342
25. The following diseases caused the greatest number of admissions :—
Fevers :-
Diseases.
Simple continued (Febricula) Enteric.
.க.
Intermittent
Remittent
Venereal ....
Organs of Locomction. Digestive System........... Respiratory Alcoholism. Dysentery
""
Injuries of various kinds caused
Cases.
21
4.
..246
40
311
232.
148
119
112
48
40
183 admissions.
26. Of the 68 deaths 8 were from Phthisis, 4 from Liver Abscess, 4 from Heart Disease, 3 from Dysentery, 3 from Bright's Disease, 14 from Injuries (9 of these being from Fracture of the Skull) and the rest singly from other diseases.
27. POLICE. The total number under treatment was 74 less than in the previous year. With regard to the different nationalities there was a decrease of 15 amongst the European members of the Force, a decrease of 61 amongst the Indians and an increase of 2 amongst the Chinese.
There were 3 deaths during the year: one European dying of Phthisis, one Indian of Tubercular Peritonitis and another Indian of Acute Tuberculosis.
This is the smallest number of deaths amongst the Police Force for years, and it is to be noted that there were no deaths from diseases incident to the Colony.
Aberdeen, notwithstanding its new Police Station, sends in more Police suffering from Malarial Fevers than any other station.
28. Influenza.-There were 21 cases under treatment during the year.
29. TYPHOID FEVER.-There were 4 cases under treatment during the year, all of which recovered. Two of the cases occurred in the Colony, one being admitted from Kowloon and the other from Elgin Street. In the third case the disease was contracted in Canton and in the fourth somewhere in Japan.
30._CHOLERA.—There were two cases under treatment during the year with one death.
A European sailor was admitted on 28th June, at 9.50 a.m.; he stated that diarrhoea and vomiting had commenced at 11 p.m. the previous night and had continued up to the time of admission. He was then in a state of semi-collapse, temperature 97° F. and complaining very much of cramp in his legs. Shortly after admission he passed a typical rice-water stool, under treatment he rallied and was discharged cured on 5th August.
The fatal case was that of a destitute Chinaman admitted at 8.55 p.m. on 23rd August, with incessant diarrhoea and vomiting; he rallied that evening but had a relapse the next day and died at 6.10 p.m. on the 24th August.
These were evidently cases of Choleraic Diarrhoea (Sporadic Cholera).
31. DYSENTERY.-There were 40 cases under treatment with 3 deaths, one of these occurring from the severe form of dysentery "Gangrenous Colitis," as proved by the post mortem examination.
32. Malarial FEVERS.-The total number of cases under treatment was 286, as compared with 339 in 1891. Of these cases 246 were of the Intermittent and 40 of the Remittent type. There were no deaths during the year. This disease was neither so prevalent nor so fatal as in previous years.
I have no doubt that this is to a great extent due to the improved sanitary condition of the Colony, and when the new drainage system is completed we may expect a still further diminution in this class of diseases.
There were two cases of Hyperpyrexia occurring in the course of Remittent Fever, in one case the temperature reached 108° F. and in the other 106.8 F.; they both recovered.
33. BERI-BERI.-There were seven cases under treatment, all of whom recovered; they were all of the dry variety (Beriberia atrophia).
34. VENEREAL DISEASES.-232 patients were under treatment during the year as against 230 in 1891; there is a distinct diminution in the number of cases of Primary and Secondary Syphilis, the numbers being 46 as against 94 in 1891.
There were 136 cases of Gonorrhoea, including Chancres Molles, admitted as against 109 in the previous year. Many of these cases developed peculiarily indolent buboes; in our experience the best treatment for these cases is excision of the affected glands or when this is not possible, as is frequently the case owing to the glands having already broken down, to enucleate or scrape away as much of the diseased tissue as possible.