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Medical missionary and authority on tropical diseases who spent more than 30 years of her long career in India, died in Chester, Pa. A graduate of Smith College, and early woman graduate of P&S, she interned at New York's Metropolitan Hospital and received a diploma in tropical medicine and hygiene in London in 1932. Married in 1932 to an Indian national, she and her husband moved to India, where he taught international law at the University of Punjab and she engaged in private general practice, worked as a college physician, attended several village clinics, founded a leper colony, and taught social hygiene and social service work. The Chackos returned to the United States in the late 1960's. Professor Chacko taught law in Chester, Pa, while Dr. Chacko worked at a center for maternal and child care and was active as a lecturer and teacher in many settings, ecclesiastical and medical. She received many awards, among them the Smith College Medal in 1970, a prize from the government of India in 1972, and in 1978-79, special recognition from the Philadelphia Evening Bulletin, the YWCA, and the Pennsylvania Medical Society. Dr. Chacko was the subject of an article in the New York Times in 1967, in which the writer observed that Dr. Chacko was an outspoken person--she descended from a long line of New England missionaries--who was often heard to say that the family planning experts sent to India spent too much time talking to each other and not enough time in the villages.