It has been claimed that anemia was introduced into Porto Rico by the negroes who were brought here as slaves in the sixteenth and seventeenth centuries, and the identity of the disease with the anemia existing in about 20 per cent of all the negroes of the Gold Coast has been determined. The disease was for a long time limited to the coast land and was propagated on the sugar plantations, but after the introduction of coffee, which has come to be the chief product of the mountain regions, the disease was propagated throughout the entire Island.

This disease has left its trace among the country people and they have been accused of laziness and idleness when it is probable that the cause of the apparent disinclination for work is due to the weakened physical condition which is a result of the anemia. In this connection, Drs. Gutierrez and Ashford in their work on Uncinariasis in Porto Rico quote Col. George D. Flinter, an Englishman in the service of Spain, who published in 1834 "An account of Porto Rico," as follows:

"The common white people, or lowest class (called jíbaros), swing in their hammocks all day long, smoking cigars and scraping their native guitars.... Most of these colonists are inconceivably lazy and indifferent. Lying back in their hammocks, the entire day is passed praying or smoking. Their children, isolated from the cities, without education, live in social equality with the young negroes of both sexes, acquiring perverted customs, only to later become cruel with their slaves."

Commenting on this statement, Drs. Gutierrez and Ashford speak as follows:

"What if these people were merely innocent victims of a disease, modern only in name? What if the brand placed by the Spaniard, the Englishman, and the Frenchman in olden times upon the jíbaro of Porto Rico were a bitter injustice? The early reports savor strongly of those touristic impressions of the Island which from time to time crop out in the press of modern America, in which 'laziness and worthlessness' of the 'natives' are to be inferred, if, indeed, these very words are not employed to describe a sick workingman, with only half of the blood he should have in his body."

"True, Col. Flinter, Field Marshall Count O'Reilly, and the rest of the long list of early 'observers' did not know what uncinariasis was. But is it necessary that we have a record of microscopic examinations of the feces of the people they describe to realize what can be read between the lines? Convicts, adventurers, and gypsies may have formed part of the element that colonized Porto Rico, but we cannot believe that these were all, nor that their descendants were 'lazy' and 'worthless.'

"We cannot believe that vicious idleness comes natural to the Spanish colonist, even in the Tropics, for the very reason that we have seen these descendants at their very worst, after the neglect of four centuries by their mother country, and after the laborious increase of an anemic population in the face of a deadly disease, whose nature was neither known nor studied, work from sunrise to sunset and seek medical attention, not because they felt sick, but because they could no longer work.

"We strongly feel that these writers have unconsciously described uncinariasis. Are the Spanish people considered 'lazy' by those who know them? Were those Spaniards who conquered Mexico, Peru, and all South America, who formed so formidable a power in the Middle Ages, a lazy people?