few in number. It is, howe\'er, significant that the natives of the Golo tribe have a special remedy for this disease. Endemic Hcematuria (Bilharzia). — Of frequent occurrence amongst the Egyptian soldiery. Was supposed not to exist in the Sudan, save such cases as had acquired infection in Egypt or elsewhere. Recently the urines of three Sudanese boys have been sent to the laboratories. All three showed blood, pus and the characteristic ova. Two were brothers. Xone of the three had ever been out of the Sudan. The chief point of significance lay in the fact that aU three drank water from a school well in Khartoum. So far nothing suspicioits has been iVl (iENKKAI. lidl'I'INK \Vuc instance arsenic in the form of the yeflow orpimoit mixed with sulphur, was detected. Ax the same time these casee invt^ved a great deal of labour. Ihis will be apparent idien it is stated EOSLN'UPHILIA IX BILHAKZIA DISEASE AND DR-VCuXTIASIS 61 that two of them Avere associated with native vendors of drags, and that tlie whole stock-in-trade of these worthies, varying from Galena to santal oiL was sent to the laboratories for analvsis along: Avith the organs of the deceased. Their dnicrs are, as a rule, harmless, but it is gi-atifying to know that the new sanitai-v regulations avIU R^uiation of deal with such gentiy and so prevent much unnecessary work in the laboratories. ^^ An opinion had to be given regarding blood stains (c) in a case of suspected murder, while the plant analysis mentioned (na, M. funesta, Giles. A neAv Anopheles (A. iceUcoinei) closely related to Aiuiphelea 'jiffa-"^ Giles, fi'om India is described and a new Myzomyia also some other Anophehnes of considerable interest. The collection made by Dr. Balfom- also contained a new Uranotaenia ( U. balfouri) and at least one new genus ( Etorleptiomyia ). Two strange males occuiTed in the collection, one undoubtedly the male of my genus Mimomna. Tlie other I c-annot place in spite of its marked palpal character. I have merely described it A\-itliout referring it to any definite jX)sition, as it was in too damaged a condition to show scale sti*ucttii"e. The great number of Man-sonia unifonnis, Theobald, was the most noticeable feature during Dr. Balfoui*'s tiip. For other locaUties vide Dr. Balfour's list, which I have checked. Many of the specimens showed the presence of a i)arasitic tick attached to them. When aUve the parasite resembles a tiny presened clieny, says Dr. Balfour. As a rule this parasite is attached to the under surface of the thorax and abdomen, but it was once found on the wing of an Anopheles. Tlie coloiu- varies in intensitv. PLATE I. Fig. 1. Myzom>"ia funesta, Gile- Fig. 2. Mj-zomj-ia funesta, Giles iFiG. 3. Myzomj-ia nili. n. sp. Fig. 5. Anopheles wellcomei, n. sp. Fig. 4. Myzom\Ta nili. n. sp. Fig. 6. Anopheles wellcomei, n. sp. Fig. 7. Mimomyia uniiormis, n. sp. x Fic. S. Miniom>-ia uniformis, n. sp. j^ Fig. 9. Eiorleptiom>-ia mediolineata, n. sp. Fig. 10. Mimom>Ta uniformis. n. sp. J WINGS OF SUDANESE CULICID^ 64 riii'; MostiirroKs ok koyit, puk sidan and abyssinia Genus Anopheles, Moiijen Syst. Bc'schr. 1, lU (181S), Mi'i^a-ii ; Mono. Culicid. 1., p. 11') (lOnl), Theobald, and Ili., p. 17 (1903). Anopheka irdlcoinei, n. sp. (Plates I., Figs. 5 & 6 ; III., Fig. 4, & V., Fig. r>) Head bliu'k with dense ■white, yellow and brown upright forked scales, the wliite ones in front and two long hair-like projecting white tufts ; palpi yellow, black at the base Avith two white ])ands on the yellow area. Thorax ashy, chestnut-ljrown at the sides and Avitli hair-like golden scales ; abdomen broAvii, unhanded with brownish-golden hairs. Wings mostly yellow scaled, costa jet black with two yellow spots and three or four black spots on the wing field. Female. Head l:)lack densely clothed -ndth large upright forked scales giving it a ragged appearance, white in front, yellow in the middle, lilack behind and at the sides; projecting foi'wards are two j)rominent tufts of long white haii'-like scales ; antenna; brown Avith pale hairs and the basal six or seven joints Avith many white scales, basal segment bright reddish-broAvn ; proboscis with basal half lilack, apical half ochreous; palpi not quite as long as the proboscis, basal third lilack scak'd, apical tAvo-thirds bright ochreous with an almost white apical band and a jnn-e white band aliout one-fourth the Avay down. Thorax ashy-grey with a broad dark median stripe and chestnut-brown laterally, two more or less yellowish lines on the grey median area seen only in certain lights and under |rd power, scales haii'-like and pallid golden, except in front over the head, where there are grey and long narrow-curved scales ; the hair-like scales form a prominent double row on each yellow line ; scutellum and mctanotum ]iale brf)Avn ; pleura^ pale ochreous brown. Abdomen brown, ochreous yentrally, with pale In-own hairs, most dense on the venter. Wings (Plate I., Figs. 5 ct 6) with the costa jet black, with two prominent, rich yellow sjjots on the apical half ; apex of -wing yellmv ; first long vein yellow with a black spot near the apex under a small apical black costal spot, traces of two smaller ones nearer the base; subcostal black; second