28

   Of Catarrhal Jaundice there were 256 cases this year and Gastritis pro-
duced 326 cases. Pharyngitis which also curiously is included in this list pro-
duced 444 cases.

   In connection with the increase in messing allowance for the provision
of suppers, which was introduced in the autumn of 1937, one medical specialist
expresses fears that there may be a general increase in digestive disorders
because on this account the British soldier receives an extra meat-meal and will
now be eating 3 meat meals a day ! We are quite sure that there is little like-
lihood of such an untoward effect.

14. Cysticercosis

  There was only one case of this distressing condition which occurred at
Lahore. It was a case typical of the complete unexpectedness of the condition.
The details are as follows:

    Sergeant W. Service in India 10 years. No history whatsoever of worm
infection or anything abnormal. He was a patient in hospital
for a traumatic ulcer of the leg. A smart and able N. C. O.
He was seen by the Assistant Surgeon on duty recovering from
a " Fit ".

   There was nothing to account for this until X-ray revealed the presence
of cysticeri in leg and thigh, pelvis and skull.

   Epilepsy.— There were only 11 cases of Epilepsy major invalided amongst
British troops compared with 22 the previous year.

   Tape worms infections .—Amongst British troops there were 121 cases
of T. saginata and 4 cases of T. solium compared with 132 and 20 in 1937 and
134 and 17 in 1936.

   In the present year the majority of the cases of T. saginata infection are
from southern and central India. Two of the four T. solium cases were in
northern India viz. Cambellpore and Nowshera; the third at Bareilly; the fourth
was at Madras. Of the T. saginata cases Poona, Ahmednagar and Nasirabad
had 10 cases each. The Deputy Assistant Director of Hygiene in the report of
the Western (Ind.) District comments that T. saginata is very common in the
Quetta area, 8 men and 3 children were admitted in Quetta for this complaint.
At Karachi a piece of " measly " beef was actually issued to a unit, but was
detected before use.

   Amongst Indian troops there were 26 admissions with T. saginata
but 7 with T. solium. In 1937 there were 24 admissions for T. saginata and
13 far T. solium and an investigation into the type and class of personnel
concerned revealed the fact that infection with a particular type of worm bore
no relationship to the religion of the patient, T. saginata being present in
Hindus and T. solium in Mussalmans.