H-w-M *200-V/lh HEADQUARTERSFUR CPS AH THEATER OF CPS HAT I OHS

UNITED STATES ARMYOffice of the Chief Surgeon

APO 887

A-eh CG)ffiT0

I'i f i£Xs\ .Date 14 j\ly 1944

"I*

Medical Intelligence Samara Ho. 15

14 July 1944

. ty,

\

1. The Medical Intelligence material notedlected and is available for studv at- the Office of thcafillfcf.'8 urgeon,APO 887. ’ J

a. Drug Requirements in the Netherlands: Minis tryof 3o-cTal T7~0 fare ,

He the r land s' Government, 31 May 1944FUr He, 232-A,',/G-XJ.G5-C

The He the rlands Government has furnished a list ofthe most urgently needed medicines required hy thepharmaceutical industry and which arc no longer instock either in the wholesale trade or in GovernmentDepots. Principal shortages include aspirin, sodiumbicarbonate, liquid paraffin, vaseline, insulin andcod liver oil. Borne fifty drugs are listed, many'ofwhich do not appear to bo of immediate importance.

b. Measures to Id.- -c tail ish Control of Darwerous Praps inLike rate d and Oc c iro io d Co or t:?i o s: Pc rmanen t Gent ralOa-inm 3o -t, it May 19447 I*??s He. 211-AA/G-3188-U.

T’v 3oe.ro considers that there may bo three stagesduring which provision must be made for control ofdrugs. First, during the period of military control;second, the period of re-establishment of National ad-ministration with allied supervision; and third, theinitial period of full national control The Beardrecommends that all stocks of drugs -in civilian handsbe placed immoeiabcly under control of a designatedauthority. Ho import cf drugs should be allowed forcivilian use cnccpt under license. Factories manufac-turing drugs should be placed under the control of theauthority as well as imports of raw materials fromwhich drugs are made, Measures taken for the organiza-tion and control should lead to the restoration of thefull control system established under the 1925 and 1931Cvuvontions,

c. Tuberculosis in France: Par is or Zeitung, £5 March 194-,:IT;., 240-T?2/G-r02V-U.

Dr. Grassot, the Health Minister, announcec thatin 1944 the incidence of tuberculosis had risen to17C0 per 100,000 inhabitants, He' ascribes the 20 percent increase since .1938 to war time undernourishmentand psychological reasons, principally the Anglo-American ”terror raids’ 1

.(Hot::.: This incidence in the

general population would represent roughly 680,000eases i:i France, which is considerably under the estim-ate which has been furnished by ether French physiciansCvun: f ..-red more reliable is the figure of 2340 easesper 100,000 angulation furnished by the FOHL.)

&. Medical 0 aid it ions and Morale in Bo .1 pi urn: H.I, 19(R.P.S.) 2134, 25 April. Pile Ho. 234-W/G-1025-S.

This is a. report prepared from the interrogationof a Belgian physician and deals extensively withhealth and medical conditions in Belgium. A few ofthe important points brought out are as follows:

(ll The food ration in Belgium, after havinga minimum of 1400 calorics, is now at approx-imately 2000 colonies.

(2) The total amount of fat in the diet is def-inately insufficient, the monthly intakerarely exceeding 200 grams. Weight loss isestimated at approximately one-fifth of thenormal body weight.

( 3) The me a t ra ti on i s inado q ua te , ap or oxi rna te 1y30 grams per day and nutritional edema fromlow plasma proteins is stated to be common.

(4) Lack of vitamin 3) is the most serious vita-min deficiency.

(5) Informant had encountered three cases of B~ t-nllsm, of which 6no was fatal, duo to eatingof infected meat.

(6) Scabies has increased considerably, requiringspc c ia .1 tr c a tme nt c cntors.