long vein yt'llow with a black spot on both branches of the fork-cell just imder the black spot on the fii*st long vein ; third long vein all yellow, with a minute apical black spot and another tninute one at its ])ase just past the cross-veins ; fourth long vein yellow with t\vo duskv spots on the upper and one on the lower branches of the fork-cell, and a few on one side of its stem; fifth long vein yellow, a few l)]ack scales at the base of the upper branch, and a trace of an apical spot; sixth vellow Avith a black median spot; fi-inge ])lack Avith yelloAV spots at the junction of all the veins, Avith tlie border and the givater part of the fringe from the sixth A'cin to the ])ase yelloAV ; first sul)niarginal cell longer and narroAver tlian the second posterior cell, its l)ase nearer the base of the Aving, its stem slijrhth^ more than half tlie lenta, Giles Fig. 2. Myzomyia nili, n. sp. Fig. 3. Mimomyia uniformis, n. sp. 9 Fig. 4. Anopheles wellcomei, n. >p. WING SCALES OF CULICID^ (58 TIIK MOSQUITOES Ol-" EGYl'T. I'lIK SIDAX AM) AKVSSIMA fifth ji)ins it: friuyx' dark cxeept wIrtc the ItAver branch of the foui-th and fifth veins join the border where ci'eainy i)at*-lu's (icciir: lurk-ccUs Ixjtli sli3). This s])ecies is described by Donitz from Tit)Aver Egvj)t (Wadi Xatrun). 1 have not seen any species Avhich ausAvers to the figure of the Avmg Avhich he gi\es. PLATE rV. Fig. 1. Mansonia uniformis, Theo. Fig. 2. Mucidus africanus, Theo. Fig. 3. Culex dentatus, n. sp. Fig. 4. Txniorhynchus tenax, Theo.. var inaculipes, n.v. WING SCALES OF CULICID.E 70 THE MOSQUITOES OF EGYPT, THE SUDAN AND ABYSSINIA Genus Pyuetophorus, Blancliard [liowardia, Theobald) Compt. Reiul. llcl)(lnin. Soc. d. Biol. No. 2?,, p. 795, Blanchard ; Joura. Trop. Med. W, p. ISl (1902) Theobald ; Mono. Culicid. III., p. 66, Theoliald (1903). Pyretophorus cos talis, Loew. i Anopheles costalis, T.oew. Anopheles ganibico, Giles. Anopheles (jracilis, Diiuitz. (?) (Plate \., Fig. 4) Ent. Zeit. BcrHn, p. 55 (1866), Loew; Handbook Gnats, 2nd Edition, p. 511, Giles (1902) ; Mono. Culicid. I., p. 157 (1901) ; and TIL, p. 74, TIicoIkiI.I (19()3): Beit. z. Kennt. d. Anoph., p. 76, Donitz (1902). Found by Dr. Balfour at Senga and at Roseiros, on the Blue Nile. I ha\e not seen any specimens myself from Egypt or the Sudan, but I ha\'e had si)ecimens fi-om Uganda. It also occurs in Khartoum. Tliis is a malaria carrier. Genus Myzorhvnchus, Blanchard. [Rossia, Theobald). Comp. Rend. Hebd. Soc. d. Biol. No. 23, p. 795 (1902). Journ. Trop. Med., p. 181 (1902), Bossia; Mono. Culicid. III., p. 84 (1903). Myzor]i]inchus paliidis, Theobald Repts. ]\Ialarial. Comm. Royal Society England, p. 75 (1900); Mono. Culicid. I., p. 128 (1901), and III., p. 86 (1903). Dr. Balfour obtained many on the Pibor (Bor and South of Goz-abu-Gvuna, White Nile) which showed no special peculiarities. He says they are very connnon there, but not very vicious. This species is much subject to the parasitic tick, often being covered with them. It is also probably a malaria bearer. Previously, Captain Lylc Cummins obtained specimens from Bahr-El-Gliazal. Genus Cellia, Theoliald Mono. Culicid. III., p. 107 (1903) Celt/ii ji/xiiwnsis, Theobald. Anopheles pharcensis, Theobald. (Plate v.. Fig. 1) Mono. Culicid. Vol. L, p. 169, (1901). ct Vol. III., p. 109 (1903) Found by Dr. Pialfovn- at Baro, also at Roseires on the Blue Nile (W. L. S. Loat and Di'. Balfom-) ; Cairo (Keatinge) ; Ismailia (Ross). This seems to be an abundant North and Central African species, and is undoubtedly a malai'ia bearer. It also extends into Arabia, having recently been sent me from the Aden hinterland, and it also occui-s in Palestine. C. Batrd 2 8Cj.B:rr.7Ta *-trT«E:a^ G'.sa S IC'MBifiaE x^m^traff^oit TTrAaoa^r: THE MOSQUITOES OF EGYPT, THE SUDAN AND ABYSSINIA 7 1 Genus MuciDUS, Theobald. Mono. Culicid. L, p. 268 (1901) Mucidus africanus, Theobald. Mono. CuUcid. I., p. 274, and III., p. i;3-l (1908). (Plates IL, Fig. 1 ; IV., Fig. 2 ; V., Fig. 6) A single female was sent by Colonel Stanton to Dr. Bulfuur, taken in Khartoum. It is undoubtedly a variety of my M. africanus. Dr. Balfour describes in his notes the ci'oss-veins as being like a Culex. I have mounted the wings of the specimen he sent, and find them quite normal. I may here point out a character I have missed in this genus, namely, that the third long vein is very near the second {vide photo of wing, Plate IL, Fig. 1). It has also occuiTcd in Uganda. (Wadelai, one female.) Genus Stegomyia, Theobald Mono. Culicid. I., p. 283 (1901) Stegomyia fasciata, Fabricius. (Plate VI., -Fig. 2) Syst. Antl. oti, lo (1805) Fabr. ; Mono. Culicid. 