aluminium degchi?and poured into glasses held the degchi. Glasses should number at least six per unit, and one man will be told on to keep these glasses full, whilst another man washes them and places them ready f?r over
filling."
by measure was made some aluminium leaving cup, cutting of the upper part to act as a handle. Narrow or conical glasses would be more accurate, such glasses, holding about 1^ ozs., can be bought in any bazaar for from 2 to 3 annas (Note.?The down
QUININE
V
PROPHYLAXIS AND NOTES ON MALARIA. By J. F. JAMES,
OTHER
m.b.,
LIEUTENANT-COLONEL, I.M.S.,
Indian Military Hospital, Nowshera.
These notes are the result of an attempt to evolve an easy and efficient method of quinine Such points as administration to troops. accuracy of dosage, regular attendance, time occupied, and simplicity of dispensing and distribution are factors for consideration. The instructions for quinine prophylaxis originally issued in this hospital were as follows:? "
Quinine for prophylaxis will be issued packets of 4 ozs. of quinine mixed with 1^- lbs. of magnesium sulphate. This, dissolved in 1^ gallons of water, with the aid of sulphuric acid, gives a quinine content of approximately 10 grains to the ounce and is sufficient for 200 men. E. I. jugs will be provided for preparing the mixture, and a mark should be made at the 1^ gallons level." (Note.?Mixing quinine with magnesium sulphate not only tends to keep the bowels open, but renders the quinine unsaleable.) The paper packets are enclosed in cotton bags, in case of breakage between the dispensary and the medical inspection room. A further simpli1.
in
fication would be to include citric acid in the
packet as a solvent. The mixture is portable and easily dispensed. Such packages, suitably packed with or without the magnesium sulphate, would be an improvement on quinine tablets for troops in the field. The dose works out at 9.45
grains of quinine by Apothecaries' Weight, but on testing, the quinine content was found to be lower, viz., 8.75 grains, owing to avoirdupois weights having been used. The returns from the medical inspection rooms show that the issue of 191,077 doses involved an expenditure of 204 lbs. 12 ozs. of quinine. Thus each man got 7.55 grains per dose. This low dosage is apparently attributable to spilling from the measure, which was too shallow, back into the degchi. As the dose appeared to be sufficient, however, no change was made in the existing arrangements. per ounce
Whether such a dose would be sufficient in a bad malaria year, I do not know. " A measure holding when full exactly 2. ounce will be provided 'from the Indian one Military Hospital. Quinine solution will be dipped out of an open vessel?for example, an
ounce
an
each.)
administration.?Two orderlie3 bench, in the middle of is placed the degchi of quinine mixture. Fu glasses at one end of the bench are picked nP and drunk by the troops as they file at the other end; are then Method
of
stand behind
They
whicj1
a
pasj*
placed empty they are washed, first
in a bucket c?n" taining water, and then in another contain111? weak permanganate solution, before refill10?' a Each man calls out his name as he passes
where
table where the attendance roll is checked. ^n hundred men can be given their dose in minutes without hurry, and with four sll
filling."
by measure was made some aluminium leaving cup, cutting of the upper part to act as a handle. Narrow or conical glasses would be more accurate, such glasses, holding about 1^ ozs., can be bought in any bazaar for from 2 to 3 annas (Note.?The down
QUININE
V
PROPHYLAXIS AND NOTES ON MALARIA. By J. F. JAMES,
OTHER
m.b.,
LIEUTENANT-COLONEL, I.M.S.,
Indian Military Hospital, Nowshera.
These notes are the result of an attempt to evolve an easy and efficient method of quinine Such points as administration to troops. accuracy of dosage, regular attendance, time occupied, and simplicity of dispensing and distribution are factors for consideration. The instructions for quinine prophylaxis originally issued in this hospital were as follows:? "
Quinine for prophylaxis will be issued packets of 4 ozs. of quinine mixed with 1^- lbs. of magnesium sulphate. This, dissolved in 1^ gallons of water, with the aid of sulphuric acid, gives a quinine content of approximately 10 grains to the ounce and is sufficient for 200 men. E. I. jugs will be provided for preparing the mixture, and a mark should be made at the 1^ gallons level." (Note.?Mixing quinine with magnesium sulphate not only tends to keep the bowels open, but renders the quinine unsaleable.) The paper packets are enclosed in cotton bags, in case of breakage between the dispensary and the medical inspection room. A further simpli1.
in
fication would be to include citric acid in the
packet as a solvent. The mixture is portable and easily dispensed. Such packages, suitably packed with or without the magnesium sulphate, would be an improvement on quinine tablets for troops in the field. The dose works out at 9.45
grains of quinine by Apothecaries' Weight, but on testing, the quinine content was found to be lower, viz., 8.75 grains, owing to avoirdupois weights having been used. The returns from the medical inspection rooms show that the issue of 191,077 doses involved an expenditure of 204 lbs. 12 ozs. of quinine. Thus each man got 7.55 grains per dose. This low dosage is apparently attributable to spilling from the measure, which was too shallow, back into the degchi. As the dose appeared to be sufficient, however, no change was made in the existing arrangements. per ounce
Whether such a dose would be sufficient in a bad malaria year, I do not know. " A measure holding when full exactly 2. ounce will be provided 'from the Indian one Military Hospital. Quinine solution will be dipped out of an open vessel?for example, an
ounce
an
each.)
administration.?Two orderlie3 bench, in the middle of is placed the degchi of quinine mixture. Fu glasses at one end of the bench are picked nP and drunk by the troops as they file at the other end; are then Method
of
stand behind
They
whicj1
a
pasj*
placed empty they are washed, first
in a bucket c?n" taining water, and then in another contain111? weak permanganate solution, before refill10?' a Each man calls out his name as he passes
where
table where the attendance roll is checked. ^n hundred men can be given their dose in minutes without hurry, and with four sll