(7) Syphilis is from six to ten times more preval-ent than before the war. Gonorrhea has in-creased to a lessor degree but according tothis physician 40 par cent of'the eases arenow resistent to sulfonamides.

e . Japan 1 s S-upply of Qui-ino : Me3i cal Intelligene c Di-vision, Office of the Surgeon Gerural, War Dent,

,20

April 194... HJXe if . 431-AA/G-1034-S.An economic intelligence survev states that the

Dutch destroyed approximately five - sixths of the Qui-nine manufacturing plants in Java prior to the Japaneseoccupation. The Japanese have been unable to fullyutilize the cinchona bark, which is mailable and havebeen forced to make atabrine the standard anti-malarialin the Japanese army.

f. Spray Formula for the Control of Lice and Scabies:C anab.ian "Mi di e a 1 Intelligence Division, 10 March 1944.File Uo. Insccticidos/S-1030-3.

A satisfactory formula for tho control of lice andscabies is given as follows:

Benzyl benzoate 10 parts by wtEthyl to- aminobenzoate ( benzccaine ) 2 " • n

DDT' “

1 part " "

Ethyl alcohol 100 parts by vol.Tie bathing is permitted for twenty-four hours

to enhance residual action. Tie change of clothingthereafter for three days.

g. Diagnostic Skin Test for Malaria: Canadian Medical In-to Hi gene e Dl vi si a n, 10 March 1944. Ifi le ho. 431-12/G-1029-S,

The Japanese hews Agency, DOME I, reports a new diag-nostic test for malaria. The technique is as follows:

A twenty-four hour culture of malaria organisms isproduced by the Sarreoi technique (1940). To this isadded fifty volumes of carbol-saline. The result is

rhetor! to be the antigen, which is injected intrader-mally. Injected individuals show a negative reactionand a positive reaction indicates no infection. Thereis no constitutional reaction.

h- Gas Gmwrene in the Eighth Arrv~: War Office, 10 April1944. Pile So. 2Il-SA£c/G-1094-E.

A study of gas gangrene in Sicily and Italy fromJuly to Doeemher 1943 revealed that the bacteriology issimilar to that recorded from the Vila tern Europe battlefields in 1917 and 1918 and from Tunisia in 1943. Prin-cipal organisms encountered wore C1• g tridium we 1chii

,

Cl. gpo r o go no s,

03.. oe dcmati cns and 01. ~sept 1o um~~

i. Service Regulations for the Chief Medical Officer of theAr (Hoercserat) HIES/SC0" T/W22/-5^, 16 Ifa? 1944. File¥o7“260-SA/G-,1 134-0.

The Service 'Regulations governing the Chief MedicalOfficer cf the Army have been taken from German sources.The Chief Medical Officer is under the command of theChief of the Army Goners,1 Staff and subordinate in tech-nical matters to the nmy ivic.*ice-3. Inspector. In hiscapacity as a specialist, he belongs to the Staff of theQuartermaster Gmrrnl and is subordinate to him. The CMOdirects and supervises the HcMical Services of the Field.Amy in accordance with military directions from theQuartomaster Gmeral and technical directions from theAmy Medical Inspector. Additional duties and responsi-bilities are listed.

j. Reaction cf Volunteers to Soap Pertaining 10 per cent Tot-mo noX : Modi cal Research Council, 22 Mm 1944. F i le No.'To trio sc 1/S-1145-R.

Soap which incorporates 10 per cent tetmosol (tetra-ethyl thiuram monosulphidc) has boon shown to be lethalto certain mites including Sarcoptcs scabiei and it hasbeen suggested that it may'confer protection against in-fection with human scabies. Among volunteers who triedthis soap, it was discovered that the majority sufferedfrom mild skin irritation or dermatitis, although neversevere. The affect of totmcsol on human scabies is notdiscussed,

k. Studics wi th Benzyfamine sulnhonamide (”Me.rf nnilV )Mod 1ca3EcRoWch 'Oc ora'll, 22 lloy 1944 Filo Ur. ttarfrail/S-1148-C.

Comparative tests have been carried out on T,Marfanil 1'rood othor sulfonamides. The activity of "Marfanil” isnot reversed by p-aminobenzoic acid. It is not an effec-tive bacteriostatic agent whon used systcmically» In ex-perimental gas gangrene "Me.rfanil’ 1 is inferior to sulfa-thiazole, except in the ease of Cl. oodomations. It isvery effective in experimental gangrene when appliedlocally,

l. Hospitals in Forth Franco: Medical Intelligence Branch,Office 'of the ‘Chj of "Surgeo n, HQ ET0U3A, 12 June 1944File Ho. 240-H/G-1192-S.

