For a period of 20 months we were stationed at a general hospital in one of the West African colonies. This hospital was situated in well-drained uplands, its precincts being practically free of the anopheline mosquito, but within two miles the hills descended-into large areas of swampy ground where subtertian malaria was rife. Most of the cases of malaria and all the cases of blackwater fever treated in this hospital came from these areas. During the 20-month period 2,355 cases of subtertian malaria in British and Allied personnel were admitted, the majority being from the British Army. In the same interval 7 cases of blackwater fever were admitted. There were no deaths from either disease.
Clinical FeaturesA full account of these may be found in standard works.The most important biochemica;l and other details of our cases are summarized in Tables I and II.
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