Recurrent Headache Resultant From Malaria

To the Editor:— I was interested in reading the case report of recurrent headache resultant from malaria appearing in the October 27 issue ofThe Journal. Dr. Kaplan's experience with headache during the course of chronic malaria is, as he states, not altogether unusual. It is my observation, however, that the headaches seldom attain the severity he reports for his case, and they are not present or prominent in the vast majority of cases. In his comment Dr. Kaplan states that "malaria in the Pacific area is a common disease and will become much more common in the United States as more of our fighting men return from zones where they were exposed to the Anopheles maculipennis mosquito." I find it difficult to agree with much of this sentence. Malaria is certainly common on the malarious islands of the Pacific, but the vast Central Pacific, including Guam, Saipan, Iwo Jima,