LIST OF ILLUSTRATIONS. FIG. 1. Acute trachoma, well developed, with general distribution of the granulations in both the superior and inferior cul de sacs.. 2. Trachoma-beginning cicatrization... 3. Trachoma-cicatrization well marked.. 4. Trachoma-showing connective tissue formation. 5. Trachoma-cicatrization almost complete.. 6. Trachoma-cured, mucous membrane replaced by scar tissue... 7. Rincon Reservation, Mission Indians, California. The grandfather Chart showing the percentage of Indians suffering from trachoma among Page. 18 18 18 18 18 18 38 24 8. One of the many sufferers from trachoma now partially blind; photo by an Indian artist... 9. Child in Pawnee camp. The child is suffering from trachoma and has assumed a position to shield her eyes from light..... 38 10. Both over 80, and both blind from trachoma, Siletz, Oreg... 38 11. A blind Walapai and his worldly goods..... 38 12. A wagon load of Indians blind from trachoma, at Walker River Reser vation. 13. Complete destruction of eyes of Indian from trachoma.. 14. A Pima day school with 31 per cent trachoma... 15. Smallpox and trachoma in same family; four of this group just recovering from smallpox, and three have trachoma. Yakima Reservation. 16. Wholesale infection with trachoma. Twenty-one out of 31 of these girls are suffering from this disease. Colville Mission School, Wash.... 17. Seven people with six cases of trachoma lived in this house. It has no window.... 18. Typical Indian family of Northwest. Wife and five children have trachoma. Forth Berthold Reservation... 38 85 19. Indian cabin banked with manure to exclude cold; no windows...... 20. The interior of some Indian houses are neat and clean... 85 21. A type of house frequently seen, especially on the Allegheny Reservation, N. Y.. 85 22. Onondaga Reservation, N. Y..... 85 85 38 38 38 38 38 23. Dance lodge. Large numbers of Indians meet in such places and dance all night. A favorable opportunity for the spread of disease is afforded in this manner. 85 24. Common hand basin and roller towel of cook car in threshing outfit. Whites and Indians worked in the crew. Two of the Indians had trachoma... 25. Type of privy frequently seen, Fond du Lac, Minn.............. 29. Arapaho home, Shoshone Reservation, Wyo.......... 30. A Ouray tepee, Uintah and Ouray Reservation, Utah. 31. Adobe house, Fort Yuma, Cal. Only one window and this was nailed up with boards. A tuberculous patient occupied this house..... 32. Chief Red Cap and his home, White River Indian, Uintah and Ouray Reservation, Utah.. 33. Hopi village..... 34. Looking down a street in Hopi village. The greater part of the garbage is deposited in the street.... 35. View across the housetops. entered only from above. Several of the houses in this picture are FIG. 36. The houses are built above one another, the lower ones being often entered only from above. Some modern large windows, but not made to open.... 37. A row of houses with courtyard. Pueblo Indians, Seama, N. Mex... 38. As in Taos, these houses were apparently built for defense. Large windows are not uncommon, however. Tuberculosis is rare here and trachoma common... 39. Papago back yard with shallow well. Fortunately for the typhoid problem, the water is strongly alkaline. Arizona... 40. House on La Jolla Mission Reservation, Cal.; no windows.. 41. A Navajo "hogan" 42. A Navajo "hogan" built of slabs and covered with dirt. When these "hogans" become infected with tubercle bacilli they probably remain so.. 43. Typical Apache tepee, Arizona.. 44. Navajo "hogan." The large round hole in the top is not shown. New Mexico... 45. Old Pima house in Arizona. Quite rare... 46. Palm-leaf house occupied by several Indians, Martinez Reservation, 47. Apache summer tepee, frequently burned following a death.... 51 and 52. The original method of carrying infants, still in use. Shoshone 53. Separate towels in name only. The towels overlap and infection might LETTER OF TRANSMITTAL. TREASURY DEPARTMENT, OFFICE OF THE SECRETARY, Washington, January 23, 1913. SIR: I have the honor to transmit herewith a report, together with recommendations by the United States Public Health Service, submitted in accordance with the act of Congress approved August 24, 1912, providing for an investigation into the prevalence of contagious and infectious diseases among the Indians of the United States. Respectfully, The PRESIDENT OF THE SENATE. FRANKLIN MACVEAGH, Secretary. 9 |