I have added in Appendix E. and F., a letter addressed to me by Deputy Inspector General POTTINGER of H. M.'s Naval Hospital; and statistics from Surgeon RAMSAY of II. M.'s 75th Regiment in reference to the freedom of the men of his regiment from contagious disease. The evidence of these gentlemen is extremely valuable and gratifying to myself, under whose care the medical exa minations have been carried on for the past twelve years. Both gentlemen have had experience of Hongkong, and known what "Hongkong Disease" was, before the introduction of the Contagion Diseases Ordinance into the Colony-and both agree as to the great contrast.
Dr. POTTINGER says: "Judging from my own experience, I should say that Syphilis has all but disappeared from the Colony," Dr. RAMSAY writes: "I may add that during an experience of 16 years as an Army Medical Officer in "all climates, I have not seen a similar immunity."
Dr. POTTINGER refers to my method of examination and says: "The instruments used by you are "admirably adapted for bringing into view the parts, including the Os and Cervix Uteri, very quickly, thoroughly and without the least pain to the female." Deputy Inspector Dr. BERNARD wrote to me in 1868: "I was much struck by the method adopted by you, combining as it does an efficient search "ing inspection with great rapidity of execution and appearing to me inuch better than that made "with the ordinary speculum." Dr. HEFFERNAN, Deputy Inspector General, writing in regard to the same matter refers to these instruments thus: "I have witnessed this examination as carried out by "you here, and consider it to be done most effectually." Surgeon Major BARNIER of the French Frigate "Guerrière" who had great experience in France, after expressing his opinion as to the "
"pen "de gravité et du petit nombre des cas de Syphilis contractés par les Européens dans cette ville," says in reference to these instruments: "J'ai vu examiner ces femmes avec un instrument inventé par l "Docteur MURRAY, Colonial Surgeon, et j'ai constaté que l'emploi, d'ailleurs tres facile, de cette instru "ment, perinet d'examiner en moyenne trois femmes par minute." I have only to add that Dr. NEWTON, who has charge of the Lock Hospitals and the prevention of Syphilis in Japan, uses no other instruments and writes of them: "They are such effective instruments, much superior to any kind of "speculum."
I shall be glad to find that the value of these instruments, which a twelve years' daily use has enabled me to perfect, is appreciated by the Profession and that they are brought into general use, as it is impossible to imagine anything that could be used better adapted to the purpose for which, they are intended, or more likely to facilitate the carrying out of the Ordinance with advantage. The two points I have constantly kept in view being rapidity of employment combined with an effectual | and searching examination, I believe that I have succeeded in attaining these objects. This, however, is no place in which to describe the instruments themselves.
Table XI. shows the approximative estimate of the mortality among the Foreign Residents in Hongkong during the past thirteen years. It does not include Deaths among Soldiers, Sailors whether of the Navy or Merchant Service, nor those buried from the Hospitals, who are usually non- Residents. It has no pretension to accuracy, nor can it be any more than approximative, until some system of Registration of Deaths is introduced. This is a matter of the greatest importance and really of more interest to every Resident in the Colony than is generally supposed, for until it is possible to obtain proper statistics, of the actual mortality and the cause of death, in all cases, a valuable aid is withdrawn from the medical practitioner in the treatment of disease.
Table XII. gives the usual information regarding the work performed by the Inspector of Nuisances attached to this Department.
Table XIII. shows the Annual Mean State of the Atmosphere during the year 1870, as recorded. at the Government Civil Hospital.
Got the R turns
-POLICE.
-TABLE shewing the Rare of SICKNESS and MORTALITY in the POLICE FORCE, during the Year 1870.
303
AVERAGE STRENGTH.
TOTAL SICK.
TOTAL DEATHS.
RATE OF SICKNESS.
RATE OF MORTALITY,
Europeans.
Colored.
Chinese.
Total.
120
301
204
625
10
97.76 per cent.
1.00
per cont.
3. TABLE shewing the RATE of SICKNESS and MoTALITY of the Tuoors serving in Hongkong, during the Year 1870.
STRENGTH.
ADMISSIONS INTO HOSPITAL,
DEATHS.
RATE OF SICKNESS.
Black.
Total.
518
875
1,393
1,052 1,146
White. Black. Total.
