January,
427
Table VII Shewing the ADMISSIONS into and DEATHS in the GOVERNMENT MATERNITY HOSPITAL
during each Month of the Year 1903.
EUROPEANS..
INDIANS.
ASIATICS.
MONTHS.
Total
Total Admissions. Deaths.
'Admissions."
Deaths. Admissions. Deaths. Admissions. Deaths.
Remaining on the 1st
January, 1903,
February,
March,
April,.
May,
June,
July,
August,
September,
October,
November,
December,
Total,.
31
2
9
7
11
5
11
2
37
68
J. BELL, Superintendent.
Table VIII.-Shewing Varieties of MALARIAL FEVER, occurring Monthly at the GOVERNMENT CIVIL
HOSPITAL during 1903.
January,
February.
March.
April.
May.
June.
July.
August.
September.
October.
November.
December.
Total.
Quartan, Simple Tertian,
Malignant,
31
Mixed Infection,
Total,
མབལ།སྨྲ
10
33
30 50 0
3
471
6
12
35
32
22
1
B
4
42
6
1-4
19
40
21
45
153755
23
4
65
30
16
275
2
21
45
53
39
36
20
384
:
*ཡ།
Percentage to Patients in Hospital,.
14.6
6
7.4
8.3
17.8
8.914.05 16.7 16.01 15.11
18.5j 11.04
J. BELL, Superintendent.
Appendix.
CASE OF MENINGITIS DUE TO ANTHRAX.
A Russian aged 30 was admitted at 2.30 p.m. on the 20th April. He spoke Russian only so no history was obtainable. His temperature was 101° and he seemed to be suffering from severe headache but neither his tongue nor pulse suggested plague or typheid. Two hours after admission he suddenly became violently delirious and was removed to a private ward. Morphia and strychnia were given hypodermically as his pulse was now failing. He became quieter and gradually sank dying ten hours after admission.
Post-mortem.-Spleen and blood smear showed neither malaria nor plague nor B. anthracis. The internal organs were practically normal though the small intestine was a good deal congested. Lungs and heart normal. Dura mater and
pia mater were both intensely congested with patches of lymph on convexity of brain but no pus anywhere. The cerebral fluid was much increased in quantity but no hæmorrhages were found. The inflammation was more marked on the convexity than at the base. Fortunately the routine practice of the hospital was followed and a smear from the brain made when to our surprise what looked like typical anthrax bacilli were found. Tubes were inoculated and when a pure growth was obtained in bouillon this was inoculated into a Guinea pig. The animal died in 36 hours. The heart blood and spleen gave a pure growth of