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Tropical Diseases in Temperate Climates

by KEVIN M. CAHILL, M.D., D.T.M. & H. (Lond.), Head, Department of Epidemiology, Director of Tropical Medicine, U.S. Naval Medical Research Unit No. 3, Egypt and The Sudan. xiii + 225 pages, illustrated. J. B. Lippincott Company, Philadelphia and Montreal. 1964. $9.50

Although the title and slim appearance of this book make an engaging first impression, the contents prove superficial and disappointing on closer scrutiny. There are no easy short cuts to by-pass the problem of recognition of tropical and parasitic diseases. Details concerning specific epidemiological circumstances and the biology of intermediate hosts and vectors must be known in order to understand how man acquires many of these diseases. Information on geographical distribution of endemic disease foci, for example, is of great practical value in differential diagnosis. Although a comprehensive and up-to-date compilation of countries or regions where major diseases could be acquired is not expected, this aspect of coverage in the book could be improved. In the section on yellow fever, for instance, the inclusion of a map showing current distribution of Aedes aegypti is of little help, and could actually be confusing, in a consideration of a common problem—namely, where might jungle yellow fever be acquired?