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Malaria and Filariasis in the Returning Serviceman

THE NINTH CHARLES FRANKLIN CRAIG LECTURE¹

The general problem of malaria as it exists in the returning serviceman is a familiar one to those interested in tropical diseases, at least in its broader aspects. More specifically, it is a disease present in large numbers of men and we are concerned with the task of reducing their latent infections and preventing malaria from gaining a foothold in receptive areas of this country. The basis of this report will be a discussion of the problem as seen in a group in excess of 3000 men assembled for care and observation at one place.

Since the station referred to is somewhat unorthodox as compared to other medical military installations, a word of explanation is in order. A little over a year ago it was the opinion of the Bureau of Medicine and Surgery, U. S. Navy, that a special installation for the care of malaria patients was justified. There were many reasons for this decision; first, because of the large volume of men involved; second, because the majority of these individuals were having repeated clinical breakdowns; third, they were only acutely ill for three to seven days duringeach episode, thus occupying valuable hospital beds urgently needed for other purposes; and finally, it was considered an ideal opportunity to assemble these malarial patients in one place for observation and study.

Received February 6, 1945.
¹ Presented at the Fortieth Annual Meeting of the American Society of Tropical Medicine, at St. Louis, Mo., November 13–16, 1944.

² Captain (MC) U. S. Navy Reserve.