Findings in 679 Cases of Kala-Azar in Santal Parganas

an outpatient basis during the same years, as our records are for economic reasons too scanty to be of value. Their number would be about double that of the present series, so the total number of cases treated by this hospital and dispensary during the period would approach 2000. The cases seen from January, 1947, to February, 1951, were treated at Benagaria Christian Hospital, located at Benagaria, just two miles from the West Bengal border. In March, 1951, the hospital was moved 16 miles further into Santal Parganas to Mouhulpahari and became known as the Mohulpahari Christian Hospital. Cases seen from March, 1951, to March, 1952, were treated, then, at the latter hospital. While we were at Benagaria the bulk of our kala azar cases came from Bengal or its borders. The move further into Santal Parganas lowered the incidence of this disease as seen in our in-patient department from about 10.5% to about 4.5?/o of the total number of patients (Table 1). This might have been expected, since the disease has long been known to be more prevalent in Bengal than in Bihar. Table 1.?In-Patient Kala Azar Cases at Benagaria and Mohulpahari Hospitals, Jan. 1, 1947 to Mar. 15, 1952. An interesting aspect of the hospital's move further into Santal Parganas was that the percentage of early or acute cases rose sharply from about 5% at Benagaria to about 25% at Mohulpahari. It is our impression that at Mohulpahari