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Discussion

Dr. D'Antoni told you at lunch today that he has seen in his personal practice here in New Orleans more cases than are reported for the entire State of Louisiana. I can cite similar experience in Winston-Salem, N. C. We have found the incidence to be approximately 20 per cent in a miscellaneous group of some 2,500 individuals examined in the course of the last 2 years. In the recent past I have had the opportunity of discussing this problem with officials of the State Health department of North Carolina. I was informed that practically no cases were reported and that the infection was regarded as essentially non-existent within the state.

Dr. Wright's figures conclusively demonstrate the fallacy of health department statistics concerning the incidence of infection by E. histolytica. When an efficient reporting system is combined with accurate diagnosis such statistics have great value. This combination is rarely if ever achieved with respect to amebiasis.

¹ Bowman Gray School of Medicine, Winston-Salem, N. C.