On hot summer nights, when the wind is not stirring, the Phlebotomus flies, or sand-flies, as they are popularly called, invade houses and sleeping rooms in swarms and attack the inmates. As soon as light begins to break the flies either escape to the breeding places, or cool, dark places protected from the wind, or a part of them remain in the rooms, hiding behind pictures, under garments, and in similar places. Wherever the Phlebotomus flies occur they are an intolerable nuisance. On account of their small size they can easily pass through the meshes of ordinary screens and mosquito curtains. They attack silently and inflict a very painful, stinging bite, followed by itching. The ankles, dorsum of the feet, wrists, inner elbow, knee joint and similar places are favorite places of attack, possibly on account of their more delicate skin. Special interest has been attracted to these little pests in recent years, since it has been shown that they transmit the European "pappatici fever" or "three day fever." More recently yet, it appears that they are the carriers of the virus of the Peruvian "verruga." This phase of the subject will be discussed later. Control measures have not been worked out. As Newstead says, "In consideration of the facts which have so far been brought to light regarding the economy of Phlebotomus, it is clearly evident that the task of suppressing these insects is an almost insurmountable one. Had we to deal with insects as large and as accessible as mosquitoes, the adoption of prophylactic measures would be comparatively easy, but owing to the extremely minute size and almost flea-like habits of the adult insects, and the enormous area over which the breeding-places may occur, we are faced with a problem which is most difficult of solution." For these reasons, Newstead considers that the only really prophylactic measures which can at present be taken, are those which are considered as precautionary against the bites of the insects. Of repellents, he cites as one of the best a salve composed of the following: Ol. Anisi 3 grs. Ol. Eucalypti 3 grs. Ol. Terebenth 3 grs. Unq. Acid Borac.