A serious and mounting problem due to
kala-azar exists in China, and is probably as active
in N. Honan as in any other area.
In the face of traditional lines of
therapy the disease continues to increase in amount
and to spread geographically.
It is suggested that the only prophylactic
approach with a hope of success is that designed
to treat all cases of the condition, and destroy all
The sine Qua non is that treatment is
taken to the patient, and is given either free or
at a very low, uncommercial rate.
The type of disease encountered in this
region is not substantially different from the Indian
variety, except for the welcome absence of posttreatment dermal leishmaniasis.
It is submitted that a simplified and
standardised method of diagnosis and treatment, using
a minimum of fully- trained staff, is eminently suited
to the problem.
Statistics are advanced to show that, in
terns of the entire infected population of the limited
area, preliminary results obtained were comparable
with any others anywhere, and that the prospects
for the completion of the work in future visits