NOTES ON AN ENDEMIC CENTRE OF KALA-AZAR
IN THE PROVINCE OF HUPEH, CENTRAL CHINA |
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Authors: | HENRY W H MCCLELLAND MB BS DTM & H |
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Abstract: | While the larger and more important endemic areas of kala-azar
are fairly well defined, the actual extent of these areas westwards''and
southwards appears to be extremely vague. In a recent article Hoeppli*
states "that although kala-azar may exist in West, Central and South
China, the important endemic centres so far have all been ~ound north
of the Yangtze Valley." The uncertainty of our knowledge of the ex-
tent,rbf the fringes of the endemic areas should constitute a challenge
to all working in those places to make a determined effort to prove the
presence or, if possible, the absence of the disease. In these notes I
propose to record experiences gained dunng 1936-37 in the small city
of Anlu (old name: Teian-fu) in Hupeh which indicate that in that
district the disease occurs with sufficient frequency to constitute an
endemic focus of kala-azar in Central China and only a few miles
north of the Yangtze Valley. . |
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