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To the Editor:
—I have not reviewed the literature, but in view of personal experience I was rather surprised to find that passage of Ascaris by mouth was considered unusual, as noted in the comment by Dr. Jennie Kantor (The Journal, July 28, p. 245).While a medical officer of the United States Navy, I was stationed for some months on the island of Guam. Among the natives of Guam, Ascaris, hookworm and whipworm infestations are common. Ascaris infestation is to be found in nearly 100 per cent of the natives who have not had a recent worm treatment. Massive infestations in children under 4 years of age amounting to more than 200 worms passed during a worm treatment is not uncommon.When a native patient in the naval hospital vomited an Ascaris worm, a note was made on the chart, but there was not apt to be any comment
Stewart C. ASCARIS PASSED BY MOUTH. JAMA. 1928;91(8):583-584. doi:10.1001/jama.1928.02700080055028