She herself had seen a number of instances of the worm in the eyes of
natives, and thus knew the nature of the affection when she had it
herself. It is said in Calabar that they are very difficult to capture.
She has never heard of the parasite piercing the skin or conjunctiva.
The ordinary guinea-worm (_Filaria medinesis_) under the skin is unknown
in Old Calabar. Miss H⸺ acted as dispenser for about a year during
the missionary’s absence, and never saw a case of it, nor heard of it
occurring during the whole of her residence there.
As a result of inquiry I found that other members of the Old Calabar
Mission had been affected with _Filaria loa_.
1. A lady, Mrs. M⸺, who for a time had resided with my patient at
Iköröfiön. She was in this country this year, but has returned to Old
Calabar. While in Scotland the worm was seen in her eye by my patient
Miss H⸺ and her sister, who is at present engaged in the study of
medicine. The latter saw the worm pass from the one eye to the other,
crossing the bridge of the nose under the skin.
2. Mrs. H⸺, the widow of a medical missionary to Old Calabar. I had the
opportunity of seeing this lady, and eliciting the following particulars.
She was three years in Old Calabar, from 1860 to 1863, at Old Town
Station. Here the water-supply was obtained from a spring which emerged
from the ground at a little distance from the river. Before use for
drinking the water was filtered through a porous stone basin, but it was
not boiled. The water for washing was not boiled or filtered, nor were
any precautions taken to prevent it coming in contact with the eyes.
During part of the time she was at Old Calabar she suffered from worm
in the eye, sometimes one, sometimes the other was affected, but never
both at the same time. She occasionally had a feeling as if the worm were
making its way under the skin at the root of the nose, in the eyelids,
or on the temple. The left eye was the one chiefly affected. She was
invalided home on account of intermittent fever. She did not suffer from
dysentery. The worms troubled her occasionally after her return home,
but they never came to the surface at a convenient time for removal till
in 1875, when her husband, Dr. H⸺, succeeded in removing a worm from her
left eye. She could not now recall the steps of the operation. About a
year later another worm was similarly removed by her husband—she thinks
from the same eye, and since then she has not experienced any symptoms of
filaria. These worms were preserved in spirits, but she fears were, after
some years, thrown away.
Public-domain text, read in full here on John Shaqi.
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