1., p. 289 (1901) and III., p. Ul (1903). This yellow fever carrier has been taken at Ismailia and Port Said by Major Ronald Ross, and it also occurs in Khartoum and on the river steamers. Other localities Pibor, Cairo. Genus Etoklei'tiomyia, nov. gen. Head clothed with a mixture of narrow-ciu'ved scales, upright forked ones and small loose flat scales all over : antenna? scaly on the basal joints. Thorax with scales of mesonotum narrow and cui'ved, those of the scutellimi flat and small. Abdomen clothed with flat scales. Wings with very marked heart-shaped scales (Plate IL, Fig. 2), on the basal halves of the second, fom-th. fifth and sixth veins ; on the first long vein, base of second and fourth also \\ith more or less Mansonia-like scales and along costal border also, scales on the apical halves uf the veins pedimculated, clavate, pedimcles very short ; costa spiny ; fork-cells moderately long. This forms a very distinct genus, easily told by the curious heart-shaped scales on the wings. The proboscis seems very weak. A single species only is so far known, wliicli Avas taken by Dr. Balfour. "The Mansonia-hke scales are not exactly as in that genus, but approach them very closely. Etorleptiomyia mediolineata, n. sp. Head yeUow with a black patch on each side; proboscis brown, unhanded. Thorax black with narrow-cui'ved golden scales. Abdomen black with a median line of yellow scales. Legs brown, femora yeUow beneath, tibia' mottled with yellow, metatarsi and tarsi with yellow apical bands except the last. Wings -with dark broAvn scales basaUy and along the costal area. 72 rilK MtiSc^riTdKS i)F K(iVlT, TllK SIDAN AM) AIIVSSINIA '^^^m F.G. 1 Cephalic and scutellar ornamentation of Ktorteptiomyia nu\iii'lifit: nnn. Habitat. Pibor. Fig. 2 Scale> of EtorUptiotnyia tucdioliiteata a & h Upright forked scales c Ile.art-shaped wini^ scale d Mansonia scales of costal border e Other wing scales THE JIOSQUITOES OF EGYPT, THE SUDAN AND ABYSSINIA 78 Observation!^. Described from a single perfect female. Dr. Balfour sends the following notes regarding it which show that differences of colour exist between fresh and dried s^jecirnens : — " proboscis brownish yellow with a purple or black band or tuft near the labell*. Thorax, ground colour purple. Abdomen purple with median line of pale scales and two yellowish lateral patches on the last segment." There may be a minute tooth on each fore unguis, but I do not think so ; the mid and hind ai'e any^vay equal and simple. The differences in color between the areas of the mng are very marked. Genus Theobaldia, N^eveu-Lemaire Compt. Rendus. d. Seas. d. la. Soc. d. Biol, 29 Nov. (19(»2). (Xeveu- Lemaire) ; Mono. Culicid. III., p. 148. Theobald (1903). Theobaldia spathipalpis, Rondani Culex spatJiipalpis, Rondani (Plate VL, Fig. 1) Dipt. Ital. Prodro. I. (1886), Rondani; Mono. Culicid I., p. 339 (1901), and III., p. 154 (1903), Theobald. Adults, larvas and pupaj of this species, have been sent me by Dr. Balfour from Khartoum North. Both male and female are somewhat pallid, but the thoracic ornamentation is very marked, the Aving spots paler than in most specimens, almost absent. Genus Culex, Linnaeus Linn. Syst. Nat. (173.5) ; Mono. Culicid. I., p. 320 (1901) Culex viridis, Theobald Mono. Culicid. III., p. 212 (1903) This is apparently a widely distril^uted Afi'ican species, being especially abundant in Central Afi'ica. I originally described it from Uganda specimens. It varies much in size ; some sent by Dr. Balfour being 3.5 min. only, others 4.5 mm. Dr. Balfour collected it from the Sobat, Baro, Pibor, Lado. The specimens show considerable variation in regards to the length of the fork-cells, position of the cross-veins and size. Dr. Balfour mentions in regard to one specimen that the " legs were rich reddish-brown." They are dull bro-\vn in the dried specimens. The lateral abdominal spots also vary, usually basal, but some are found to be central and others apical, yet others where the spot spreads aU along the side of the segment. It is the only species so far found in Central and West Afi'ica with an unhanded abdomen, othermse it looks much like C. fatigans. The Sudanese specimens do not show so clearly the gi-eenish pleurae seen in Uganda specimens. Cidex /xilh'diiffpJidla, n. sp. Somewhat like C f align iis liut the lu'ad Avith i-ather dense, pale, narrow-curved scales and numerous dark lir^wn to black upright-forked ones. Palpi and 74 TIIK MuStillTOKS OF KliYl'T, I'lIK SIDAN AND AliVSSlNlA pn)lK)Sfis bliick. Tlionix diirk brown onitunL'Uti-'d \v\i\i Kimwh mid ^ii.ldcn hiuwii iiarniw-curvrd sraks. the g'(,)l(l('ii brown fonniiii:' tiu'iv or k'ss distinct liucui' ornaiiR'ntiitioii and a curwd line on I'acli side in li'ont of the wind's, which surrounds a dark area in front of each wing. Abdomen blaclc with basal creaniv l)an(ls. Legs brown unbarided. Female. Head brown, clothed with rather dense pali' narrow-curved scales whicli lie uniforndy pointing forwards, a few still [)aler \ery small Hat scales laterally and long thin bifid upright forked-scales o\er the greater part, those placed lateralK" jet blai-k, those in the median urea dark liro-\vm to \'ello'\\ash- brown according to the niys of light ; palpi thick, thrc'e distinct small basal segments dull testaceous, tlie fat apical segment as long as the three basal ones and black scaled; there may be a minute nipple-like apical segment, but if so it is hidden in scales; proboscis and clypeus deep brown. Tiiorax dark brown, ornamented with dull golden and deep rich brown uarrow-cm'\ed scales ; the dark scales form two prominent o\al areas, one in front of the base oi each Aving, the dull golden scales bordering them : the latter arc also more ov less placed in lines along the middle of the