Abstract

An outbreak of infectious hepatitis was observed among Africans in localities on both sides of the Cross River in the vicinity of Afikpo, Nigeria. Although the disease had a high incidence in all these localities, as judged by the number with frank jaundice, the illness was universally mild among those living on the east side of the river and fatalities were unknown, while among those on the west side there were many persons affected severely and even fatally. Among the latter there was conspicuous evidence of gross malnutrition, both quantitative and qualitative, which was not present among the former; and it is suggested that this might have had some bearing on the severity of the disease.

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