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and converted into a huge cyst containing a yellow fluid and the left kidney was full of small cysts containing a similar fluid. A few dysenteric ulcers were found.
Discharges on Medical Grounds.-These amounted to 41. Ten cases which developed plague, four probably in the Gaol, and six which shewed symtoms on admission, were transferred to the Tung Wah Hospital and the Kennedy Town Hospital. Eight cases of leprosy were sent on the Leper Home at Canton. It seems a pity that such cases cannot be properly isolated and treated in this Colony, but there seems to be great aversion and fear of this disease among the people, who I understand regard it as highly contagious. Six cases of phthisis pulmonalis were discharged. they were all in an advanced stage of the disease. Four cases showing mental derangement were sent to the Lunatic Asylum. Three cases of acute pneumonia were sent on to the Tung Wah Hospital, as the conditious for the treatment of this disease in the Gaol Hospital were not in my opinion favourable. Two cases of beri-beri were sent away, both were imported. There was one case each of small-pox, heart disease. Bright's disease, acute dysentery, intestinal obstruction and syphilitic hemiplegia. The majority of these cases were short sentence men, three were sentenced to one year-a case of leprosy, one of Bright's disease and one of phthisis;—and one to five years-the case of syphilitic hemiplegia,--he died a few months after discharge.
The Female Prison.-There was an average of almost 20 prisoners a month. The general health was good. There were two births in prison.
The Branch Prison.-The Belilios Reformatory at East Point has been occupied by short sentence prisoners since 1st July. There have been from 65 to 95 in residence at one time, only the stronger and better nourished men are sent there, and the general health of the inmates has been good. This building is but poorly adapted for this purpose, and confinement here cannot have much. of a deterrent effect.
Vaccinations.—I append a table shewing in some detail the result of vac- cinations in the prison. It will be observed that the number of unsuccessful cases was high, 21.16 per cent. I hope however that with some futher modification this table will supply more detailed information next year.
Out-patients. There was a large number of prisoners suffering from slight ailments who were treated as out-patients-1,715 in all. The diseases are detailed in the table and call for no comment.
Corporal Punishment was inflicted on 128 prisoners-with the cat 3, and with the birch 125. None required special treatment afterwards.
In annex the following Tables —
1. Monthly Return of Diseases and Deaths in Hospital.
2. Monthly Return of Out-patients.
3. Admissions and Deaths during the year.
4. Rate of Sickness and Mortality.
5. Yearly Statistics.
6. Recommendations for Discharge on Medical Grounds.
7. Record of Deaths.
8. Vaccinations.
I have, &c.,
W. V. M. Kосн, Medical Officer in charge.
The Honourable
THE PRINCIPAL CIVIL MEDICAL OFFICER.