thorax and othei-s at the sides abo\'e the pleune, others, almost creamy, in front of the scutellum : scutellum paler brown than the mesonotum, with pale uarrow-cm'\-ed scales and black border-bristles, se\"en to the mid lobe ; metauotum black : pleurae black with three patches of Avhite scales. Abdomen l)lack with black scales and creamy basal bands, the last two spreading out laterall\-: \-enter all creamy yellow. Legs deep brown, uubanded, traces of a i)ale knee spot and a civanu' apical spot on the hind tibia?. Wings witii typical brown Culex scales: the first sub-marginal cell cousitlerably longer and slightly narro^ver than the second posterior cell, its base much nearer the base of the wing than that of the latter, its stem short, rather less than one-fourth the length of the cell : stem of the second posterior about two-thir (1903), Theobald Apparently verv abundant along the Nile and its tributaries as elsewhere. Dr. Balfour has taken it on the Baro and Pibor, and reports it as by far the commonest mosquito in Khartomn. I have also seen specimens from Suez, Ismailia, and Cairo. Culex piisiihis. Bigot Dipt. Exot. 4th Supp., p. 9, Mono. Culicid. II., p. 166 (1901) This small thick set Culex has not occuri'ed since Bigot's specimens were taken. It is evidently distinct, and comes between Culex pipiens and C. fatigans. Culex pipiens, Linnaeus I'll. Suec. (17.58). Linnaeus; Mono. Culicid. II.. p. 132 (1901). and III., 224 (1903) Recorded by Dr. Keatinge from Cairo, and fi'om Suez by Col. Giles, late I.M.S. Also from i'ort Said and Ismailia (Maj-.r Ronald Ross,"c.B.). Genus Mansonia, Blanchard Prinoplifes, Theobald Comp. Kond Hebd. Soc. d. Biul., Xi\ but the lateral spines are equal not unequal. This character I neglected to point out before. For figures of wing, vide Plate II., Fig. 3, and Plate IV., Fig. 1. Dr. Balfour writes that this species "becomes common and remains so shortly after i^assiug Wad ]\Iedaui on the wav South." It is widely distributed i>\er Central, Xorthern, East and \Vestern Africa, and also in India and the Philippine Islands. I have had none from the Transvaal, Orano-e River Colony or Cape Colony. ^[ansonia rnajin\ Theol^ild Mono. Culicid. Ill, p. :i7U (l'.)03) No fi'esh specimens have been received since the one sent me by Capt. Cummins taken in the Bahr-El-Ghazal. It is larger than the largest of the preceding species reaching fi.5mm. in length. It can be told by the upright forked cephalic scales hax'ing the thin lateral spines unequal and by their irregular form and the " border scales " on the wing being all dull yellow Avhilst iu J/, unifonnis they are in alternatino- patches of dull yellow and black. Genus T.ENiORHYXCHUS, xli-ribalzaga Dipt. Argentina, p. 47 (ISySJ); Mono. Culicid. II, p. lOu (lUDl) To'iitiifhi/nchus aurites, Theobald Mono. Culicid. II, p. 209 (1901) and III, p. 269, (1903). This species occurs in fair numbers on both the Blue and White Niles. Dr. Balfour took thein between Roseires and Sennar on the Blue Nile, at Bahr-El- Jebel North Sudd country on the White Nile It also occurs in Uganda and on the West Coast at Bonny and iu the Federated Malay States. Tc^ntiirhi//tc/i(is anurtt'ii, TlieoJjald Mono. Culicid. II, p. 205 (1901) A single female with body gorged with blood and denuded of scales thus appearing black. Tlie sixth dusky scaled long vein is prominent and clearly defines it from the former species. Taken at Lake No, White Nile. Dr. Balfour adds a note ■ " femora spotted black," I cannot detect the spotting in the specimen he sends. This beautiful species has also been taken in Old Calabar. 7S THE MOSQUITOES oF EGVrT, I'llE SUDAN AND AI5YSSINIA Tceniorkynclius criatatits, u. sp. Thorax shiny bhick, witli golden hair-Uke curved scales. Abdomen orange. Legs black and orange, with tufts of black scales especially on the middle of the hind til)ite. Fcinalc. Head brown, with pale yellow narrinv-curved scales, and long, l)lack, biiid, u])right, foi-ked -scales over the occiput, and a tuft of stout bi'own bristles projecting forwards; autennie l)nnvn, the four basal segments reddish. Proboscis and pal])i yellowish, with black apices. Thorax black with narrow hair-like curved golden scales, pleurie -with a few \vhite patches ; on the mesonotum lateral rows of long stout black bristles ; scutellum black, with hair-like golden scales and black border-bristles. Abdomen entirely orange with orange-yellow scales, above and below. Legs yellow, with black tufts, \-ery inconspicuous on the forelegs, more like banding at the femoro -tibial and tibio-metatarsal joints; the second pair the same, but more marked, femur spotted with black, the last segment of tarsus black ; the liiud legs similar to the mid, but with bright purple to black tufts in the middle of the tibia?, consisting both of scales and bristles ; apical half of the metatarsus black ; nearly two-thirds of the apical half of the first tarsal and the second tai-sal black, last tarsal black with yelloAV basal baud at the joint ; ungues of fore and mid legs long, equal and simple, of the hind small, equal, and simple. Wings with yellow costa and veins, and yellow and dark scales, the yellow scales more rounded at the apex than the dark ones, some slightly expanded ; most of the dusky scales are acutely truncated. First sub-marginal cell \qvj long, longer than the second posterior cell; fringe dark. Halteres pale yellow, with pale knobs. Length. 