This is a detailed list of hospitals and related in-stitutions in sixteen departments of Forth France, andthe City cf Paris. Included is a brief discussion ofthe present French Public Health organization. Copiesof this document arc available on request.

m. Hospitals in C many; Provinces of Bavaria, -uerttem-ber g and Baden: Hec'ioal Intelligence Branch, Officeof the 'Chief Surgeon, HQ LT0U3A, 6 July .1944, FileHo, 260-H/G-1270-S.

This is the first of a series of detailed tablesof hospitals in Germany, Included is a glossary ofGerman terms and abbreviations dealing with healthand medical installations-. Additional copies of thisdocument are available on request.

2. The Medical Intelligence .Division, Office of the SurgeonGeneral, War Dept. ,

has compiled medical, and sanitary data on thefollowing countries, published on the dates indicated:

a, Austria, 27 Hay 1944 Sweden, 1 April 1944Portugal, 20 Hay 1944 Rumania, 31 May 1944Switzerland, 17 April 1944 Albania, 11 May 1944

Copies of those medical and sanitary surveys are availableon loan from Medical Intelligence Branch, OCS, HQ ETOUSA.

3. The following BuiIn tins, .have boon, issued by the NationalResearch Council of Ho Office of Scientific Research and Develop-ment on the dates indicated and may be obtained on loan:

a. Bulletin of Ophthalmology, 4 January 1944Bulletin of Tropical Diseases, 28 January 1944Bulletin of Radiology, 10 February 1944Bulletin of Psychiatry, 24 February 1944Bullc bin of Tuberculosis, 29. February 1944Bulletin of Neurosurgery, 28 March 1944Bullc tin of 1ndustrial l M uici no

,3 Apri1 1944

4. Documents of general interest received from the NationalResearch Counoil arc abstracted below. In addition to those a com-plete file of NRC Fopor' s inclading those concerning Aviation Med-icine, and the Treatment of Gas Casualties, aro available.

a. Pi rcctio.^s i•:ITs' .and a Discussion of Insecticidesand RoneMIonITrt3vusl; iga te d" "at "the Or land o Lab o ra t oryfor the Armed T ore os: 7 March 1944. File Ho. Insect-icide .:;/3 -104 2 - 1: .

Most c ensid• ration has boon given to the develop-ment o' improvement of control measures for malaria,mosquitoes - a I thw body .louse. The methods suggestedin this rop . : v o am baaed on observations made duringinvestIgasions made by the Armed Forces Laboratory. In-soots studied include mosquitoes, flies, tick, lice,fleas, mosquito larvae and bedbugs, A complete dis-cussion is given on the use of DDT.

b . Genei'il Rocommend ations Concorning Shock: 4 March1944. Fi 1o i' o. 3) j o ck/ 8 - .036 -D .

This is a report; by the- Subcommit toe on Shock ofthe NRG and discusses in detail the prodromal signs ofshock together with the prevention and treatment.Special emphasis is placed on traumatic shock,

c , Early lcti vi 'ey of Postonerativo Patients: 15 April1944. "NFrl'lc No. Rehabilitation/S-1106-U.

This report was presented by the Committee on Con-valescence and Rohabri litation of the NRC It describes

an abrupt and radical departure from traditional poet-operative care, stressing the importance o'f earlypostoperative activity and rehabilitation.' The endresults of early postoperative activity are describedfor- hernic.p3.asty, appendidectomy and cholecystectomy.Physiologic, psychologic and economic aspects are dis-cus sod.

d. The E.f footivonc. ss .of DPT vena Residual Spray AgainstHouseflies: 22 March 1911. File He. Insecticides/S-1104-U.

'7hm sprayed on surfaces DPT was found to remainnearly invisible and to act as a residual contact in-secticide against houseflies for periods as .long as151 days after treatment. Of all the solvents tested,5 per cent DDT in. keros one appeared to bo the most de-sirable for the immediate use of the armed forces.

o. Summary of Field"Tests with Sulfamcrazine as a Prophy-, Tac tie lyxnt Against Malaria: 1 March 1911". Flie Ho.

