That _Culex_ (_fatigans_) can carry the parasite, has been proved past
all doubt. Neither does anybody doubt, that the keeping down of this
mosquito would keep down filariasis. A report of great interest, from
Barbadoes, was published in the _British Medical Journal_ for 14th
June 1902. It is written by Dr. Low, whose experiment on himself in
the Campagna has already been noted in this chapter. Dr. Low reports
that there is no indigenous malaria in the island, and that neither
he nor Mr. Lefroy could find a single _Anopheles_ larva, though they
hunted diligently in the swamps and other likely places. But
filariasis is terribly common, and so is _Culex fatigans_. Dr. Low
examined the night-blood of 600 cases of all kinds in the General
Hospital, the Central Almshouse, and elsewhere, and found the
filaria-embryos in no less than 76 = 12.66 per cent. He caught and
dissected a hundred mosquitoes (_Culex fatigans_) from the wards and
corridors of the General Hospital, and found that no less than 23 of
them were infected. If it were not for _Culex_, and for men's
indifference and apathy, filariasis could be kept down all over the
island:--
"There is a perfect water supply, and people can get their water
fresh from the standpipes at their doors. Old wells ought to be
filled up; no water-barrels or tubs should be allowed, or, if
kept, they should be emptied every week or so. Tanks and
collections of water in gardens should all be periodically
treated with kerosene, or be furnished with closely-fitting
covers to prevent mosquitoes getting in. These methods are
simple and inexpensive, and each householder should see that
they are applied in his garden and grounds. The difficulty
begins when one has to take into account the inability of the
negro to grasp anything of a hygienic nature. The only way to
get over this, would be a system of sanitary inspection by a few
competent men. For individual prophylaxis, mosquito-nets ought
always to be used; but many, even educated people, still persist
in sleeping without them; of course, nothing in this line can be
expected of the native population.
"If such means were adopted for Barbadoes, the presence of
filarial disease, which at present is quite alarming, could
easily, with little trouble and expense, be greatly diminished,
and thus save much suffering, as well as loss of time, hideous
deformity, and doubtless in not a few instances loss of life."
Public-domain text, read in full here on John Shaqi.
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