6 mm. Hahitiit. Pib(jr. Ob.ser vat ions. — A single specimen only taken. The description is mainly that sent me by Dr. Balfour; the type was much damaged in transit, but I ha\e added a, few notes to those he has sent me. It is certainly a new species, easily identified by the tuft of purple-black scales and bristles on the hind legs. Teeniorhynchufi tenax, Theobald Mono. Culicid. II., 198 (1901), and III., 258 (19o8) Mule. Thorax as in the female ; palpi black with five ycUoAvish bands, one apical, the two apical segments of nearly equal length, with black hairs on lioth sides, the antipenultimate segment Avith black hairs on the outside, the fifth (basal band) is small ; antennae banded black and white with blackish hairs. Abdomen with basal pale bands Avhich spread out laterally on the basal segments. Wings with the fork-cells and their stems short ; the first submarginal cell longer and narrower than the second posterior, its stem about half the length of the cell, stem of the second posterior less than half the length of the cell. Legs as THE MOSQUITOES OF EGYPT, THE SUDAN AND ABYSSINIA 79 in the female ; fore and mid ungues unequal, the larger luiiserrated, the smaller also with a basal tooth, hind equal and simple. Length. 5 imii. Habitat. Middle and Lower Sobat ; Sennar, Blue Nile ; Jebelein, White Nile ; Fashoda ; Kenissa ; Baro ; Pibor. This sjDecies is very conunon on both Niles. Observations. Dr. Balfour adds a note as follows : — " Band on the proboscis naiTower and paler than in the female. Thei'e are marked white basal abdominal bands. The white scales on the second segment are arranged like the letter V : abdomen has also white lateral spots." Besides the male, which has not been previously described, several females have been sent me by Dr. Balfour. The anterior thoracic ornamentation is not as pronounced as in the type, but wliere the pale scaled area joins the dark it is just the same ; the abdomen is not so speckled on the posterior segments. Tceniorhynclms tenax Theobald var maculipes, n. v. (Plates IV., Fig. 4 ; VI., Fig. 4) Very similar to the type, l^ut with the femora and tibiie of aU three pairs of legs with a row of clear white spots on one side. The banding of the legs passes slightl}' on to the apices of the preceding segments above, forming apical pale spots. The tibia; and to some extent the femora have black bristles. The Avings (Fig. 4) resemble the type, but there is some variation in the relative lengths of the fork-cells and their stems ; in the ty]3e of this variety the first sub- marginal is considerably longer and narrower than the second posterior cell, its stem less than one half the length of the cell, its base nearer the laasc of the wing than that of the second posterior ; stem of the second posterior half the length of the ceU ; posterior cross-vein about twice its own length distant from the mid. Scales sho-\\ii in Fig. 4, Plate IV. Length. 0.5 mm. Habitat. Kenissa, White Nile and Middle Sobat. Fig. 4 Wing of Ta'niorhyitchics ienax Theo. var mncitlipes, n. v. Genus MiMOMYiA, Theobald. Mono. Culicid. III., p. 304, 1903. The female only has so far been described, and in general appearance it resembles a Uranotajnia but the larger fork-cells and narrow-curx'ed scutellar scales wiU at once separate it. 80 TIIK MOSQUITOES OF lUIYl'T, THK SUDAN AND ARYSSINIA Dr. Balfour sends a male whidi is doscribed here, I feel sure it is the male of the lu'w species reeonled. It is one of the nmst curious mosquitoes I have seen. The proboscis is much swollen for half its length, the labelUc small, leaf like and acuminate and the palpi long and thin and acuminate, al)iiut Twii-TJunls the length of the proboscis. The structure t)f the j^alpi would Thus pbice it between the Culicina^ and Aedina>. Mniioiinjia uiiifoniiix^ n. sp. (Plate' I., Figs. 7, 8, & lU) Head broAni with yelloAvish scales, thorax testaceous with small black scales. Abdomen lirowii -with blackisli-bi-own scales, the apical segments ^vitll scattered creamy scales. Legs uni- formly brown, venter of femora pale. Wings with a pale spot at their base. FeinnJe. Head brown, clothed with rather irregulai' flat creamy scales and S(.)me ycUoAv and black u|)right-forked ones, the latter towards the nape ; antenna^ brown, Ijasal joint testaceous darker on the inside, remainder deep brown ; proboscis In-own, swollen apically and the labellaj black : palpi small, testaceous, Avith l)lack scales above. Thorax shiny brown with scat- tered narrow-curved black scales ; j^leura^ testaceous ; scutellum bright brown with black narrow-cur\ed scales, four border-bristles to the mid lobe ; metanotum diestnut-brown with l)rown scales and with liasal bands of dull creamy scales, so dull that they arc only noticeable in certain lights, apical segments with a few scattered creamy scales ; border-bristles dull golden. Legs uniformly broAvn, except the venter of the femora, which are pale: in certain lights the legs show ochreous reflections. "Wings with