It a 1ar i; VIC £ 8 - R.Sulfamorasino in a dose of five-tenths of a gram

daily was not a causal malaria prophylactic. Sulfa-mo raziac given In' this dosage showed a fairly highdegree of suppressive action against P. vivax and I?.falciparrm ini options. Toxic effects appeared in onegroup who' took the dose daily fora period ‘of more thantwo weeks. Six-tenths of a. gram' of atabrine per weekproved a better suppressive drug than sulfamcrasino ad-mini s to rld as abeve.

, _ ' v

f: Olavac aa. An koiibiotic Substance iron AspergillusClaire: G ,..pri;l Pile Ko\ Clavr.cin/S-1140-tJ;

This substance is stated to be identical with pat-ulin, C. rniullino c lavacin is active against Gram-'positive end lram-nogrfive bacteria. It also possessesccnsidoral jo anti-fungal activity. The substance isGfuito boxes to animals producing a marked edema of thesubcutaneous tissues and lungs, accompanied by fluid inthe the rne.i.c and abdominal cavities, hyperemia of theviscera, and oliguria.

5. C urre nt D. is o a s © • In for ia a ti o n.

a. Statistics for the German Reich for. the first eleven(11) weeks of 1941 are given in the following tables. Periodcovered is from 2 January -1944 to 18 march 1944. Figures through.12 February are corrected; those subsequent are. uhcorrectedAdditional figures will be published as available.

DISEASE'Mee

-

0.It

endj.

Jan1-

tb

15Jan

22Jan

90.'•

£3

i

3an•

..

5

Deb.

22Eeb

Total2

Janto12

Eeb

•

G

D

G

D

G

D

.

G

.

V

.D

G

D

r\

D

G.

D

Diphtheria7A6'552371354976704.39467124466806411

657238941392

2660

Scarletlever.

7141-'

68

701987

6773•

85

658063

639680

6245'

79

40157462

MhoopingCo

ngh

‘

11891<

131622

123014

'

130015

123219

116223

7429107

Tiib.prcnlosis150611x6

218810

SI

a.

112024-,1

11492376

1193.2505

121113408

6910

ShinTiiborcalosis

17—

23

—

20

—

r)rr>

zj)Cii

—

On

C9jMv

—

46

—

160•

•—

IBofothero

re'-.vis00870

261...92

23616<

'

313106

349101

3431041704

559

Meningitis‘

55

13.

66-::

32

77.

26

68

21'

64

18

63

15

393125i

Encephalitis14

G

11

6

13'

5

21

6

23.

11

21

9

10643

Polio;evelitis.

21

<7.a

10

2

IB-

:

15

1

13

oU/

15

rro

OA

*en:

15

Trachoma96

-

112'

-

142

—

104—

123

258

835

Typhoicl

.

239

or:

218;

24

-17029

•22123

20226

172'

15

1212142

Paratyphoid.

76r;

/

■

-

46

2.

.

44

-

:

33

31

1

25

43

21510

Dysc

ritery

36

■rr/>

30

1

31

5

38

2s

22

5

24.3

18121

J’oodPoisoning *1

-

1

6

1

106—

7

1

4:

2

1254■

1

'Toils.Disease1

—

—

—

1

_

1

—

•

1

4;

Anthrax

—

—

n

1

1

_

—

—

—

1

/

4

1

Psittacosis-

,

—

—

■

4

.

—

—

—

10

14

Uiidnlantlever

1

-

5

—

3

—

1

3

r

17

1

Maia.riei

5

1

4'

-

1

-

-

-

3

-

3

-

16

1

.

lineorreebe1

Total

mec-

Tn-•lno

Total■

PiMc

11

Weeks

DISEASE

10lob36Pel1

Mar1.1

Mar18

liar13

Pob-10Liar

1941

■

G

c

0

v_/

G

C

n*

Dijpithcria*|f.

q961

5596540752145169*

87317■

68739'

;3crlob

!•’;

vcr

573156585991

58915870

291476

9.3Or-

-:

Eicropicy;Co

uph

1111953,

loi;

1015'996

-

5121■

12550

Tubere

iilosio'

5351v2156

’

2188

25932789

12857

26265

S1:.1.

