371
H.Non-Malignant New Growths.
1. Chronic inflammatory fibrous nodule of Breast.
2. Ditto of Labium Majus..
3. Papilloma of Lip, (2 cases.)
4. Fibro-adenoma of Breast.
5. Warty growth on prepuce, (non-malignant.) 6. Myoma, (uterus.)
Information regarding the prevalence of new growths in China is scanty, it is difficult to obtain, from the Chinese, accurate statistics in regard to the question. So far as one can gather, however, there is no reason to doubt the frequent incidence of malignant disease amongst the natives of China. Indeed my own experience would lead ise to conclude, that cancer is as frequently met with amongst the Chinese as the European. The prevalence of malignant disease in China does not fall far sliort of that found in other countries. At the same time, it must constantly be borne in mind, that Chinese suffering from new growths rarely enter hospital.
Plague.
The number of cases of plague examined post-mortem during the past year was 136. Compared with previous years, this number is exceedingly snall, being even considerably less than during the previous year. The past year is conspicuous in the plague history of the Colony in that an extremely mild epidemic of the disease occurred. The condition of affairs was very similar to that obtained during 1904. In both years, therefore, a mild epidemic of plague has broken out in the Colony. What this demonstrates would be indeed difficult to show. Whether it means a temporary lull in the incidence of the disease, or a gradual and natural death of the pest, or as we might expect, the result of a successful combat with the disease from a sanitary point of view, is quite impossible to state. This, however, may be stated, that the history of ancient and inodern epidemics of the disease show the futility of the preventive measures adopted from time to time to cope with the outbreak.
The following types of the disease were met with during 1905 :--
J. Pestis Bubonica-
Left Femoral Bubo,
Right
31
77
Right Axillary Bubo,
Left
27
25
Right Cervical Bubo,
Left
21
Leit Inguinal Bubo,
34
28
9
7
5
4
Right
31
5)
II.-Pestis Septicamica, III.-Pestis Pneumonica,
9+
37
Total,...... 136
The frequency of the different types of the disease, during the epidemic, may be expresed as follows:-
Pestis Bubonica,
Septicæmica, Pneumonica,
""
69%
27%
4%
So far as the prevalence of the different types of the disease are concerned, the experience gained from the epidemic of 1905 is practically identical with that found during previous years. The bubonic type of the disease is prevalent throughout the epidemic.
The start and finish of the outbreak are marked by the continuance of uncomplicated septicæmic cases of the disease. My continued experience of plague, more and more, con- vinces me, that the exotic is, ab initio, a disease of a septicæmic nature.
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