lirown scales and \\irh a nude shiny white basal patch, lateral scales on the apit-d poitions of the veins and on the major area of the second and on one side of the fourth elongate, clavate. those on the basal parts of the second and fourth longer than the others ; median vein-scales short and spatulate a single row only, those on the sixth somewhat longer than the rest; first submarginal cell al)oiit the same length and scarcely naiTOwer than the second posterior cell, its base nearer the apex of the wing, its stem longer than the cell : stem of the second posterior about the length of the cell : supernumeraiy cross-vein slightly nearer the base of the wing than the mid cross-vein ; posterior Fig. 5 Mimojityia uni/onnis X Enlarged portion of wing to show scales THE .MOSQUITOES OF EGYPT, THE SUDAN AXD ABYSSINIA 81 cross-vein longei' than the mid and about its own length distant from it : halteres with grey stem and black scaled knob. LeiKjth. 2 mm. Male. Proboscis (Fig. 6) broAvn, swollen from a little past the middle ventrally, apex truncated, labella3 leaf-like and acuminate, clothed with small brown scales. Palpi very thin and needle-like, about two-thirds the length of the proboscis, swollen at the base and clothed with small broAvn scales. An- tennae denselv plumose, i^lmne-hairs Fig. G ..11 Mimotnyia tini/ormist n. sp. T proboscis DrOAVTl. Legs brown, unhanded ; fore and mid ungues simple, unequal ; hind, small equal and simple. Wings (Plate I., Fig. 10), with similar scales to the female, Ijut the lateral clavate ones rather shorter and broader (Fig. 5) ; the upper branch of the first submarginal cell rather close to the first long vein ; fir,st submarginal cell scarcely narrower but almost the same length as the second posterior cell, its stem as long as, or longer than, the cell, its base nearer the apex of the wing than that of the second posterior cell, stem of the latter as long as the cell ; posterior cross-vein longer than the mid and about its own length distant from it, supernumerary and mid cross-veins united. Upper costal border with black spines. LetKjtlt. 2 mm. Habitat. Lado (female) ; Bahr-El-Jebel (male). Oh.^ervations. Described from a single female and male. I feel almost sure the male belongs here as the ijeneral characters are so similar. It can at once be told from the two other African Mimomyias by the general brown hue. The female was partly denuded in transit, but some notes sent by Dr. Balfour complete the description. Miinoinyia .splendena, Theobald Mono. Culicid. III., p. 304 (1903) Di-. Balfour records this very marked species from the Sudd country^ Bahr-El-Jebel ; the specimen being captured on the steamer. He has not sent me the specimen, but says apart from the features mentioned below, it entirely agrees with the type having apple-green scales on the thorax, etc. The following difterences are pointed out. — "The halteres of a fine lemon yellow ; there is a thick scahng, almost tufting, at the apices of the tibiiu with metalhc violet scales and metallic violet scales are scattered over the tibia? and some on the coxsB." These differences in colour are due probably to Dr. Balfour noting a fresh specimen, whilst mine was some months old. The only important character is the trace of tibial tufting, but if only slight it cannot be taken as a character sufficient to separate the specimen as a new species. S2 TiiK .MdSi^ri'roKs uv icgvpi', riiK si dan and abvssinia Goiius UuANOTiENiA, Arril)iilziiga. Dipt. Aryvntiiiii, p. (i.". (1899); Mono. Culicid. IL, p. 241 (IIM»1) UrarKjtceula balfoiwl, u. sp. (Plate VI.,' Fig. 6) Head ■\virh a l)r()ii(l hlai'k incdiau band, j)ale 1)Ur: un oacli side. Thorjix l)i-(i\vn with pale blue pro-thoracic lobes and a jjale blue area in front (jf the roots of the \vings. Abdomen brown, unhanded. Legs brown unl^anded. Wings with brown scales, except a short row at the base of the fiftli long vein. Female. Head black clothed in tlie middle with fiat black scales forminir a broad median area, sides clothed with flat pale blue scales; viewed in certain lights tlie liack of the dark area of tlie liead reflects deep rich blue colours ; four prominent curved black bristles in front which project medianaUy and some short black ones between ; antenna^ deep brown with paler nodes, basal joint pale reddish-brown ; clypeus pale reddish-brown ; palpi blai'k ; proboscis black, nearly as long as the whole body. Mesothorax brown with smaU narrow-curved brown scales, a short blue line on eacli side before the root of the wings ; pr(^)thoracic lobes clothed with fiat pale blue scales ; scutellum brown, testaceous along tlie edge, lateral lobes with small flat black scales (mid lobe rubbed) ; four posterior border-bristles to the mid lobe ; metanotum deep brown ; pleura' bro\vn, with a small median patcli of pale blue scales. Abdomen deep brown with rich deep brown scales and pale golden border- bristles, on the sides of the last three or four apical segments are traces of basal brown scales ; venter pale ochreous with brown border-bristles ; legs deep brown, bases testaceous, venter of femora pale ; ungues small equal, and simple ; wings Avith brown scales except at the base of the fifth long