ATiib•

voa1osis

17

53

21

33:

jpi-

i:5

295

T13o£.

otherorq

ms.

360-

352

310

275’i

'332:li.;

16381

3342

‘bioi

iinyitis

30.

59

.

80

75

87

358

75.3.

Erie,eh

alibis

rr'sAU

.

11

10

6

12

KQ

\

'

165■

Peli

oiiyclitis

30

■

6

■

,

11

rrr>Uj

6-

75

169

Tract'ona

113.

_ 150,

87

177.

131

630

1173

Aylieid

163

171

131

161

160

792

2001

P,

.ratycliGld

33

351

r?C);

19

26

161

376

Dy

sentcry

on

1/3811

12

25

39

■171

352-

11ooe

Poiseli-ia

/

1-

5

.

i-o

1"

21

149

1

ilT

s

piease■

2;

Of.

>

1

.

0.

10

1L>J"11?■’/

2'Su

--

-

2

-

-

6

J-O1bu■'

QVi._'<J

LJ

-

,

-

-

—

—

_

14

'Ureriant

lever.

A•‘±

.

2

6.

16

33

Malaria.

i.

3

-_r‘

6•

—

13-

'

•29■

s

■

b. Diphtheria one. scarlet fever in Europe,

1944, Lum-ber of cases .reported during the period indicate;!,

. M beginning 1 January 1944.

''6. ' Miscellaneous Inforuotion.V

I a. Information clc riVc/d fro.. :• i:.terrogation of a Gorman ncd-ical officer indicates that epidemic typhus fever hasbeen present in the Content in Peninsula. Approximate ly80. .cases appeared among Hussi an labor troops, and 6

Cp a eases developer! in German combat troops. Ilie disease1/as relatively niia and there v/ere few fatalities.

■ The .last c^sc"was" reported on 3 May Hid. There wasno indication that the disc i,s| had spread to the ci-vilian population.. It was s tated that the re / appearedto bo very.little louse infestation among the civilians

ifeg ' in, this area.

b. The Surgeon of the 5.62nd German Infantry Division issuedan order -on 18 March 1944- to r the effect that Salvc»r sanpreparations of French or Italian manufacture would

- not be used in the treatment of a embers' of the Mchmaeht,I ho reason, for this order was - pi von.

c. The sane Division Surgeon proscribes the following■'..'ointment to' be used in the treatment off)urns (Brunei-I kompressen) .

01. Euc alyp t i 3.0Mr t Pr o n to si 1 0.5'

Ano s the si d f '.'5.0Zine Onido, cru C o 5,0

/Vasoli c )Bee swan. ( eo : p) )

.. Paraf fin ( s-1 id ).) lad ICO. 0 ■d. During the month of March, 3 cases i typhus' fever './ere

. reported in France by the League of nations. Twoeases appeared in. Paris, and one in Aye sues (Dept, da

"Lord). All wore stated to be inner ted.e

DIPHTHERIA SCARLET PETER ;COURTRY Hurler Period Iririib or Period

I7 Cy rS r-t . •W j, vl c.. L a Covered Of Cases Covered.Gre^itny 23:, -Mv 1 weeks •32', 135 6 woe ks

• - Ore a tgt G-c many 11,223 ■ 6 reeks •10,010' ' 6 weeks'

4 Austria 3,135 8 reeks 3,529 8- weeks *

Belgium 3,666 13 o-corks 1,211 11 weeksPenmark 962 2 months • .3,926 3 '.'months

w. Prance ' 10,652 2 months ■' •• 1,761 2 months; Hungary' 2,305 3. 5 Sv e ok s 1 5,132 16 we e ks

• Uarray 1,-576 1 month 832 - 1 monthl He thorlands. 21,377 15 weeks G , 116 9 weeks

. You..:aria 131 3 weeks 1,711 3 weeks ’

■ sWden o rj - -2/month's 8,089 '3 months. Switzerland" 9.21 2 months 1,923 3 norths

Boiioni a .3 ,989 - 9 weeks 3,083 9 weeks| loravia 1 ,

311 . 5 weeks 1,128 9 weeks• Slovakia 185 11 weeks 130 12, wee ks ..