Page 7 - Bulletins-No. 1-1938-Endemic-Filariasis-In-The-Federated-Malay-States
P. 7

4

                    4  To  determine  the  mosquitoes  responsible  for  trans-
                         mission,  their  relative  importance  as  vectors,  their
                         ecological  features,  and  to  what  extent,  and  by  what
                         means  the  transmission  of  the  disease  by  thern  may
                         be  interrupted.

                                 2.—DEFINITIONS.
                  l<'n.AftiA.sJs.—Infestation  with  Nemathelmmtb.es  of  the
               family  Filariidae  (Cobbold  .1864)  Clans  1885.
                  Only  two  members  of  this  family  are  at  present  believed  to
               be  transmitted  to  man  in  this  country,  and  it  is  unfortunate  that
               Ihey  should  both  be  a  cause  of  elephantiasis,  as  other  species  are
              not  responsible  for  this  deformity.
                  1.  Wvchcrrria  bancrofti  (Cobbold  1877).—This  species  has
               suffered  many  names  including—Filaria  sanguinis  hominis,  Filaria
               dcnnatltcmica,  Filaria  wucliereri,  Filaria  nocturna,  Filaria
               dcviarquayi.  Two  other  species  put  forward  as  distinct  are  now
               believed  to  be  identical—Filaria  taniguchii  (Penel  1905)  and
               Filaria.  Philippineaxis  (Ashburn  & Craig  1906).
                  2.  Microfilaria iiialaiji  (13nig  1927).—This  temporary  name
               will  presumably  remain  in  use  until  the  adult  worms  are  dis-
               covered .
                  In  Africa  there  are  a  number  of  other  species  that  are
               commonly  found  infesting  man.  Some  of  these  also  occur  in
               South  America  and  the  West  Indies.  Probably  because  efficient
               vectors  are  not  available,  they  are  so  far  unknown  in  Malaysia.
               The  most  important  are—
                    Onchocerca volvulus  (Leucart  1898)
                    Onchocerca caecutiens  (Brumpt  1919)
                    Loa  loa  (Guyot  1778)
                    Filaria  oxzanli  (Manson  1897)
                    Acantlwcheilonema  perstans  (Manson  1891).
                   Both  TF.  bancrofti  and  Mj.  malayi  give  rise  to  pathological
               lesions,  though  the  former  is  responsible  for  a  far  wider  variety.
               It  is important  that  a  consistent  nomenclature  should  be  used  to
               describe  these  clinical  manifestations,  which,  may  be  summarised
               as  follows:
                  Filarial adenitis.— Enlargement  of  lymphatic  glands,  usually
               m ^ the  groin,  less  frequently  in  other  situations,  such  as  the
               axilla  or  at  the  elbow.  This  is  the  commonest  clinical  sign  of
               infestation.
   2   3   4   5   6   7   8   9   10   11