399
33. FRACTURES AND DISLOCATIONS.-In addition to the operations the following Fractures and Dislocations were treated not necessitating operative interference :-
Clavicle,
Humerus,
Humerus and Ulna (both compound),
Radius,......
Radius (compound),
Radius and Ulna,
Ulna,
Metacarpals or Phalanges,
Femur,..
Femur (compound),
Femur and Radius,
Base of Skull,
Skull (compound),
Base of Skull and Fernur,
Inferior Maxilla,
Rib or Ribs,.....
Dislocation of Shoulder,
Dislocation of Elbow,
2
5
3
3
3
6
1
1
5
5*
1
1
5
2
1
34. ALCOHOLISM.--There was a decided decrease as compared with 1892, the numbers being 29 as against 48 in 1892.
35. POISONING.-No less than 24 cases of poisoning were admitted during the year. In 11 of these the poisonous agent was Datura with 1 death, this fatal case presented all the symptoms of datura poisoning, but as there was no post mortem examination ordered there is some doubt as to the cause of death. There were 10 cases of Opium poisoning with 4 deaths, the other three were suffering from Sulphuretted Hydra. g. poisoning and occurred in the hold of the sunken steam-ship Amigo. Notes of these cases are given in Appendix 4.
the
36. SMALL-POX.--A separate report is given by Dr. Lowson on those suffering from this disease. 37. VACCINATIONS.-Three hundred and forty-seven (347) vaccinations were performed during year
with the following results:-
Primary cases, Re-vaccinations,
Successful. 85
Unsuccessful.
15
=100
70
-247
347
38. LUNATIC ASYLUMS.-As will be seen from Table VIIc, there were 40 cases under treatment during the year with 5 deaths, of these 18, including 7 Europeans, I Indian, and 11 Chinese, were carried over from last year.
39. POST MORTEM EXAMINATIONS.-28 were performed during the year.
40. APPENDICES.--In Appendix A are notes on some cases of interest occurring during the year. Appendix B is a copy of the answers to the questions propounded by the Royal Commission on opium giving the results of my experience at this Hospital since 1887.
41. The fees received from the patients in the Government Civil Hospital during the year amounted to $15,990.93. Of this the Board of Trade paid $2,947.79, and the Police $1,034.82. The fees received from the patients in the Lunatic Asylums amounted to $818.00, those from the Small-pox patients $1,430.80, giving a grand total of $18,239.73 an increase of $4,614.05 on that of the previous year. This is by far the largest amount yet received in fees at this institution in any one year.
42. I take this opportunity of thanking the Naval and Military Surgeons, who are and have been on this station and the Civil Doctors for their valuable assistance especially at operations.
43. GIFTS OF FLOWERS, NEWSPAPERS, &c.--The patients have been much indebted to several residents of the Colony for frequent gifts of flowers, newspapers, &c.
I have the honour to be,
Sir,
Your obedient Servant,
J. M. ATKINSON, M.B., (Lond.), Superintendent.
Dr. PH. B. C. AYRES, C.M.G.,
Colonial Surgeon.
* Of these one died.