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Am. J. Trop. Med. Hyg., 13(3), 1964, pp. 377-382
Copyright © 1964 by The American Society of Tropical Medicine and Hygiene

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Human Infections with Arboviruses in Trinidad, W. I.*

W. G. Downs
The Rockefeller Foundation, New York 20, N. Y.

I have been honored by this invitation to present the Charles Franklin Craig Lecture. The high quality of these lectures in years past has impressed me. It has also afforded me little peace of mind. I should like to be able to present to you today a striking synthesis of the diagnostics of arbovirus infections, and a chart outlining and clarifying the differential diagnosis of such infections so that one could distinguish them from infections caused by other viruses, protozoans, microbes, fungi and even helminths.

It is disturbing to have to admit that I am quite incapable of presenting such a synthesis. I have been unable, in the past few years, to convince myself that any magic formulae exist which might enable one to arrive at a precise diagnosis in the field of fevers of unknown origin (F.U.O.'s), pyrexias of unknown origin (P.U.O.'s), "cat fever," "three-day fever," "five-day fever," "status febrilis," "influenza," aseptic meningitides with and without rash, meningoen-cephalitides, diarrheas of shorter or longer duration, illnesses with jaundice and dengue-like illnesses.


* Presented as the 28th Charles Franklin Craig Lecture before the American Society of Tropical Medicine and Hygiene, Chicago, Illinois, 6 November 1963.







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Copyright © 1964 by the American Society of Tropical Medicine and Hygiene.