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At any rate, one may note the nine conclusions. Arabia, and especially El Hejaz, with its pure air, does not originate the morbid elements which express themselves in dysen- tery and typhus, cholera and plague. Small-pox, however, in certain places, is always to be dreaded. Steamers, though, on the whole, beneficial to the general health of the pilgrims, produce new sanitary conditions, and aid greatly in propagating the choleraic element; thus becoming a permanent and, at times, a real danger to Europe.
The same is the case with railroads, but to a much less extent. All the great outbreaks in the Hejaz, notably that of , when five hundred per diem died at Mecca during the Hajj, were imported, indirectly or directly, from India, tod then spread over the civilized world. This fact demands increased measures of surveillance ; they may not be thoroughly satis- factory, but because we cannot close aU the doors, we need not leave all the largest open. At the period of embarking from the Eed Sea ports, where bakshish is the key to most consciences, the local Health Office and the member of the Sanitary Council annually sent from Stamboul after the International Conference of should be assisted by a special commission of European physicians, who could, moreover, modify and improve the different "Passenger Acts.
Ergo: when the Hejaz is attacked by cholera the sea road should be peremptorily closed to all pilgrims, an operation whose difficulties have been greatly and needlessly exaggerated; nor should it be re-opened till after at least one pilgrimage season has passed away without accident.
To these wise conclusions I would add a truth. All quaran- tinary measures are unpopular with Moslems, who regard them as inventions of the Evil One, or, as our vulgar say, " flying in the face of Providence.
