It may be stated in conclusion that the
position with regard to this wide spread disease has
improved considerably during the past few years. In
spite of the profound pathological changes it produces
in the bodies of hyper- infected people, thanks to the
efforts of the various investigators, the future is
definitely hopeful, and as the sanitary and educational
conditions,in the endemic areas improve schistosomjasis
should slowly disappear.
In Nouadin we have a reliable and safe specific
for the disease, but it falls short of being the ideal
drug. It is hoped that before long a drug will be found
which can be administered orally, and is cheap enough
for employment on a large scale.
From the data available, and the results of the
author's investigations in Bombay, it would appear
that this disease most probably does not affect the
human beings in this country.
It is possible that the snails found in this
country, though Morphologically allied to those found
in some of the endemic areas, are not suitable for the
development of the larvae of the schistosome worms which
attack man. Until such time, when this can be proved by
experimental work in various parts of the country, the
possibility of the introduction, and spread of schistcsomiasis can not be ignored.
In the event of the disease making its appearance
in any part of the country, active prophylactic measures,
on the lines laid down, will have to be employed to pret
vent its spread. If, on the other hand, the disease is
once allowed to establish itself to any extent in this . country, the problem of control may assume a greater
magnitude than it does in countries like China and Egypt.
It is therefore the duty of the State, and the medical
profession in general to see that schistosomiasis does
not add itself to the already long list of the public
health problems of India.