A'ein ^vhere there is a row of broad fiat ■\diite scales ; costa and first long vein with very dark scales, long lanceolate and prominent lateral vein-scales on the second and third veins and a few on the fork of the fourth ; the second long vein lying very close to the first, the upper branch of the small first submarginal cell being particularly closely applied ; the stem of the first submarginal cell about two and a half times as long as the cell, that of the first postei'ior slightly longer ; posterior cross-vein twice the length of the mid and about its own length distant from it ; mid cross-vein much shorter than the supernumerary ; the scales on the fifth (except base) are dark and also on the sixth except at the apex which is nude in the specimen examined; halteres Avith testaceous stem and l)lack knolj. LetKjtIi. 2 mm. Habitat. Pibor. Observations. Described from a nearly perfect female, the scutellum alone being damaged. Dr. Balfour states that it is " very common on the Pibor, and very annoying in the evening." It is a very small sjjecies that may easily get through ordinary mosquito netting. THE MOSQUITOES OF EGYPT, THE SUDAN AND ABYSSINIA 83 It is closely related to Ui'anotisnia cceruleocephala, Theobald (Mono. Culicid., Vol. II., p. 256), but can be told at once by the head having a broad area in the middle of flat black scales, and by the thoracic markings being blue instead of white. Uranotcenia cceruleocephala, Theobald Mono. Culicid. II., p. 256, (1901), and III., p. 302 (1903) A single female taken by Dr. Balfour on the Bahr-El-Jebel. It exactly resembles the type but small, lateral, white abdominal patches may be seen. It can at once be told from the fonner by the head being entirely pale blue. It has also been taken at Old Calabar, Gambia and Uganda. A New Genus and New Species. The very curious male described here cannot be placed in any known genus, but without the female I prefer to leave it un-named. Male. Proboscis black ; labella? paler ; palpi brown (Fig. 7), a pale Imnd on the lower side of centre ; the apical joint, rather swollen and bent, covered with scales and a few bristles. Antenna?, plumose with a long terminal pilose segment. Head dark and small, eyes deep purplish-lilack ; pale upright scales, not forked, over vei'tex and occiput ; white flat scales on either side of a dark median line of scales, a few black scales on the nape. Thorax denuded, with traces of black and long golden hair-like scales ; pleuras liroAvn with white patclies. Abdomen purplish-black with basal yellowish white bands to the segments, whicli expand laterally and spread on to the venter. Legs vni\\ knee spot and long tibial bristles, pale tibio- metatarsal tufts and the three last hind tarsals pale yellow ; posterior ungues much smaller than the others, all apparently equal and simple. Length. 4 mm. Habitat. Bahr-El-Jebel, North Sudd Country. Observations. — Described fi'om a single damaged male which I have mounted in balsam. It is most marked owing to the curious form of the palpi wliicli separate it from all other Culicids I have seen, or that have been described. It may be a male of some genus already named ; hence, until more specimens are obtained, I leave it unclassified. Fig. 7 Male palp and labellae ot a new genus ? LIBRARY OF THE WELLCOME RESEARCH LABORATORIES, GORDON COLLEGE, KHARTOUM. Design for the Bookplate of the Library, Wellcome Research Laboratories. Gordon College. Khartoum KEY TO THE ABOVE DESIGN In the centre is the famous Zodiac of Denderah depicting the various signs, planets, constellations and decani, together with the genii of the months and days. Above is the winged disU. symbol of Horbehutet. a solar deity, which was believed to ward off evil and protect the buildings over which it was placed from destruction. On the right is Thoth. one of the earliest known Egyptian deities associated with medicine. He was believed to be the inventor of all the sciences, letters and arts. He wrote the sacred books and was a great magician. In one hand he holds a stylus or pen, and in the other the notched palm branch. On the left is Ptah. the most ancient of the gods, who is called the " Father of the mighty fathers." " Father of the beginnings.'* " He who created the Sun egg and the Moon egg." In his hands he holds a sceptre which terminates in the signs for power, life and stability. Below is a roll of papyrus, on which are inscribed the ancient Egyptian symbols for the world, life, goodness, the sun. the moon, barley, water, fire, science, medicine, geometry, astronomy and magic. INDEX ■li- PAGE Abscess of liver ... ... ... ... 54 Ainhum ... ... ... ... ... 54 Alcoholic poisoning ... ... ... 54 Amoeha coli ... ... ... 51, 54 Analysis of " Kusub " ... ... ... 61 „ of soil ... ... ... ... 61 Ankylostomiasis ... ... ... ... 51 Anopheles impunctus ... ... ... 68 wellcomei 33, 34, 63, 64, 65, 67, Plate V. Anophelina 16, 22, 31 to 35, 67 to 70 ,, parasite of Aphis sorghi " Asal" fly Ascaris lumbricoides Aspongopiis viduatus Asthma B Bassus Beri-Beri ... Bilharzia ... ,, in schoolboys Blackwater fever ... Blister beetles c Calculus Galotropis p7-ncera . . . Cancrum oris Cellia pharoensis Cerebro-spinal fever Chemical work Chemist, necessity for Chicken pox Ghilomenes vicina . . . Cholera Chrysoidine, as larvicide CoccineUa undecim punctata Collector, value of Gulex cwmminsii ,, dentatiis ,, fatigaiis ,, pallidiKe.phala 29 41, 43, 44, Plate B 41, 43, 44, Plate B 51 43, Plate C 52 ... 