734

Table XI-Showing the ADMISSIONS into and DEATHS in the GOVERNMENT MATERNITY HOSPITAL during each Month of the Year 1901.

EUROPEANS.

JAPANESE.

CHINESE & INDIANS.

MONTHS.

Total Admissious.

Total Deaths.

Admissions. Deaths. Admissions. Deaths. Admissions. Deaths.

Remaining on the 1st

January, 1901,

January,

1 B

February,

2

5

March,.

April,

May,

June,

July,

August,

September,

October,

November,

December,

Total,

22

10

00

ورة

MONTHS.

J. M. ATKINSON, Principal Civil Medical Officer.

Table XII. Shewing Varieties of MALARIAL FEVER, uncomplicated and associated with other Diseases, occurring monthly at the Government CIVIL HOSPITAL during 1901, and Percentage of Cases to Number of Patients in Hospital.

January.

February

March.

April.

May.

June.

July.

August.

September.

October,

November.

Quartan,

Simple Tertian,

Maliguant,

58 33

Mixed Infection,

16881

ة

27

اران

55

64

2

1956

1

3

85

115

109

10 106

4

7

198*

3

20

3

6

121

114

32

919

3

3

558883

1

67

39

Total,

Percentage,

701 41

34

60

74 94 123

122

119; 133

125 |

4) 1,036

33.1726.11 17.80 26.02 31.48 41.59 | 43.62 | 47.84 41.60 44.77 38.82 19.90 35.14

J. M. ATKINSON, Principal Civil Medical Officer.

Appendix.

HEPATIC ABScess due to MALARIA—OPERATION-RECOVERY.

An officer of the Garrison was admitted to hospital on the 7th December suffering from fever of 3 days' duration. The patient was a strong young man with only 3 months' foreign service, all in this Colony. He had never had dysentery or malaria before and was a very abstemious person.

His tongue was furred, temperature 103.4 with enlargement and tenderness of the liver. Blood slide showed numerous malignant quotidian parasites. Under quinine in various forms and doses and saline purgative he improved somewhat, the chart however being very irregular 100 to 101 or 104, occasionally normal all day and parasites being sometimes present (4th, 13th, 22nd February and 8th March) and at other times absent (12th, 18th, 19th and 24th January and 25th February). The liver dulness diminished considerably but still remained enlarged somewhat and tender in one spot. On the 28th Febuary an exploratory puncture showed the presence of pus and the usual operation was performed. After the operation the temperature still kept up in an irregular manner rising to 100.8 or 103 in the evening— a small piece of necrosed rib was removed and on the 1st April the temperature fell to normal and kept so throughout. The patient began to mend and put on weight and left for home on the 1st May with . a small sinus still discharging.

Remarks. The cause of the liver abscess seems to have been the malaria which was very obstinat notwithstanding frequent and large doses of quinine. The presence of parasites in the blood w rather puzzling and took one's attention off the hepatic condition.

December.

Total.

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