Klang and Port Swettenham are contiguous towns in the Federated Malay
States, having a population of 4000 and a rainfall of 100 in. a year. At
Klang the expenditure has been £3100, with an annual expenditure of
£270, devoted to clearing and draining 332 acres. At Port Swettenham
£7000, with an annual upkeep of £240, has been devoted to treating 110
acres. In Hong-Kong similar measures were carried out, with the result
that the hospital admissions for malaria diminished from 1294 in 1901,
the year when operations were begun, to 419 in 1905.
Klang and Port Swettenham.
+------------------+------+-------+------+------+------+------+
| Year | 1900 | 1901* | 1902 | 1903 | 1904 | 1905 |
+------------------+------+-------+------+------+------+------+
| Cases of Malaria | 510 | 610 | 199 | 69 | 32 | 23 |
+------------------+------+-------+------+------+------+------+
* Nearly all were relapses of previous infection.
A systematic campaign for the destruction of breeding-places has been
inaugurated in the British West African colonies, with encouraging
results. The planting of eucalyptus trees is out of favour at present,
but it appears to have been successful in Portugal, not from any
prophylactic virtues in the plant, but through the great absorption of
moisture by its deep roots, which tends to dry the subsoil. Treating the
breeding-ponds with petroleum or similar preparations seems to be hardly
applicable on a large scale, and in any case can only be a temporary
expedient. H. Ziemann advocates the destruction of mosquito larvae by
the growing of such plants as the water-pest (_Anacharis alsinatrum_)
which covers the surface of the water and suffocates larvae and nymphae.
Short of suppressing mosquitoes, the parasitic cycle may theoretically
be broken by preventing them from giving the infection to man or taking
it from him. The means of accomplishing the former have been already
pointed out, but they are obviously difficult to carry out on a large
scale, particularly in native communities. It is one thing to protect
individuals from mosquito bites, another to prevent the propagation of
the parasite in a whole community. Perhaps the converse is more feasible
in some circumstances--that is to say, preventing mosquitoes from having
access to malarial persons, and so propagating the parasite in
themselves. It could be carried out where the infected persons are few,
by isolating and protecting them, but not where many are infected, as in
native villages. Koch has suggested that the disinfection of malarial
persons by quinine would have the desired effect, but other authorities
of greater experience do not consider it practicable. In spite of the
difficulties, however, there is no doubt that a great deal can be done
to reduce, if not stamp out, malaria by the methods indicated, which
should be applied according to circumstances. An encouraging example is
Public-domain text, read in full here on John Shaqi.
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