Show SLEEPING SICKNESS DESCRIBED BY MAN MANI I WHO DISCOVERED IT Doctor Says Some Patients Remain in Coma for Three Days Others for Three Months Disease Seldom Is Fa Fatal tal WILMINGTON N. N Coo C. March After remaining in a comatose condition ondi condi- tion for a week Charles T. T aged 45 died in a hospital here Sunday from lethargic encephalitis or sleeping sickness had suffered I from the disease three weeks and previously had Spanish influenza KANSAS CITY March Adelaide ODowd a year old school girl who h has s lived in a state of coma here for three seventy days died Sunday She became ill with typhoid fever three weeks before losing consciousness Eight physicians who attended her have been unable to explain the case By Dr Beverly A. A Tucker Note Beverly Bevrly A. A Tucker was first to discover sleeping sickness in America He has given iven his observations of the disease to The Telegram B Be ooze ause if f I atly g d M lI- lI t id ei co a.-co r of o e a rd of bf hea to see seek the U e. e cause cause and RICHMOND Va March The 24 sleeping sickness which Is now v epidemic In various parts of this country II is not the sleeping sickness caused by the bite ot of a a. fly which Is common In Africa It is known n to physicians j as and to to give It a popular name I have called It epidemic somnolence It was known n In the seventeenth sc and eighteenth centuries and In 1895 1595 was reported in all countries ot of Europe and one or two places in the United States I It wa was not heard or of here again until eight cases were reported from Camp Lee Le Va two weeks ago when the tact fact struck me that r i should notice seven cases ot of extreme sleepiness accompanied accompanied by high temperatures In myown my myown own practice and consultations I r recognized rec- rec c- c that It was an unknown disease dis- dis t ease and had spoken to my friends I about It t I reported the cases to the state board ot of health ot of which r I am a member mem- mem ber bel and because I was the first to report report re- re port them I was made chairman ot of a committee to Investigate the disease Soon six more cases were reported malting making a total ot of thirteen four ot of which are In Richmond and the rest In other parts ot of Virginia and North Carolina Then came the reports ot of several cases casc In Chicago THREE MONTHS MONTHS' SLEEP The periods ot of somnolence vary In our shortest case the patient slept for tor three days and In the longest case he has been sleeping for three months and andIs Is still asle asleep p. p The condition is Is In reality not sleep but a puzzling sort ot of coma The patient patient pa- pa tient can be aroused as you would awaken someone from sleep We c feed him and then he goes back to sleep The bowels unction function normally The I patient remains absolutely quiet In on one when awakened he wears a I blank expression takes little interest In anything and says little Some patients take food tood naturally while others have to be forcibly ted fed with liquids I have one patient who Is aroused regularly three times a a. day sits up In bed and eats and relapses Into unconsciousness There Is no pain except some headache headache head head- ache and nausea The temperature does not exceed 1022 Pulse Is not affected TOXIC CONDITION ABSENT There Is no toxic condition as In other diseases which produces unconsciousness Respiration Is normal There are no symptoms ot of any nature except an Increased rigidity ot of the I muscles and a a. partial paralysis ot of the face tace and head I have found no evidences evidence evi- evi I dences dence ot of infantile paralysis There is no coughing or sneezing I have eXamined the spinal fluid in nil all cases and have found that it has I been under Increased pressure This and the fact ac that the cranial nerves are affected have hae led me to believe that the theof disease Is caused by an affection ot of the base ot of the brain Whether hether It Is I caused by a germ we e do not know yet et Our present laboratory findings taken from examinations ot of the blood and the I I spinal fluid have shown no germ I have ha made ray X-ray examinations ot of the I head which also showed nothing None one ot of our thirteen eases 5 have ha communicated the disease to any other othel person I believe however that the disease cat can be communicated by direct t contact through the nose nOle and mouth I I do not consider it contagious ISN'T REGARDED AS FATAL I think the disease will appear In varlo various us par ot t t the he country where the influenza epidemic was most meet serious I regard the epidemic somnolence as asa asa a recrudescence ot of the influenza epi- epi demic I do not regard It as a fatal tatal disease because the patient takes Con Continued I S LEEPING SICKNESS I r Continued from pave page 1 nourishment and his bOdy continues to I function tWe We have had no deaths although I understand there was one fatal case in hi Chicago and I have heard of one fatal ease in South America But it is an extremely inconvenient and obnoxious disease and it may disable the patient t for r months It comes on gradually and leaves jut just as gradually f |