726
to a return of the malarial parasites in the blood, e.g., during the year nearly every patient's blood was examined microscopically, and Dr. BELL found the following results:
Dysentery.—Out of 101 cases 66 showed the presence of malarial parasites.
Phthisis.--Out of 68, parasites were found in 35 cases, in many cases of phthisis the fever is
malarial as on the administration of quinine, it frequently subsided.
Enteric Fever.-13 out of 25 gave malarial parasites.
Liver Abscess.-3 out of the 6 cases showed the presence of malarial parasites.
Dr. BELL has fully discussed this subject in a report on malaria written last summer in which he has given the results of the experience of himself and Lieutenant STEWART, I.M.S.
Liver Abscess.-6 cases were treated during the year with no deaths, three were operated on success- fully, two burst into the lung and recovered, the diagnosis being made from the history and the presence in the sputum of hepatic cells.
Appendicitis. There were 7 cases as against 6 last year, one only was operated on, they all
recovered.
Tetanus.-2 cases occurred, both proved fatal. Antitetanic serum obtained from the Pasteur Institute at Paris was used in the first case and seemed to modify the spasm. In the second case the man was knocked down by a heavy sea on the voyage between Singapore and Hongkong and sustained a compound fracture of the right thigh. The limb was amputated and it was observed just before the operation that there was some slight trismus, tetanus rapidly developed after the operation, tetanus bacilli were found in the wounds, this case is returned in Table under injuries.
used.
Bullet Wounds.-There were not so many as usual, 9 only being admitted as against 18 in 1900. Poisoning. There were only 2 cases during the year, in both opium was the poisonous agent
Surgical Operations.-There were not so many as usual during the year, the numbers being 188 as against 225 in 1900. We had to treat many more malarial fever cases in the surgical wards than is generally the case.
used.
Lithotomy.-3 cases, all successful..
Strangulated Hernia.-One case, which recovered.
Anaesthetics.—Chloroform was given 193 times during the year, Junker's Inhaler being generally
Fractures and Dislocations:-The following were treated during the year :-
Fracture of the Skull,
Jaw,..
77
""
""
Arm,
Fore-arm,
""
Clavicle,
27
""
Leg,.
11
11
Dislocation of the Elbow,.
"}
59
""
19
Hip,.... Shoulder,..
..14 cases with 8 deaths.
1
1
""
"}
})
5
>
9
>>
13
""
1
**
1
+1
2
13
Vaccinations.-644 vaccinations were performed during the year with the following result :—
Primary Cases, Re-vaccinations,
Successful. Unsuccessful.
Total.
248 234
14
262
148
382
644
Fees.-The total fees received during the year in the Medical Depratment was:
Hospital Fees,
Private Nursing Fees, Certificates,
.$32,443.55
865.00
650.00
$33,958.55
Buildings.-A scheme for fitting the Hospital with electric light has been drawn up during the year, the necessary expenditure has been sanctioned, and before next summer it is expected that this will be installed.
A new operating theatre is very much required.
LUNATIC ASYLUMS.
Tables IX and X show the admissions and deaths that have occurred during the year and the disease for which the patients were admitted. There were nineteen less admissions than in 1890. A report on the working of the Asylum is attached.
Page 825Page 826