something that had hurt his feelings. “Now we face tuberculosis,” he said solemnly. It seemed as if TB increased with civilization. When people lived in huts in the crannies of the mountains they didn’t have so much TB. “As we clean up other diseases TB seems to spread.”
Across the street from the Health Center was a very much larger building ornamented with a great deal of carved stone in pompous Manueline style.
“What is that building?” I asked.
Dr. Penido had walked on scowling up the street. Somebody else answered the question. That was the lying-in hospital built by the state of Espírito Santo some years ago. A fine building but the trouble was it never opened. Funds ran out … Another Brazilian project.
We walked back to the station down the main street between stucco walls that glowed in the failing sunlight. At one corner in front of a drygoods store stood a sallow man of middle age with the respectable paunch of a father of a family. All he wore was a fake Indian feather girdle and a feather headdress. He carried a bow and arrow in his hand. Now and then he emitted hoarse fake Indian noises and made wardance steps inside of the drygoods box he stood in. As we passed we noticed that he was barefooted and that the box was full of broken glass. It was some wily Syrian’s idea of how to advertise his cotton prints.
The Triumph of the Oldtime Privy
The valley was murky and hot that morning. Brush fires burned on the mountains on either side. Clearing land for new coffee plantations. The ranks of shrubby shinyleaved dark-green trees I’d been looking at in the hollows of the hills were coffee, the doctors said. In the lower part of the valley the planters were doing very well with cacao; up here it was all coffee. New plantings. Many of the trees were just about to come into bearing. In a few years the Rio Doce would be a great coffeeproducing region … if the world market didn’t glut with coffee. “Brazil is the land of the future,” one of them broke in bitterly.
The linecar jerked and jounced over the rails. At every station teams of zebu oxen, four, five, and six yokes pulling in line, were hauling up the logs of peroba wood from the water’s edge. They strained forward in slow unison in a swirl of red dust. Alongside ran barefoot men and boys the color of the dust steering the oxen with shouts and groans and the touch of their long slender wands.
The river wound broad and sullen under a glaze of heat between rocky islets. Now and then we waited on a siding for a long oretrain to grind heavily past.
We were out of the malaria belt. The chief enemy of man in this upper part of the valley was a clever little fluke known as a
schistosoma
that spent part of its lifecycle in a watersnail. From out of the watersnail came millions of microscopic wormlike creatures that joyfully sought out the feet of a man wading or the hands of a woman washing and made their way through the pores into the blood stream where they hatched out eggs and produced a highly disagreeable disease known as schistosomiasis. The preventive measure was oldfashioned privies. The way the schistosoma got back into the streams and ponds to infect the snails was through the human feces.
“In Aimorés we’ll show you the snails … On my way back from the States I stopped off in Venezuela where they are making progress in poisoning the snails. We are experimenting with that method, but meanwhile,” said Dr. Penido with his ironical smile, “the answer seems to be privies. Here I spent twelve years of my life studying medicine, in Brazil and in the United States” he exclaimed in a tone of mock deprecation, “and I spend my time building privies.”
In the freight yard at Aimorés we found the health service’s sleeping and laboratory car. The sleeper was in charge of a shrewdlooking brown steward named Joaquim. Joaquim had some sort of a rising on his chin which was swathed in an immense wad of bandages and