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Continuation report on Sleeping Sickness in Uganda
Place and Date of Creation
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102
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102

Date.

Parasites in the blood.

Filar.

Malar.

Tryp.

1903.

June 3

+

Aug. 16

+

19 .

+

Sept. 5

-

» 16 .

28 .

September 28. Died at 11.30 a.m. Post-mortem.

The body is profoundly emaciated. The superficial glands were generally enlarged and on section distinctly congested. A little jelly-like material present in subcutaneous tissue. Left cornea showed some opacity, none of right.

On opening the body, a little clear fluid escaped from the pericardial cavityno increase of-fluid in pleural or peritoneal cavities.

Heart.Pale, shows yellow jelly-like material round base. Two small petechiæ seen under endocardium of left ventricle.

Lungs.Both healthy.

Liver.Contained two flukes, otherwise healthy.

Spleen.Somewhat enlarged.

Kidneys.Pale, otherwise nothing noteworthy.

Glands.Retroperitoneal and mesenteric were enlarged.

Remarks.This variety of trypanosoma more closely approaches the Trypanosoma gambiense than the other animal varieties which we have investigated in Uganda. Dogs are very susceptible to the other animal varieties, but proved refractory when inoculated with this variety.

10. Further Observations on the Distribution of Glossina palpalis.

Since the last report, furtl er observations have been made on the distribution of the fly and sleeping sickness. The results of these additional observations have been added to the maps of the distribution given in the Further Report, which have been extended in order to embrace them. Its occurrence round Lake Albert is interesting and important. In the light of this discovery, additional significance was given to a case of sleeping sickness coming from this district. The following are the chief points in the case :

The patient was a Swahili sailor, named Sururu Bin Mze, who was employed on the Government boat running between Butiaba and Wadelai. Two years ago he came from Mombasa, and passed through Entebbe, remaining there for a day only, and then proceeded direct to Lake Albert. He remained at his work for two years; being then time-expired, he was discharged. On the journey to Entebbe he became ill, and when admitted