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September 11, 1954


Author Affiliations

Department of Medicine University of Arkansas School of Medicine Little Rock, Ark.

JAMA. 1954;156(2):195. doi:10.1001/jama.1954.02950020101025

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To the Editor:—  While Wolford and Rumball's recent article on schistosomiasis (J. A. M. A.155:1045 [July 17] 1954) served to illustrate one feature of the disease, it failed to include one of the most important facts about the case reported. That is, whether the disease was active. This problem should be a major concern of every physician who diagnoses or treats schistosomiasis. When one realizes that the drugs currently used for treatment are far from innocuous, the significance of activity becomes readily apparent, as this constitutes the only indication for therapy.The detection of active infections in human beings rests, almost solely, on the recognition of living ova. A simple method has been reported (Newsome, J.: Recent Investigations into the Treatment of Schistosomiasis by Miracil D in Egypt, Tr. Roy. Soc. Trop. Med. & Hyg.44:611 [June] 1951) and should be used in every case. When the

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