45 ... 53 51, 58, 59 ... 52 ... 51 38, 39, Plate A ... 52 ... 55 ... 54 32, 33, 70, Plate V. ... 56 60, 61 ... 11 ... 56 42, 45, Plate B ... 55 29, 30 42, 45, Plate B ... 11 34, 75 33, 65, 69, Plate VI. 14, 24, 32, 33, 34, 35, 76 32, 73, 74 C — continued Culex pipiens ,, pusillus , , figripes , , viridis Culicifuge ... Cyanogenesis in sorghum vuJgaro D Dengue Dhobie itch Diarrhoea ... Diseases of crops ,, of Sudan ,, Veterinary Diplororcns intracelhdaris . . . Dracontiasis Dysentery ... E Elephantiasis Endemic Hsematuria Enteric fever Eosinophilia Epidemics ... Etorleptiomyia mediolineata Eye troubles F Filariasis ... Fish and mosquitoes leprosy G Gangrene of lung (}astrodiscus Sonsinoi Gastrophilus equi ... Glossina morsitans ... ,, palpalis Goitre Gonorrhoea Gordon Memorial College Guinea worm Gynaecomastia PAGE 76 76 18, 32 32, 33, 34, 35, 73 35 46, 47, 48 14, 56 ... 53 ... 51 ... 41 49, ft seq. ... 57 ... 56 58, 59, 60 ... 51 14, 50 ... 51 ... 55 58, 59, 60 55, 56 34, 63, 65, 71, 72, Plate VI. 55 14, 50 ... 21 ... 52 52 57 57 38 38 54 57 2 54, 58, 59, GO 54 u. INDEX H Hsemoglobinuric fever ... Heat Stroke HerniiE Uippoboscidx Horse sickness I Insect bites Insects, Biting and Noxious „ Injurious to crops Jigger PAGE 51 53 57 38 57 55 38 41 55 K Keloids ... 53 Kordofan sores ... 53 " Kusub," Analysis of ... ... 61 L Laboratory assistant ... 7 Laboratories, constitution of 6, 8, 9, 10 ,, functions of ... 7 ,, library of ... 13 „ museum of ...9,10 plan of ... 6 situation of ... 9 ,, staff of ... 11 Lady-bird beetles ... 42, 45, Plate B Larvicide, ideal ... ... 29 Lathyrism ... 53 Leeches ... 55 Leishmania Donovani 50, 53 Leprosy ... 52 Leucoderma ... 53 Liver abscess ... 54 Low fever ... ... 53 M Madura Foot 54, 55 Malaria ... 50 in Khartoum 16, 22 Prevention of ... ... 30 Malta fever ... 53 Manscmia viajnr ... 77 M — continued page Mimomyia splendens ... ... 34, 81 ,, uniformis ... 34, 35, 63, 80 Mosquito bi-igade ... ... ... 18 ,, ,, extension of work of 28 work of ... 20, 21 maps 23, 25, 27, 31 ,, plant ,, tick ,, work Mosquitoes and disease uniformis 32, 33, 34, 35, 50, 65, 69, Plate VI. Melon bug 43, Plate C 30 35, 02 14 14, 16 ,, ,, meteorological conditions 26 ,, ,, steamers ... 21, 22 ,, ,, sudd ... ... ... 36 ,, breeding places ... ... 18 ,, distribution in Khartoum 22, 24 ,, Sudan 32, 33, 34, 35, 62, et seq. ,, Genus Anopheles ... ... 64 „ Cellia 70 „ Culex 73 ,, ,, Etorleptiomyia ... 71 ,, ,, Mansonia ... ... 76 „ ,, Mimomyia ... 35, 79 ,, ,, Myzomyia ... ... 66 Myfeorhynchus ... 70 Mucidus ... 35, 71 „ New 34,83 ,, ,, Pyretophorus ... 70 Stegomyia 71 ,, ,, Taeniorhynchus 35, 77 Theobaldia ... .35, 73 ,, ,, Uranotaenia... 35, 82 ,, of Egypt, Sudan and Abyssinia 62 rf xnq. on Bahr-El-Jebel ... 34, 35 ,, ,, Baro ... ... ... 33 „ Blue Nile 32 „ Pibor 34 ,, ,, Sobat ... ... ... 33 „ White Nile 33 ,, Statistics ... ... ... 26 Mucidus Africaiius ... 18, 65, 69, 71, Plate V. Museum, donors H ,, General and Economic ... 11 ,, Laboratories ... ... ... 9 Memorandum ... ... ... 13 IXDEX 111. M — contin tied page Mycetoma ... ... ... ... 54, 55 Mylahris 38, 39 Myiasis 53 Myzomyia funesta 33, 34, 35, 63, 67, 68, Plate V. ,, new species ... ... ... 68 nili 33, 34, 63, 66, 67, 68, Plate V. Myzorhynchits paludis ... ... 34, 35, 70 0 S — continued page Stegomyia fasdata 16, 24, 32, 34,71, Plate VI. ,, ,, var. " mosquito " 18, 32 Stomoxys ... ... ... ... ... 38 Strongyles ... ... ... ... ... 57 Sudan, diseases in ... ... 4:9, et .wq. ,, population of ... ... ... 49 Sudd and Mosquitoes ... ... ... 36 Sunflower cultivation and malaria ... 35 Syphilis ... ... ... ... ... 56 Omdurman foreshore . 37 Oxyuris vermiculans 51 T P Tnhanus dorsovMus ... 38 Teenia saginata ... 51 Parasites of animals 57 Tsenioi-hyncli us an netii 34, 77 „ crops 41 , , aurites 32,77 >, man 51 ,, cristatus 34,78 ,, ,, mosquitoes ... . 29, 35 62 ,, tenax 32, 33, 34, 78, 79 ,, malarial Petroleum ... Phthisis Plague 16 50 20 52 56 ,, ,, var. maculipes Texas fever Theohaldia spathipalpis 18, 32, 73 69, Plate VI. ... 57 Plate VI. Poisoning ... Pyelitis Pyretophoncs costalis 24, 32, 33, 34 ... 54 ... 52 70, Plate V. Therapeutic garden Tick fever ... Trtchocephalus dispar ... 9 ... 55 ... 51 Trypanosomiasis ... ... 50 R Tse-tse fly ... 38 Eainfall in Khartoum ... Eiver bank, Khartoum ... 18 20 19 Tuberculosis Typhus fever ... 56 ... 56 ,, ,, Omdurman ... 37 ,, pools, Khartoum ... 18 19 u Eoutine work — Chemical ,, ,, Pathological 60 49 Ustilaginous fungus Uranotasnia halfouri 34 82 ... 43 Plate VI. s ,, cieruleocephala 33, 34, 83 , , domestica ... 34 Scale insects 42 Schistosonium hiematobium 51 Y Sesame orientale Sleeping sickness ... Small pox ... 61 53 55 Vegetable parasites Veterinary diseases ... 41 ... 57 Smut of dukhn ... 40 Y >, ,, dura Snake bites 40 43 55 Yaws ... 53 Soil analysis 61 z Spiroptera microstoma 57 Spirit substitution 60 Zeers as breeding places 15, 18 Sprue 51 ,, inspection of ... 21