2,198
Whito. Black.
Total.
6
22
28
White.
Snell Pox,
Varioluid,
Blaasles.
RATE OF MORTALITY.
TO STRENGTH.
2.01
per cent.
157.7 * per cent.
* This number is the Rate of Admissions per cent of Strength, but the average number of men constantly sick was 77.09.
4-TABLE shewing the NUMBER of ADMISSIONS and the MORTALI in the GOVERNMENT CIVIL HOSPITAL, during the Year 1876.
DISEASES.
Diarrhea, Acuto and Obronie, Dysentery, de.
Intermittent Fever,.
Remittent
do..
Typhus do.. Typhoid do.. Mauritina do.. Caplinned
Chancre,
1870.
ADMISSIONS.
DEATHS.
Europeans.
Colored Persons.
Chinese.
Total.
Europeans.
Colored Persons.
Chinese.
Total.
do..
60 120
મ
སྐ:ཨྰཿཀྰ2 ཡ ལ ཡ
de.,
44
Bubo,........ Gonorrhos. Secondary Syphilis,. Tectiary do., Dropsy.. Abscess,
15
87
101
18
Batts...
Cicers,
Phagaedenic Ulcers,
Fungoid Disease,.
Scorbutus,.
Epistaxis,
Goat,
Sayofula,
Phthisis,
Hemoptysis,...
J. I. MURRAY, M.D., Colonial Surgeon.
Paralysis,
TABLE shewing the ADMISSIONS inte HOSPITAL and DEATHS, during the Year 1870.
Mercurialization,
Delirium Tremens,
Tetanus,
Insanity,
Neurnigis.
2
7
DISEASES.
1870.
ADMISSIONS.
DEATHS.
Europeans.
Colored Persons.
Chinese.
Total.
Europeans.
A
9
1
Colored Persons.
Chinese.
Total.
Brought forward.......
Stricture of Urethra,
rchitis,
Mymosis,
4raphymosis,
Hydrocele,
2pture of Bladder,
Albumenuria,
3 ambago,
Rheumatism, Bursitis, Synovitis. Periosticis, Dislocations,
1309 1368 80 847 20 12 15 47
1
1
I
Thours....
Uticaria,..
Ezeina.
2 Herpes,
The Tousutans,
Db. Favosa.
Sobies,
Lea, ... Elephantiasis, Filia Medinecstä, Trakenness, Destution,....
Gantrene of Leg
1 Deblity and Anemia,
Exhaustion from Drowning, Bart......
Poisthing by Opiuma.............
o. by Stramouium, Fractures, Simple,
D, Compound,
D of Skull...
Wonney, (Gun Shot),
(lucised). (Contused), Do.,Lacerated),
Do.
Do.
Do., (Punctured), Dog Bi
Man Bi
Contusions,
Sprain,...
Harelip.
Nasal Popi,
Amputation (Arm),
Opium Stoking and Fating,
Ophthalm
Retinitis, Hordeclam
Blind, (Inerable),
Impostors,
Ender Observation, Other Diseases. Nil, ... Moribund, ...
Epilepsy,
Apoplexy.
Compression of Bruin,
EUROPEANS.
COLORED.
CHINESE,
MONTHS.
ΤΟΤΑΙ, Admissions.
TOTAL Deaths.
Vertigo.....
Tonsilitis,
Influenza,
Admissions. Deaths.
Admissions.
Deaths. Admissions.
Deaths.
Brouchitis,
Pneumonia and Plenro Pneumonia,
January,
17
1
February,
11
1
Marcb,
16
April,
11
May,
16
June,
24
July,
17
August,
21
September,
8
October,
13
November,
16
December,
8
Total,
178
4
|=84889=689888
17
1
20
28
26
35
41
39
40
30
23
888888888
2
Plenrodinja,
Pleuritis,
36
1
Asthma,
Hysteria,
Dyspepsia,
50
56
50
Colie,....
Lead Colle, Constipation,
Hepatitis,
Abscess of Liver..
Interas, Splicitis, Hemorrhoids,
Hornia,
Urinary Fistula,
82
2
Carried forward.
809-338
30
847
20
12 15
47
395
38
1
011
10
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3
1
16
23
12
15
TTAI
618 492 2861,296
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19 44
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